Traitement de l’hydrocéphalie de l’enfant par ventriculocisternostomie endoscopique au Sénégal

Salem-Memou, Sidi; Thiam, Alioune Badara; Kpelao, E; Mbaye, Maïmouna Ndour; Ba, Momar Codé; Badiane, S

doi:10.1016/j.neuchi.2014.06.014

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…Non communicating hydrocephalus either congenital, secondary to infection, hemorrhage or an obstructive lesion [3,11,21]. This pathology, which is frequent in the pediatric environment, recognizes a multitude of etiologies, most often malformative and haemorrhagic in the neonatal period, post-meningitis in infants and tumours in older children [24,25,27].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children; Challenges and Clinical Outcomes

Hosameldin

2023

JNNS

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Background: Endoscopic third ventriculostomy (ETV) has been established as a viable treatment option for obstructive hydrocephalus of children over 8 weeks of age. ETV in pediatric groups may be unsuccessful due to the failure of redirection of cerebrospinal fluid (CSF) flow, re-closure of ventriculostomy opening or due to infection. The exact cause is still debatable. Some issues like failure to eliminate the second membrane during the procedure or formation of the new arachnoid membrane at the stoma are still not clear. This study aims to assess the surgical failure of ETV and its predisposing factors.Methods: Thirty-two pediatric patients with hydrocephalus were analyzed retrospectively to assess efficacy of endoscopic third ventriculostomy in children. The patients’ age limit was between 6 months and 12 years. This is a retrospective study of 32 patients in Fayoum University Hospital in the period between May 2017 and December 2020. Patients having hydrocephalus in pediatric groups more than 8 weeks of age were included in the study.Results: The mean age of all patients was 24 months and the mean follow-up period was six months. Of 32 ETVs, the success rate was 78% in 25 patients and the failure rate was 22% in 7 patients. The study included 24 males (75 %) and 8 females (25%) with a male to female ratio (3:1). Clinical presentations varied from enlarged head (macrocrania), dilated scalp veins, repeated vomiting and poor ocular fixation and following. Complications were divided into failure of procedure, infection, CSF leak and re-exploration.Conclusions: Endoscopic ventriculocisternostomy remains an effective surgical technique in the treatment of obstructive hydrocephalus. It is linked to a very low rate of permanent morbidity and avoids ventriculo- peritoneal shunt-related morbidity and long life shunt dependence. But we should take in consideration good selection of indicated cases especially in pediatric groub.

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Section: Introductionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children; Challenges and Clinical Outcomes

Hosameldin

2023

JNNS

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“…Endoscopic ventriculocisternostomy (VCS) of the third ventricle (3rd V) is now considered the standard treatment for non-communicating hydrocephalus, whether congenital or secondary to an obstructive lesion [1,2,3]. This pathology, which is frequent in the pediatric environment, recognizes a multitude of etiologies, most often malformative and haemorrhagic in the neonatal period, post-meningitis in infants and tumours in older children [4,5,6].…”

Section: Introductionmentioning

confidence: 99%

Obstructive Hydrocephalus in Children: Predictive factors of ventriculocisternostomy dysfunction at the CHU of Conakry.

Souaré¹,

Sylla²,

Souaré³

et al. 2021

Preprint

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Context and Objective: The treatment of hydrocephalus is surgical and uses two (2) main methods to date: ventriculoperitoneal shunt and endoscopic ventriculocisternostomy. The latter offers the advantage of avoiding the implantation of a foreign body (valve) in the body. However, there are sometimes dysfunctions that can lead to the evolutionary continuation of hydrocephalus. The objective of this study is to identify factors predictive of endoscopic ventriculocisternostomy dysfunction in cases of obstructive hydrocephalus in children at the University Hospital Center in Conakry.Methods and Materials: This is a mixed analytical study of 32 cases of children aged 0-15 years who received endoscopic ventriculocisternostomy during the study period. Outcomes were evaluated according to Drake and Canadian Pediatric Neurosurgery Group clinical criteria. Results: The hospital frequency was 17% and a sex ratio (M/F) of 1.13. Clinical signs were dominated by progressive macrocraniality (93.8%), bulging fontanel (84.4%), ectasia of scalp veins (68.8%). cerebrospinal fluid leakage (9.4%) was the most frequent post-operative complication. According to age, VCS was successful in 16 infants (55.2%) and dysfunction in 13 (44.8%) while 2 children (66.7%) were successful with VCS versus 1 (33.3%) with dysfunction. We recorded one case of death.Conclusion: The factors often associated with the dysfunction of the endoscopic ventriculocisternostomy found in this study are essentially: age, bulging fontanelle, ectasia of the scalp veins, arachnoid adhesions, closure of the Sylvius aqueduct and pulsation of the bottom of the third ventricle. In the absence of a statistically significant relationship, it would be useful to analyse these parameters closely on a much larger sample.

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“…Today, many neurosurgical practices have developed resection of colloid cysts endoscopically, whether assisted by a guidance system or not (1,10,11). In our department, neuro-endoscopy is a new technique, introduced since 2010, its indications have long been limited to ventriculocisternostomy ways in the management of hydrocephalus (12). Over the years, they have been expanded including biopsy and excision of intraventricular tumors.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Treatment of Colloid Cysts of Third Ventricle: Study of Three Cases

Thiam

Mezui

Ndoye

et al. 2016

IrJNS

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Introduction: Colloid cyst of the third ventricle is a rare intracranial benign tumor. Traditionally, treatment is carried out by transcallosal or transcortical transventricular approach. Currently, the endoscopic treatment of these lesions is increasingly used. We reported our preliminary experience about three cases of colloid cysts treated by neuroendoscopy. Methods and Patients: We conducted a retrospective study on the analysis of medical records of three patients with colloid cyst who had been operated endoscopically in our department. We used a rigid neuroendoscope of 2.7 mm in diameter, with an optical 30°. Coagulation of the wall, followed by a puncture aspiration of cystic contents and partial resection of its wall were performed during the surgery. The mean follow-up time was two years. Results: Patients were 35, 47, and 53 years old. They were male. The dominant clinical symptom was headaches with consciousness disorder. Brain MRI allowed the diagnosis in all cases. The mean operation time was 100 minutes. A case of intraoperative hemorrhage was observed, necessitating the installation of an EDV. The outcome was favorable in two patients, and after surgery we observed one case of meningitis treated. One case of transient amnesia and one death were reported. Conclusion: Preliminary results of endoscopic treatment of colloid cysts were encouraging. It is a promising technique in our department. However, more investigation is necessary.

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Traitement de l’hydrocéphalie de l’enfant par ventriculocisternostomie endoscopique au Sénégal

Cited by 7 publications

References 25 publications

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children; Challenges and Clinical Outcomes

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children; Challenges and Clinical Outcomes

Obstructive Hydrocephalus in Children: Predictive factors of ventriculocisternostomy dysfunction at the CHU of Conakry.

Endoscopic Treatment of Colloid Cysts of Third Ventricle: Study of Three Cases

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