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Success of endoscopic third ventriculostomy in children less than 2 years of age

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Abstract

Current literature reveals different opinions about the effectiveness of endoscopic third ventriculostomy in the treatment of hydrocephalus in children less than 2 years of age. Performing a retrospective evaluation of our own experience in this age group, we aimed to contribute to the growing data on the controversial issues related to this procedure in children. In a series of 97 endoscopic third ventriculostomy procedures, 25 were performed in children less than 2 years of age as an initial treatment for hydrocephalus. A retrospective analysis of our data revealed that the overall success rate of endoscopic third ventriculostomy in this age group was 56%. However, analysis of the results in subgroups with different etiologies of hydrocephalus showed that the success rate of the procedure was 83% in patients with defined anatomic obstruction, 66.6% in post-hemorrhagic hydrocephalus, 50% in infection related hydrocephalus and 41.6% in hydrocephalus accompanied by myelomeningocele. This article considers our data and the features of endoscopic third ventriculostomy procedure in this age group, with a detailed review of the literature. In our experience, the success of endoscopic third ventriculostomy is etiology related rather than age-dependent. We suggest that there are no grounds for denying children younger than 2 years this chance for a shunt-free life.

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Authors and Affiliations

  1. Department of Neurosurgery, Faculty of Medicine, Kocaeli University, 41900, Derince, Kocaeli, Turkey

    Volkan Etus & Savas Ceylan

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  1. Volkan Etus
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  2. Savas Ceylan
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Correspondence to Volkan Etus.

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Etus, V., Ceylan, S. Success of endoscopic third ventriculostomy in children less than 2 years of age. Neurosurg Rev 28, 284–288 (2005). https://doi.org/10.1007/s10143-005-0407-4

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  • DOI: https://doi.org/10.1007/s10143-005-0407-4

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