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Neuroendoscopic septostomy in unilateral and bilateral ventricular hydrocephalus

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Abstract

Purpose

This study describes the results of septostomy (SPT) in terms of success and analysis of follow-up in a series of pediatric patients diagnosed with unilateral ventricular hydrocephalus (UHV) and biventricular hydrocephalus (BVH).

Methods

A total of 29 pediatric patients diagnosed with UVH or BVH were included in this study. In UVH, a neuroendoscopic SPT was performed (sometimes accompanied by NEFPFMO). In those diagnosed with BVH, an SPT combined with VPS was carried out. Demographic, etiological, clinical, and diagnostic variables and percentage of treatment success were collected.

Results

SPT was successful during follow-up when no VPS was required in UVH and only unilateral VPS was implanted in BVH. At the time of surgery, 16 patients needed a ventriculoperitoneal shunt. The first SPT was successful in 22 patients, requiring a second surgery in 7 patients, from the oncology group diagnosed with BHV.

Conclusions

The surgical management of UVH and BVH still has some disclosure points to be reviewed. However, SPT seems to be a secure, non-traumatic, and efficient procedure.

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Availability of data and material

The data that support the findings of this study are available from the corresponding author, KA, upon reasonable request.

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Authors and Affiliations

  1. Neurosurgery Department, Complejo Hospitalario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain

    Kevin Armas-Melián & Lenin Gómez-Barreno

  2. Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain

    Bienvenido Ros, Sara Iglesias & Miguel Ángel Arráez

Authors
  1. Kevin Armas-Melián
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  2. Bienvenido Ros
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  3. Lenin Gómez-Barreno
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  4. Sara Iglesias
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  5. Miguel Ángel Arráez
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Contributions

Kevin Armas-Melián, Bienvenido Ros-López, Sara Iglesias-Moroño, and Miguel Ángel Arráez-Sánchez designed the study. Drs. Bienvenido Ros-López and Sara Iglesias-Moroño collected the sample data. Kevin Armas-Melián and Lenin Gómez-Barreno checked the database, wrote the manuscript, and made the tables. Dr. Lenin Gómez-Barreno was in charge of the methods. All authors reviewed and approved the manuscript.

Corresponding author

Correspondence to Kevin Armas-Melián.

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Ethics approval and consent to participate

This retrospective chart review study involving human participants was under the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Human Investigation Committee (IRC) of the Regional University Hospital of Malaga in Spain approved this study. Written informed consent to engage was gotten from the parent/guardian.

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Written informed consent for publication was also gotten from the parent/guardian.

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The authors declare that they have no conflict of interest.

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Armas-Melián, K., Ros, B., Gómez-Barreno, L. et al. Neuroendoscopic septostomy in unilateral and bilateral ventricular hydrocephalus. Childs Nerv Syst 39, 197–203 (2023). https://doi.org/10.1007/s00381-022-05690-6

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  • DOI: https://doi.org/10.1007/s00381-022-05690-6

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