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Tailored resections for intractable rolandic cortex epilepsy in children: a single-center experience with 48 consecutive cases

OLIVEIRA, Ricardo Santos de; SANTOS, Marcelo Volpon; TERRA, Vera Cristina; SAKAMOTO, Americo Ceiki; MACHADO, Helio Rubens
Fonte: SPRINGER Publicador: SPRINGER
Tipo: Artigo de Revista Científica
ENG
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36.18%
A single-center experience with pediatric patients who underwent surgery for intractable rolandic epilepsy was reviewed with the aim of identifying putative factors that could influence postoperative seizure outcome in this population. Clinical data of 48 patients under 18 years of age with diagnosis of intractable rolandic epilepsy who underwent surgery from January 1996 to September 2009 were reviewed. Patients` mean age at surgery was 9.9 +/- 5.3 years; mean age at epilepsy onset was 3.9 years; mean seizure duration prior to surgery was 6 years; and mean follow-up was 5.1 years. The most frequent etiologies were cortical dysplasia, astrogliosis, tumors, tuberous sclerosis complex, and Sturge-Weber syndrome, which were observed in 20/48 (41.6%), 10/48 (20.8%), 10/48 (20.8%), 5/48 (10.4%), and 3/48 (6.2%) of the patients, respectively. After surgery, 20 patients (41.6%) showed neurological deficits, which in turn recovered within no longer than 6 months after surgery. Seizure outcome was classified as Engel class I in 29 (60.4%), Engel class II in 10 (20.8%), and Engel class III in 9 (18.8%) of the patients. The factors significantly related with seizure outcome were histological features (tumor versus non-tumor cases, p = 0.04) and lesion site (focal lesions versus non-focal lesions...

Hydrocephalus in posterior fossa tumors in children. Are there factors that determine a need for permanent cerebrospinal fluid diversion?

OLIVEIRA, Ricardo Santos de; JUCA, Carlos Eduardo Barros; VALERA, Elvis Terci; MACHADO, Helio Rubens
Fonte: SPRINGER Publicador: SPRINGER
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.4%
We searched for factors that could predispose towards persistent hydrocephalus in children with posterior fossa (PF) tumors in order to determine the need for permanent cerebrospinal fluid (CSF) diversion. The clinical records of 64 children who underwent surgery for PF tumors in the Pediatric Neurosurgery division of the Hospital of Clinics, Ribeirao Preto, Brazil, from 1990 to 2006, were retrospectively reviewed. The patients` ages ranged from 3 months to 18 years. The factors evaluated included age at surgery, severity of hydrocephalus (ventricular index), tumor location, size of the tumor, extent of tumor resection, and histology. Ventricular index, measured from the initial neuroradiological image, age at surgery, and location of the tumor were significantly associated with definitive postoperative CSF diversion (shunt or endoscopic third ventriculostomy), which was necessary for 34% of the patients. Young children with severe preoperative hydrocephalus and a midline tumor should be considered at risk when preoperative treatment decisions are made.

Galectin-3 expression: a useful tool in the differential diagnosis of posterior fossa tumors in children

BORGES, Carolina Bisinoto; BERNARDES, Emerson Soares; LATORRACA, Elder Francisco; BECKER, Aline Paixao; NEDER, Luciano; CHAMMAS, Roger; ROQUE-BARREIRA, Maria Cristina; MACHADO, Helio Rubens; OLIVEIRA, Ricardo Santos de
Fonte: SPRINGER Publicador: SPRINGER
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.18%
Galectin-3 (Gal-3) is a glycan-binding protein highly expressed in several tumors, including brain neoplasms. This protein has been demonstrated to be correlated with adverse prognosis in some tumor types. However, the role of Gal-3 in pediatric posterior fossa tumors (PPFTs) has not yet been fully addressed. The goals of this study were to evaluate Gal-3 expression in a series of PPFTs and verify whether this expression is related to patient outcome. Gal-3 expression was analyzed by immunohistochemistry in 42 cases of surgically resected primary PPFTs. Surgeries were performed in our institution from January 2003 to December 2006. Tumor samples consisted of 21 pilocytic astrocytomas (PAs), 13 medulloblastomas, 4 ependymomas, 2 diffuse cerebellar astrocytomas, and 2 atypical teratoid/rhabdoid tumors (AT/RTs). All PAs and ependymomas strongly showed Gal-3 expression, whereas no immunostaining was observed in medulloblastomas and diffuse astrocytomas. In AT/RTs, Gal-3 expression was conspicuous but heterogeneous, being mainly observed in rhabdoid cells. Concerning the Gal-3 expressing tumors, no relationship was observed between the degree of expression and patient survival. Gal-3 was strongly expressed in reactive astrocytes, normal endothelial cells...

