Use of Endoscopic Third Ventriculostomy (ETV) Success Score to Predict the Outcome of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus

Authors

  • MALIK MUHAMMAD NADEEM Department of Paediatric Neurosurgery
  • MISBAH-UL- HASSAN The Children’s Hospital and Institute of Child Health
  • SHABNAM BASHIR The Children’s Hospital and Institute of Child Health

Keywords:

Paediatric Neurosurgery, ETV, ETVSS,, Obstructive Hydrocephalus

Abstract

Object: In February 2011 Abhaya V. Kulkarni et al. reported endoscopic third ventriculostomy success score in order to predict the outcome of obstructive hydrocephalus. After ETV the object of the present study was to evaluate this predictive value in our own setup, prospectively.
Materials and Methods: From April 2011-November 2012, 110 endoscopic third ventriculostomy procedures were performed for obstructive hydrocephalus of different etiologies at the department of pediatric neurosurgery, the Children’s Hospital Lahore. All of these cases were more than 6 months old and the data was analyzed by the senior author.
Results: A total number of 110 patients were operated between April 2011 – November 2012. The patients’ ages ranged from 6 months – 13 years. No child below 6 months was included in this study. Children were stratified into 4 age groups: 6 months – 1 year (Group – 1), 1 year – 2 years (Group – 2), 2 years – 10 years (Group – 3) and more than 10 years (Group – 4). The score was calculated for each patient before surgery according to ETVSS and at the end of 6months the success or failure of the ETV was determined by clinical, radiological measures. Out of 110 patients, only 80 were available at the completion of 6months period after surgery. The ETV was successful in 56 patients (70%). Patients below 1 year achieved lowest success. Of the ten patients with a high probability of ETV success, eight (80%) were successfully treated.
Conclusion: The results show that EVT success can be predicted very well by ETVSS and it should help in establishing surgical selection criteria in order to obtain high success rate. It can also help in preparing the patients and their families to the expected outcome.

References

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Published

2018-09-29

Issue

Vol. 17 No. 1 (2013): January-June

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).