Neuroendoscopic Management of Hydrocephalus in Children

  • ABDUL RAZAQUE MARI Peoples University of Medical & Health Sciences for Women
  • HAMID AKBAR SHEIKH Peoples University of Medical & Health Sciences for Women (PUMHS), Nawabshah
  • FEHMIDA ARAB MALLAH Peoples University of Medical & Health Sciences for Women (PUMHS), Nawabshah
  • MUHAMMAD ALI JAMALI Peoples University of Medical & Health Sciences for Women (PUMHS), Nawabshah
  • SHAMAS RAZA BROHI Peoples University of Medical & Health Sciences for Women (PUMHS), Nawabshah
Keywords: Hydrocephalus, Neuroendoscopy

Abstract

Objective: To determine the Neuroendoscopic management of hydrocephalus in children.
Materials and Methods: The study was conducted at the Department of Neurosurgery, Peoples University of Medical and Health Science for women Nawabshah from January 2014 to May 2015. All of the patients with hydrocephalus diagnosed on history, clinical examination and CT scan included in the study. Subjects with co–morbidities such as uncontrolled diabetes, cardiac diseases or uremia were excluded. Patients with age of 6 months to 13 years either gender were included in the study. Aesculap rigid rod lens neuroendoscope with 0 degree was utilized. Warm ringers were utilized for irrigation, a Fogarty embolectomy catheter was utilized for ETV. Hemostasis was accomplished with irrigation, tamponade or coagulation. Endoscopic third ventriculostomy (ETV) was labeled successfully when characteristics of intracranial hypertension (ICP) clinically improved and the size of ventricular decreased on post-operative CT scan. All the data was recorded in the Proforma.
Results: Thirty patients with male to female ration 2.5:1 were administered. Age ranged between 6 months and 12 years with a mean of 22.03 months. There were 15(%) cases of Tri Ventricular Hydrocephalus, 10 cases of Tetra Ventricular Hydrocephalus. Two cases of Dandy Walker Hydrocephalus, one case of Asymmetrical Ventricles Hydrocephalus and postoperative fever occurred in two subjects. CSF leak appeared in one patient who was managed conservatively. No operative mortality was found.ETV worked effectively for Hydrocephalus treatment in 99.9% patients included in the study.

References

5. Hazel C Jones and Petra M Klinge. Hydrocephalus 2008, 17–20th September, Hannover Germany: a conference report. Cerebrospinal Fluid Research, 2008; 5: 19.
1. Harold L Rekate. The definition and classification of hydrocephalus: a personal recommendation to stimulate debate. Cerebrospinal Fluid Research, 2008; 5: 2.
2. Drake, James M. MB, BCh; Kestle, John R.W. MD; Milner, Ruth MSc; Cinalli, Giuseppe MD; Boop, Frederick MD; Piatt, Joseph Jr. MD; Haines, Stephen MD and Collaborators. Randomized Trial ofNeuroendoscopic Management of Hydrocephalus in Childrenhttp//www.pakjns.org Pak. J. of Neurol. Surg. – Vol. 23, No. 3, Jul. – Sep., 2019 -203-
Cerebrospinal Fluid Shunt Valve Design in Pediatric Hydrocephalus. Neurosurgery, 1998; 43 (2): 294-303.
Published
2019-09-27
Section
Original Article