Endoscopic third ventriculostomy is a safe and effective                procedure for the treatment of Blake's pouch cyst

Brusius, Carlos; Cavalheiro, Sérgio

doi:10.1590/0004-282x20130086

Cited by 16 publications

(9 citation statements)

References 28 publications

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“…The procedure was ceased when the CSF has a clear appearance without any active bleeding. Report by Brusius and Cavalheiro showed usage of warmed normal saline was safe for irrigation in neonates and also has haemostatic effect if hemorrhage were to occur during the procedure [10]. There are two suggestions for the optimal timing for neuroendoscopic procedure.…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants

Tandean¹,

Hendriansyah²,

Djokomuljanto³

et al. 2018

Pan Afr Med J

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Bacterial ventriculitis is one of the most common and serious complications of shunt placement. Shunt infection has varied management and is difficult to treat neurosurgically. We report a case of intraventricular empyema due to shunt infection. Standard management was failed for this case and reaccumulation of pus in the both ventricles. Neuroendoscopic surgery with intraventricular lavage and aspiration using cannula nasogastric tube (NGT) through a single burr hole, has successfully decreased the accumulation of intraventricular empyema. After lavage and aspiration, antibiotic can be distributed effectively to the affected area. Follow up imaging and cerebrospinal fluid (CSF) culture shown a good result and shorter length of stay in the hospital. Neuroendoscopy appears effective and safe for the management of bacterial ventriculitis due to shunt infection in infant. The strategy described in this report might be useful to treat intraventricular empyema.

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Section: Discussionmentioning

confidence: 99%

Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants

Tandean¹,

Hendriansyah²,

Djokomuljanto³

et al. 2018

Pan Afr Med J

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“…23,26,27 At present, the scope of patients who can be successfully treated with endoscopic techniques is increasing. 3,9,12,14 In light of this, we present our experience using the combination of ETV and CPC (ETV+CPC) in the treatment of children with hydrocephalus of varied etiologies. It has been suggested that combining these techniques may lead to better results in treating these children, who form a major part of our clinical practice.…”

mentioning

confidence: 99%

Early outcome of combined endoscopic third ventriculostomy and choroid plexus cauterization in childhood hydrocephalus

Bankole¹,

Ojo²,

Nnadi

et al. 2015

PED

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OBJECT Although shunts have been the mainstay in treating hydrocephalus over the past 5 decades, the use of endoscopic techniques in addressing this disorder in children offers both the neurosurgeon and the patient a unique opportunity to avoid shunting and its attendant complications. The combination of endoscopic third ventriculostomy (ETV) with choroid plexus cauterization (CPC) remains uncommon in most centers despite its potential promise. The authors sought to investigate the efficacy of combining ETV and CPC (ETV+CPC) in treating childhood hydrocephalus in Nigeria. Infection and spina bifida contribute a high percentage of the cases of hydrocephalus in Nigeria. METHODS Over a 2-year period, all children 0–18 years of age who had endoscopic treatment for hydrocephalus were prospectively evaluated to determine the need for subsequent treatment. Children who had the combination of ETV+CPC were identified as a subcategory and form the basis of this retrospective study. RESULTS Twenty-two of 38 endoscopically treated children had undergone the combination of ETV+CPC for hydrocephalus of varied etiology. There was a male preponderance (2.5:1), and 90% of the patients were infants. The overall success rate was 75%, with the best outcome in children with spina bifida. One child required a repeat ETV. CONCLUSIONS The combination of ETV+CPC is useful in treating children with hydrocephalus of varied etiology. The complication profile is acceptable, and the overall success rate is comparable to that associated with shunt insertion.

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“…They discussed that the patient’s hydrocephalus was caused by the combination of obstructed CSF flow at the fourth ventricular outlets and disequilibrium of the CSF dynamics between production and absorption capacity. Brusius et al 10) also reported that ETV was a safe and effective procedure for BPC-associated hydrocephalus. They demonstrated eight pediatric patients with BPC-associated hydrocephalus who were treated successfully by ETV.…”

Section: Discussionmentioning

confidence: 95%

“…2,[4][5][6][7][8][9] ETV has been reported to be effective in pediatric patients with BPCassociated hydrocephalus in recent years. 4,6,10) In line with the current trend of using minimally invasive procedures in neurosurgery, ETV is considered a good alternative for hydrocephalus with BPC.…”

Section: Introductionmentioning

confidence: 99%

Progressive Hydrocephalus after Endoscopic Third Ventriculostomy in Pediatric Patients with Blake’s Pouch Cyst

Takeuchi

Kimiwada

Shirane

et al. 2020

NMC Case Report Journal

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The pathophysiology and optimal treatment for hydrocephalus with Blake’s pouch cyst (BPC) remain controversial. The authors present two pediatric cases of hydrocephalus associated with BPC, in which the patients’ hydrocephalus progressed after endoscopic third ventriculostomy (ETV), despite a patent stoma of the third ventricular floor. Case 1: A 4-year-old girl with delayed gait development was diagnosed with BPC-associated hydrocephalus and received ETV. Postoperatively, the patient presented headaches and nausea. Computed tomography (CT) scans demonstrated larger ventricles than those observed on the preoperative images. Because phase-contrast cine magnetic resonance imaging (MRI) and constructive interference in steady state (CISS) MRI revealed patent cerebrospinal fluid (CSF) flow at the third ventricular floor level, a ventriculoperitoneal shunt (VPS) was placed using a programmable pressure valve to treat the hydrocephalus. Case 2: A 6-year-old girl with newly developed repeated convulsive seizures was diagnosed with BPC-associated hydrocephalus and received ETV. Phase-contrast cine MRI on the 5th postoperative day showed hyperdynamic CSF flow at the third ventricular floor level. She also developed vomiting and headache 6 weeks after ETV. CT scans demonstrated much larger tetraventricular hydrocephalus than that observed on the preoperative images. VPS placement improved her hydrocephalus. Referencing the previous literature, we discuss the CSF dynamics and the mechanism of BPC-associated hydrocephalus, focusing on the third ventricular floor bulging. We hope our experience will help elucidate the pathophysiology and treatment strategies for BPC-associated hydrocephalus.

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Endoscopic third ventriculostomy is a safe and effective procedure for the treatment of Blake's pouch cyst

Cited by 16 publications

References 28 publications

Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants

Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants

Early outcome of combined endoscopic third ventriculostomy and choroid plexus cauterization in childhood hydrocephalus

Progressive Hydrocephalus after Endoscopic Third Ventriculostomy in Pediatric Patients with Blake’s Pouch Cyst

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