Combined pre- and subtemporal transtentorial approach for epidermoid cysts of the cerebellopontine angle

de Oliveira, Ricardo Santos; Maia, Werllen Soares; Santos, Marcelo Volpon; Brandao Camara, Rodio Luis
Fonte: SPRINGER; NEW YORK Publicador: SPRINGER; NEW YORK
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.49%
Objective Epidermoid cysts of the cerebellopontine angle (CPA) can be a surgical challenge for the pediatric neurosurgeon. Ideally, total removal must be achieved; however, occasional adhesions of these tumors to vital neurovascular structures and extension far beyond the midline may preclude their total removal. The aims of this article are to present an alternative surgical approach to these lesions and to provide the rationale for this technique. Material and methods A 16-year-old boy was admitted to our pediatric neurosurgery department with a 1-year history of nonspecific headaches. His neurological examination showed right-sided dysmetria and gait ataxia. Magnetic resonance scans showed a space-occupying lesion on the right CPA with low intensity on T-1-weighted images and high intensity on T-2-weighted images. Results Craniotomy for tumor excision via pre- and subtemporal transtentorial approach was performed disclosing a 3.5 x 3 x 2.8-cm(3) well-encapsulated tumor, which was confirmed to be an epidermoid cyst. The postoperative course was uneventful. Conclusions A combined pre- and subtemporal approach utilizes a wide opening of the tentorium and the option of supratentorial retraction of the cerebellum to provide an excellent angle of approach to CPA lesions involving the anterolateral aspect of the brain stem in children.

Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications

Carvalho,Fernanda O. de; Bellas,Antonio R.; Guimarães,Luciano; Salomão,José Francisco
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2014 EN
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Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.

Development of pediatric neurosurgery in India

Bhagwati, S. N.
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em /10/2011 EN
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46.98%
The development of pediatric neurosurgery in this country actually began with holding of the 17th Annual Conference of the International Society for Pediatric Neurosurgery (ISPN) in 1989 in Mumbai. It subsequently led to the formation in 1990 of the Indian Society for Pediatric Neurosurgery (IndSPN), which is responsible for organizing regular annual conferences and CMEs in cooperation with the ISPN. The first three international CME programs were arranged in 1992, 1994 and 1995, followed by the next three courses from 1998 to 2000. Subsequently, five more such programs were organized in 2002, 2004, 2007, 2009, and 2010. The official publication, Journal of Pediatric Neurosciences (JPN), which was started in 2006, has also made good progress in the last 5 years. In the last 20 years, the IndSPN has made striking progress in the development and growth of pediatric neurosurgery in the country and has successfully managed to bring this subspeciality to an international level. The IndSPN now has about 150 active members and quite a few of them practice mainly pediatric neurosurgery. In large teaching institutions, pediatric neurosurgery has been accepted as a subspeciality with a designated neurosurgeon taking care of the pediatric patients. This augers well for the subspeciality as persons with greater interest and expertise will be tackling its problems. Some of these institutions have recently started or are in the process of starting the 1-year fellowship training program in pediatric neurosurgery.

Biologically Targeted Therapeutics in Pediatric Brain Tumors

Nageswara Rao, Amulya A.; Scafidi, Joseph; Wells, Elizabeth M.; Packer, Roger J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/2012 EN
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Pediatric brain tumors are often difficult to cure and involve significant morbidity when treated with traditional treatment modalities, including neurosurgery, conventional chemotherapy, and radiotherapy. During the past two decades, a clearer understanding of tumorigenesis, molecular growth pathways, and immune mechanisms in the pathogenesis of cancer has opened up promising avenues for therapy. Pediatric clinical trials with novel biologic agents are underway to treat various pediatric brain tumors, including high and low grade gliomas and embryonal tumors. As the therapeutic potential of these agents undergoes evaluation, their toxicity profiles are also becoming better understood. These agents have potentially better central nervous system penetration and lower toxicity profiles compared with conventional chemotherapy. In infants and younger children, biologic agents may prove to be of equal or greater efficacy compared with traditional chemotherapy and radiation therapy, and may reduce the deleterious side effects of traditional therapeutics on the developing brain. Molecular pathways implicated in pediatric brain tumors, agents that target these pathways, and current clinical trials are reviewed. Associated neurologic toxicities will be discussed subsequently. Considerable work is needed to establish the efficacy of these agents alone and in combination...

