Publication details
Endoscopic third ventriculostomy to treat hydrocephalus in children with brain tumours - a single centre experience
| Title in English | Endoscopic Third Ventriculostomy to Treat Hydrocephalus in Children with Brain Tumours - a Single Centre Experience |
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| Authors | |
| Year of publication | 2012 |
| Type | Article in Periodical |
| Magazine / Source | CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE |
| MU Faculty or unit | |
| Citation | |
| Field | Oncology and hematology |
| Keywords | endoscopic third ventriculostomy; hydrocephalus; brain tumour; paediatric oncology |
| Attached files | |
| Description | Neuroendoscopy is a mini-invasive alternative to implantation of drainage systems in particular. In indicated cases, this method could lower morbidity and increase the quality of life in children with brain tumours. In children with a tumour of posterior fossa, endoscopic third ventriculostomy (ETV) could be used instead of internal drainage system implantation. In patients with deep-seated intraventricular expansions, the diagnosis may be refined using endoscopic sample biopsy and, simultaneously, definitive treatment can be provided of the secondary hydrocephalus. Aim: To obtain short-term outcome data for endoscopic treatment of hydrocephalus in children with brain tumours in a tertiary care centre and to evaluate reliability of this approach. Patients and method: The sample involved 21 children, 16 boys and 5 girls, aged 1 to 16 years with a primary brain tumour and secondary obstructive hydrocephalus caused by the tumour who underwent surgery between 1st January 2008 and the end of November 2010. Results: Six patients had no permanent cerebral spinal fluid (CSF) drainage after the brain tumour surgery, other 5 had a successful ETV, 10 children had a permanent ventricular-peritoneal shunt (V-P) implanted (2 of them after an unsuccessful ETV). The length of the procedure for hydrocephalus itself is comparable between shunt and ETV. Nevertheless, the length of primary hospitalization is markedly shorter for the patients with ETV (28 das versus 41 days for patients with V-P shunt). Likewise, complications demanding further surgical revisions were more frequent in patients with implanted drainage system. Conclusion: The miniinvasive endoscopic approach was included in our therapeutic algorithm as the method of choice to treat secondary hydrocephalus in children with posterior fossa tumour. Implantation of an internal drainage system is the second line approach in patients in whom ETV cannot be performed or fails. |