Success rate of endoscopic third ventriculostomy in children younger than 1 year with idiopathic congenital aqueductal stenosis and long-term follow-up

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111492" target="_blank" >RIV/00843989:_____/25:E0111492 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/25:A2603DN7 RIV/00216208:11130/25:10491609

Result on the web

<a href="https://journals.sagepub.com/doi/10.1177/08830738241282356" target="_blank" >https://journals.sagepub.com/doi/10.1177/08830738241282356</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1177/08830738241282356" target="_blank" >10.1177/08830738241282356</a>

Result language

angličtina

Original language name

Success rate of endoscopic third ventriculostomy in children younger than 1 year with idiopathic congenital aqueductal stenosis and long-term follow-up

Original language description

Introduction: The indication for endoscopic third ventriculostomy is often contested in children younger than 1 year. This study aims to establish the benefits of this modality in children with idiopathic congenital aqueductal stenosis. Methods: Retrospective analysis was performed on patients <1 year old with idiopathic congenital aqueductal stenosis undergoing endoscopic third ventriculostomy between 2004 and 2020. Preoperative cerebral imaging was performed in all cases. Endoscopic third ventriculostomy efficacy and overall patient outcome were evaluated over the entirety of the monitoring period averaging 146 months (range, 34-218 months). Outcome was assessed by modified Rankin Scale score. Treatment success was assessed in relation to the Endoscopic Third Ventriculostomy Success Score (ETVSS), patient age, and perioperative findings of membranes in the interpeduncular cistern. Results: The study comprised 14 children aged from 6 to 280 days, mean age 16 weeks, with 11 patients aged <6 months. The characteristic presentation was progressive macrocephaly, with the setting sun sign in 2 cases. The overall Endoscopic Third Ventriculostomy Success Score was 52.1%, whereas endoscopic third ventriculostomy was successful in 12 patients (85.7%) in the first year postoperation and in 11 cases (78.6%) in the long term. Endoscopic third ventriculostomy failure was not related to patient age (P > .99) or perioperative findings of interpeduncular cistern membranes (P = .51). Patient outcome averaged modified Rankin Scale score 1. Most children were without or with minimal disability. Conclusions: We consider endoscopic third ventriculostomy a safe and effective modality for the initial treatment of patients aged <1 year presenting with congenital aqueductal stenosis-based hydrocephalus.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30210 - Clinical neurology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of child neurology

ISSN

0883-0738

e-ISSN

1708-8283

Volume of the periodical

40

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

77-82

UT code for WoS article

001410861400001

EID of the result in the Scopus database

2-s2.0-85216736524