The history of neurosurgery in Bolivia and pediatric neurosurgery in Santa Cruz de la Sierra

Dabdoub, Carlos F.; Dabdoub, Carlos B.
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em 25/09/2013 EN
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36.55%
The practice of neurosurgery in Bolivia began thousands of years ago with skull trepanation. This procedure dates from the earliest period of the Tiwanaku culture, a preInca civilization. Neurosurgical development in Bolivia has its origins in the late 19th century and can be divided in two stages. At the beginning, before the advent of neurosurgery as a discipline, some general surgeons performed procedures on the skull and brain. Formal neurosurgery in Bolivia was developed with the arrival of neurosurgeons trained in the United States and some countries of South America. The Bolivian Neurosurgical Society was created in 1975. Nowadays, our national society has 74 members. It is affiliated with the World Federation of Neurosurgical Societies and the Latin American Federation of Neurosurgical Societies. Presently, neurosurgery in Bolivia is similar to that seen in developed countries. In this sense, government programs should dedicate more financial support to establish specialized healthcare centers where the management of complex central nervous system lesions could be offered. In contrast, we believe that encouraging the local training of young neurosurgeons is one of the most important factors in the development of neurosurgery in Bolivia or any other country.

Ethical considerations in targeted pediatric neurosurgery missions

Hughes, SA; Jandial, R
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.18%
Within the context of global health development approaches, surgical missions to provide care for underserved populations remain the least studied interventions with regard to their methodology. Because of the unique logistical needs of delivering operative care surgical missions are often described solely in terms of cases performed, with a paucity of discourse on medical ethics. Within surgery, subspecialties that serve patients on a non-elective basis should, it could be argued, create mission strategies that involve a didactic approach and the propagation of sustainable surgical care. The ethical considerations have yet to be described for pediatric neurosurgical outreach missions. We present here the perspectives of neurosurgeons who have participated in surgical outreach missions in Central America, South America, Eastern Europe, and Sub-Saharan Africa from the vantage point of both the visiting mission team and the host team that accommodates the mission efforts.

Intraoperative neurosonography revisited: effective neuronavigation in pediatric neurosurgery

Cheon, Jung-Eun
Fonte: Korean Society of Ultrasound in Medicine Publicador: Korean Society of Ultrasound in Medicine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.4%
Intraoperative ultrasonography (IOUS) is a widely used noninvasive method to evaluate the morphology, vasculature, and pathologies of the brain. The advantages of IOUS include realtime depiction of neuroanatomy, accurate localization and characterization of a lesion, reduced surgical exploration and surgical time, and presumably decreased patient morbidity. IOUS is useful in the intraoperative monitoring of lesion resection as well as intraoperative localization and characterization of focal parenchymal lesions. This review aims to provide an overview of the clinical application of IOUS in pediatric intracranial neurosurgery.

Automated Measurement of Pediatric Cranial Bone Thickness and Density from Clinical Computed Tomography*

Smith, Kirk; Politte, David; Reiker, Gregory; Nolan, Tracy S.; Hildebolt, Charles; Mattson, Chelsea; Tucker, Don; Prior, Fred; Turovets, Sergei; Larson-Prior, Linda J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
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Skull thickness and density measures of normal pediatric crania would inform multiple disciplines including neurosurgery, optical and magnetoelectrophysiological imaging, and biomechanical modeling of head trauma. We report on a new method for automated extraction of in vivo skull thickness and density measures of pediatric crania based on x-ray computed tomography scans (CT). Data were obtained from a clinical image repository for pediatric populations in whom no pathology was noted. Skull thickness and density measures were systematically obtained across the calvarium. We find a set of measures that correlated with physiological age that are likely to prove useful in multiple disciplines.

OPERATIVE CARE IN PEDIATRIC NEUROSURGERY; CUIDADOS OPERATÓRIOS EM NEUROCIRURGIA PEDIÁTRICA

Costa Val, José Aloysio; Mandic Furtado, Leopoldo
Fonte: Revista Brasileira de Neurologia e Psiquiatria Publicador: Revista Brasileira de Neurologia e Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 15/10/2014 POR
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Pediatric neurosurgery differs from conventional to treat children in various stages of physical development and contemplate nonexistent diseases in other areas. For this reason several techniques based on details must be observed to increase the effectiveness and safety of the procedures. We analyzed the techniques developed in our department over twenty years (1994-2014) and described them. They were divided into general care, observed in all procedures and specific to particular situations. This care is understood throughout the all the surgical procedure, and include pre, intra and postoperative periods. The general care are family watch out, integration with anesthesiology, prevention of contamination through the skin, timing  and  operating environment, surgical planning, preparation and positioning, hemostasis, and postoperative care. Among the specific care we include the posterior fossa approach, brain tumors, craniosynostosis, t neuroendoscopy and spinal dysraphism. The systematization and the everyday use of such techniques reversed in better childcare met.; A neurocirurgia pediátrica difere da convencional, por tratar de crianças em vários estágios de desenvolvimento físico e por contemplar doenças inexistentes em outras áreas. Por este motivo...

