Pediatric Endoscopic Third Ventriculostomy: A Narrative Review of Current Indications, Techniques and Complications

Haddadi, Kaveh

doi:10.17795/jpr-5074

Cited by 4 publications

(2 citation statements)

References 56 publications

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“…Finally, although in contrast to various physical illnesses in children, such as trauma, spine diseases, behavioral disorder, and hydrocephalous [82][83][84][85], the prevalence of NF disease is infrequent, yet there is a lot of doubt about the best treatment option for this condition in pediatric patients. without any local neuro-ectodermal anomaly.…”

Section: Dural Ectasiamentioning

confidence: 99%

Spinal Manifestations of Neurofibromatosis: An Update

et al. 2020

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Background and Aim: Neurofibromatosis-1 (NF1) is a common genetic condition in children. It is becoming increasingly recognized that in neurofibromatosis, there might be anomalous development of bone with or without any local anomaly of neuroectodermal basis. This review was conducted to highlight the different features of spinal disorders in this congenital disease. Methods and Materials: Different search engines were used in this research. After going through the results and discarding the repeated ones, 2 reviewers began to inspect the studies independent of one another. In case of any disagreements between the reviewers over the inclusion of certain research material into the study, the final decision was made by the senior author. In the end, accepted research materials were used as needed in categorizing different types of spinal injuries. Results: Skeletal defects are among the most effective complications on the quality of life of patients. Bone deformities, osteoporosis, osteopenia, reduction of bone mass density, and spinal osteopathy such as scoliosis among such defects. Although the relative prevalence of spinal defects in neurofibromatosis type 1 is not clear, scoliosis can be considered the most common type of spinal deformity in this illness to the point it is present in 10 to 71% of cases. Thus, spine surgeons may face numerous common challenging conditions in NF1 patients like scoliosis, spondylolisthesis, and dural ectasia. Conclusion: As NF1 distresses several organ systems, radiologic spine screening is important in patients with NF1 and patients are likely to profit most from a multidisciplinary treatment policy.

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Section: Dural Ectasiamentioning

confidence: 99%

Spinal Manifestations of Neurofibromatosis: An Update

et al. 2020

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“…In contrast to various physical illnesses like trauma, spine diseases, behavioral disorder and hydrocephalous (15)(16)(17)(18), the prevalence of SK is infrequent, yet there are no specific recommendations about the best treatment option for this condition in adolescent patients. Therefore, the current study was designed with the purpose of review of the literature on the occurrence and challenging issues in evaluation and treatment of this disease in the mentioned age group.…”

Section: Contextmentioning

confidence: 99%

Scheuermann’s Disease: New Impressions of Clinical and Radiological Evaluation and Treatment Approaches; A Narrative Review

Haddadi

Kadam

Tannoury³

et al. 2018

J Pediatr Rev

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Context: Scheuermann's disease (kyphosis) is an essential kyphosis of the thoracic spinal column, and it is the most public source of kyphosis in adolescents. It has been shown that the imaging characteristics of the disease are sequential 3 vertebrae by minimum 5 degrees of wedging of anterior part of vertebral body. Frequently, the disease is presented at 8 to 12 years of age. Kyphosis is regularly managed with conservative methods. The purpose of this review was to discuss challenging issues in evaluation and treatment of this disease in the mentioned age group. Evidence Acquisition: Medline, Google scholar, PubMed and Ovid were searched and a total of 44 articles were found to be involved in the pediatric evaluation of this disease.Results: The precise basis of Scheuermann's kyphosis remnants is unidentified. Diagnosis is made by careful clinical examination and radiologic evaluations. In neurologic defects, MRI must be taken. Conservative managing plans for SK involve observation, physical therapy, and bracing. Some writers recommended evading the operation till skeletal maturity is completed. Surgery is commonly suggested for patients with deformity progress, permanent pain, neurological discrepancy, pulmonary insufficiency, or cosmetic complain. Thoracic kyphosis with curving of smaller than 75 degrees seldom requires surgery. Posterior only or combined with anterior methods are the surgery options based on severity of disease. Conclusions: Today, new and more modern braces have been designed to increase global advantages of bracing in Scheuermann's disease. Patients with more than 75 degrees of curving, kyphotic progress, intolerable cosmetic features, or neurological discrepancy might be supposed for operation. New surgical procedures permit improved correction of the deformity via posterior surgery with lesser complication rates. Concurrent shortening of the posterior spinal column crossways the apical levels, combined by monitoring of spinal cord, decreases the danger of neurological deficits. Though patients state great satisfaction rates through surgery, both proximal and distal junctional complications can remain. New systems with dynamic instrumentation and improving surgical methods with biologic handling are almost convinced to become typical treatment possibilities.

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Application of osteoinductive calcium phosphate ceramics in children’s endoscopic neurosurgery: report of five cases

Wei

Qian

Liu

et al. 2018

Regenerative Biomaterials

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This work aimed at investigating the possibility and effectiveness of osteoinductive calcium phosphate (CaP) ceramics to close the drilled skull holes and prevent the postoperative cerebrospinal fluid (CSF) leaking in children’s endoscopic neurosurgery. Five children patients (four boys and one girl, 3- to 8-years old) underwent the surgery, in which the endoscopic third ventriculostomy (ETV) was operated in four cases of hydrocephalus, and biopsy and ETV were both performed in one case of pineal tumor. The drilled skull holes were filled with the commercial osteoinductive CaP ceramics. The patients were followed up by CT scan at 1, 7 days, 3 and 6 months postoperatively. All the five cases were successful, and the holes were closed well after filled with the ceramics. The follow-up survey showed that no CSF leaking or rejection reaction was found. The CT scan indicated that the drilled holes began healing at 7 days postoperatively, and a relatively complete healing happened at 6 months postoperatively. The excellent ability of the CaP ceramics to induce bone regeneration was also confirmed by repairing the skull defects in a monkey model. The results of μ-CT and histological analysis showed that a bony structure with irregular array occurred at the defect area, and the newly formed bone volume density reached 65.7%. In conclusion, the osteoinductive CaP ceramics could be an ideal material to treat the drilled skull holes in children’s endoscopic neurosurgery and prevent CSF leaking afterwards. However, further investigation with more cases and longer follow-up was required to evaluate the clinical effect.

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Pediatric Endoscopic Third Ventriculostomy: A Narrative Review of Current Indications, Techniques and Complications

Cited by 4 publications

References 56 publications

Spinal Manifestations of Neurofibromatosis: An Update

Spinal Manifestations of Neurofibromatosis: An Update

Scheuermann’s Disease: New Impressions of Clinical and Radiological Evaluation and Treatment Approaches; A Narrative Review

Application of osteoinductive calcium phosphate ceramics in children’s endoscopic neurosurgery: report of five cases

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