Outcome of endoscopic third ventriculostomy: analysis of first 23 cases

Nayak, Madhukar; Kamath, Vidyashri

doi:10.5455/2349-3933.ijam20150502

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Age distribution varied among studies, with some studies primarily focused on infant and pediatric population, [11][12][13] some on adult population [14][15][16] and elderly population, 17 and some studies included all age groups, like us. 2,3,[5][6][7][8][9][10] The success rate of ETV in other studies for pediatric population was 20 to 70%, 1,12,13 whereas it was 75% in patients >65 years, 17 in adults 60 to 90%, 1,14,15 and overall success rate ranging from 50 to 100%, 1-3,5,6,14-16 which varied depending upon the age distribution and neurosurgical pathologies in that study.…”

Section: Age and Etvmentioning

confidence: 47%

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Endoscopic Third Ventriculostomy: Our Experience of Consecutive 50 Cases at a Tertiary Care Center

Vemula

Prasad

Kumar

2022

Indian Journal of Neurosurgery

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Objective The aim of this study was to do a retrospective analysis of the various neurosurgical pathologies where endoscopic third ventriculostomy (ETV) was used and to evaluate the outcome and prognosis. Methods The retrospective data collection was done for the patients who underwent ETV with or without other adjunct procedures; the results were prepared for clinical presentation, diagnosis, surgical approach, and surgical goal; and success rate and prognosis were analyzed and compared with other studies. Results A total of 50 patients were included in the study, with overall success rate of ETV as 88%; aqueductal stenosis was the most common indication where ETV was used; headache and vomiting were the most common presenting complaints followed by ataxia and visual blurring; and ETV provided flexibility in its use with biopsy, abscess drainage, temporary external ventricular drain placement, etc. Conclusion ETV being superior to ventriculo-peritoneal shunt for obstructive hydrocephalus provides flexibility in its use and possibly is a useful adjunct to prevent postoperative hydrocephalus after endoscopic intraventricular surgery; proper case selection in accordance to ETV success score yields a better success rate. In experienced hands with proper precautions, perioperative complications can be kept at minimum. Wherever possible, in cases of obstructive hydrocephalus, especially in patients >1 year of age, ETV should be the treatment of choice. We recommend a proper case selection, including preoperative detailed reading of sagittal magnetic resonance imaging scan, to improve the success rate with less complication.

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Section: Age and Etvmentioning

confidence: 47%

“…Age distribution varied among studies, with some studies primarily focused on infant and pediatric population, 11 12 13 some on adult population 14 15 16 and elderly population, 17 and some studies included all age groups, like us. 2 3 5 6 7 8 9 10…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy: Our Experience of Consecutive 50 Cases at a Tertiary Care Center

Vemula

Prasad

Kumar

2022

Indian Journal of Neurosurgery

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“…3 It has been demonstrated that if attention is focused on evidence-based treatments, diagnostic evaluation and processes of inpatient care, desired positive outcome can be achieved. 4 ACS as a presentation of coronary atherosclerosis is associated with inflammatory mechanisms involved in the development of atherosclerotic plaque and subsequent rupture and thrombosis. 5 Increased white blood cell (WBC) count has been shown to be a predictor of clinical outcomes of patients with ACS.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of white blood cell count to mean platelet volume ratio in predicting short term, 30 days major adverse cardiac events in patients presenting with acute coronary syndrome

Shanker

Ramachandran

2020

Int J Res Med Sci

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Background: The role of white blood cell (WBC) to mean platelet volume (MPV) ratio (WMR) in predicting short-term major adverse cardiac events (MACE) in patients presenting with acute coronary syndrome (ACS) has not been studied extensively. We aimed to determine whether WMR can predict short-term (30 days) MACE in ACS patients.Methods: This hospital-based prospective cohort study was undertaken at a tertiary-care teaching hospital in India from January 2018 to December 2018. Fifty patients presenting with ACS to undergo primary percutaneous intervention were evaluated for WMR and short-term MACE.Results: Receiver operating characteristic (ROC) curve showed cut-off value of WMR as 1059 with area under the ROC curve of 0.825 (SE=0.074; 95% CI: 0.679-0.971; p=0.001). MACE was noted in 10 patients (20%) and mortality in 4 patients (8%). WMR with cut-off value of 1059 was significant and highly accurate in predicting MACE (diagnostic accuracy: 72%, sensitivity: 80%, specificity: 70%, positive predictive value: 40%, negative predictive value: 93.33%, p=0.016, and positive likelihood ratio: 2.67, negative likelihood ratio: 0.29). Risk of short-term MACE increases with higher respiratory rate, creatine kinase and creatine kinase myocardial band, alanine aminotransferase, WBC count, neutrophils, neutrophil to lymphocyte ratio, total bilirubin, aspartate aminotransferase, lymphocytes, uric acid, lower SBP, DBP, Troponin I, red blood cell count, and ejection fraction and clinical presentation such as, palpitations, sweating, giddiness, loss of consciousness, higher Killip class, and diagnosis of inferior wall myocardial infarction.Conclusions: Higher WMR values on admission (≥1059) are associated with worse short-term outcomes in patients with ACS and independently predict short-term MACE.

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Outcome of endoscopic third ventriculostomy: analysis of first 23 cases

Cited by 2 publications

References 9 publications

Endoscopic Third Ventriculostomy: Our Experience of Consecutive 50 Cases at a Tertiary Care Center

Endoscopic Third Ventriculostomy: Our Experience of Consecutive 50 Cases at a Tertiary Care Center

Usefulness of white blood cell count to mean platelet volume ratio in predicting short term, 30 days major adverse cardiac events in patients presenting with acute coronary syndrome

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