THE HISTORY OF PEDIATRIC NEUROSURGERY IN BRAZIL; HISTÓRIA DA NEUROCIRURGIA PEDIÁTRICA NO BRASIL

Silva, Márcia Cristina da; Manganelli Salomão, José Francisco; Zanon, Nelci
Fonte: Revista Brasileira de Neurologia e Psiquiatria Publicador: Revista Brasileira de Neurologia e Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 15/10/2014 POR
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The authors report on significant events in the beginnings of pediatric neurosurgery in Brazil and the creation and accomplishments of the Brazilian Society for Pediatric Neurosurgery.; Os autores descrevem fatos significativos do surgimento da neurocirurgia pediátrica no Brasil e da criação e realizações da Sociedade Brasileira de Neurocirurgia Pediátrica.

INFECTIOUS AND PARASITIC DISEASES OF THE CENTRAL NERVOUS SYSTEM-SURGICAL ASPECTS; DOENÇAS INFECCIOSAS E PARASITÁRIAS DO SISTEMA NERVOSO CENTRAL: ASPECTOS CIRÚRGICOS

Ribeiro Dantas Furtado, Geraldo José
Fonte: Revista Brasileira de Neurologia e Psiquiatria Publicador: Revista Brasileira de Neurologia e Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 15/10/2014 POR
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46.4%
In this article the epidemiology, clinical picture, diagnosis and treatment of three infectious and parasitic diseases of the Central Nervous System- neurocysticercosis, tuberculosis and brain abscess are reviewed. The choice for these pathologies was due to the fact that they are possibly the most frequent ones in the pediatric neurosurgery practices in Brazil.; Nesse artigo são revistos aspectos epidemiológicos, quadro clínico, diagnóstico e tratamento de afecções infecciosas e parasitárias do sistema nervoso central, a saber a neurocisticercose, neurotuberculose e os abscessos cerebrais.A escolha por essas patologias se deu por serem possivelmente as mais frequentemente  encontradas na prática neurocirúrgica pediátrica brasileira.

Surgical management of pediatric Cushing's disease: an analysis of 15 consecutive cases at a specialized neurosurgical center; Estratégia cirúrgica na doença de Cushing em pacientes pediátricos: análise de 15 casos consecutivos operados em centro neurocirúrgico especializado

OLIVEIRA, Ricardo Santos de; CASTRO, Margaret de; ANTONINI, Sonir Roberto Rauber; MARTINELLI JÚNIOR, Carlos Eduardo; MOREIRA, Ayrton Custódio; MACHADO, Helio Rubens
Fonte: Sociedade Brasileira de Endocrinologia e Metabologia Publicador: Sociedade Brasileira de Endocrinologia e Metabologia
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.31%
OBJECTIVE: The aim of this study was to review the results of surgery for pediatric patients with Cushing's disease who were less than 18 years old and underwent transsphenoidal surgery in a specialized center during a 25-year period. SUBJECTS AND METHODS: Retrospective study, in which the medical records, histology and pituitary imaging of 15 consecutive pediatric patients with Cushing's disease (mean age: 13 years) were evaluated by the same team of endocrinologists and a neurosurgeon from 1982 to 2006. Patients were considered cured when there was clinical adrenal insufficiency and serum cortisol levels were below 1. 8 µg/dL or 50 nmol/L after one, two, three, or seven days following surgery; they therefore required cortisone replacement therapy. Follow-up was for a median time of 11.5 years (range: 2 to 25 years). RESULTS: Clinical and biochemical cure was achieved in 9/15 patients (60%) exclusively after transsphenoidal surgery. Hypopituitarism was observed in four patients; growth hormone deficiency, in two; permanent diabetes insipidus, in one case. CONCLUSIONS: Cushing's disease is rare in children and adolescents. Transsphenoidal surgery is an effective and safe treatment in most of these patients. Plasma cortisol level < 1. 8 µg/dL following surgery is the treatment goal and is a good predictive factor for long-term cure of Cushing's disease.; OBJETIVO: O objetivo deste estudo foi avaliar os resultados cirúrgicos em pacientes pediátricos com doença de Cushing com idade inferior a 18 anos...

Surgical management of pediatric Cushing's disease: an analysis of 15 consecutive cases at a specialized neurosurgical center

Oliveira,Ricardo Santos de; Castro,Margaret de; Antonini,Sonir Roberto Rauber; Martinelli Júnior,Carlos Eduardo; Moreira,Ayrton Custódio; Machado,Helio Rubens
Fonte: Sociedade Brasileira de Endocrinologia e Metabologia Publicador: Sociedade Brasileira de Endocrinologia e Metabologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2010 EN
Relevância na Pesquisa
46.31%
OBJECTIVE: The aim of this study was to review the results of surgery for pediatric patients with Cushing's disease who were less than 18 years old and underwent transsphenoidal surgery in a specialized center during a 25-year period. SUBJECTS AND METHODS: Retrospective study, in which the medical records, histology and pituitary imaging of 15 consecutive pediatric patients with Cushing's disease (mean age: 13 years) were evaluated by the same team of endocrinologists and a neurosurgeon from 1982 to 2006. Patients were considered cured when there was clinical adrenal insufficiency and serum cortisol levels were below 1. 8 µg/dL or 50 nmol/L after one, two, three, or seven days following surgery; they therefore required cortisone replacement therapy. Follow-up was for a median time of 11.5 years (range: 2 to 25 years). RESULTS: Clinical and biochemical cure was achieved in 9/15 patients (60%) exclusively after transsphenoidal surgery. Hypopituitarism was observed in four patients; growth hormone deficiency, in two; permanent diabetes insipidus, in one case. CONCLUSIONS: Cushing's disease is rare in children and adolescents. Transsphenoidal surgery is an effective and safe treatment in most of these patients. Plasma cortisol level < 1. 8 µg/dL following surgery is the treatment goal and is a good predictive factor for long-term cure of Cushing's disease.

Neuroendoscopic surgery in children: an analysis of 200 consecutive procedures

Furlanetti,Luciano Lopes; Santos,Marcelo Volpon; Oliveira,Ricardo Santos de
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2013 EN
Relevância na Pesquisa
36.18%
Objective Neuroendoscopic surgery in children has particular features and is associated with different success rates (SR). The aim of this study was to identify putative factors that could influence the outcome in pediatric patients. Methods Clinical data of 177 patients under 18 years of age submitted to 200 consecutive neuroendoscopic procedures from January 2000 to January 2010 were reviewed. Results The overall success rate was 77%. Out of the patients with successful outcomes, 46% were under six months, 68% were between six months and one year of age, and 85% older than one year. Neuroendoscopic techniques provide very good results for a wide number of indications in children. Tumor-related cerebrospinal fluid (CSF) circulation problems and aqueductal stenosis seem to be particularly well suited to neuroendoscopic treatment regardless of the patient's age. Conclusion Patients' age and etiology of hydrocephalus were associated with a different outcome. In all cases, surgical experience is extremely important to reduce complications.

Eosinophilic granuloma/Langerhans cell histiocytosis: Pediatric neurosurgery update

Lam, Sandi; Reddy, Gaddum D.; Mayer, Rory; Lin, Yimo; Jea, Andrew
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em 07/10/2015 EN
Relevância na Pesquisa
46.4%

Proposal for the Promotion of Korean Neurosurgery

Choi, Joong-Uhn
Fonte: The Korean Neurosurgical Society Publicador: The Korean Neurosurgical Society
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.49%
The author conducted a survey on the current status of neurosurgery around the world in preparation for Presidential Address at the International Society for Pediatric Neurosurgery (ISPN). The addresses and findings from the survey were presented at ISPN in 2006 and Child's Nervous System in 2007. After reviewing the current status of neurosurgery of various countries, the author would like to share this information with members of the Korean Neurosurgical Society, as well as offer a proposal to promote Korean neurosurgery around the world.

Limitations of Neuroendoscopic Treatment for Pediatric Hydrocephalus and Considerations from Future Perspectives

NISHIYAMA, Kenichi; YOSHIMURA, Junichi; FUJII, Yukihiko
Fonte: The Japan Neurosurgical Society Publicador: The Japan Neurosurgical Society
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.26%
Neuroendoscopy has become common in the field of pediatric neurosurgery. As an alternative procedure to cerebrospinal fluid shunt, endoscopic third ventriculostomy has been the routine surgical treatment for obstructive hydrocephalus. However, the indication is still debatable in infantile periods. The predictors of late failure and how to manage are still unknown. Recently, the remarkable results of endoscopic choroid plexus coagulation in combination with third ventriculostomy, reported from experiences in Africa, present puzzling complexity. The current data on the role of neuroendoscopic surgery for pediatric hydrocephalus is reported with discussion of its limitations and future perspectives, in this review.