. 2004; 19(2): 83-86 | |||
The role of endoscopic third ventriculostomy in patients less than one year oldBurak O. Boran, Adnan Dağçınar, M. Memet ÖzekMarmara University Faculty of Medicine, Department of Neurosurgery, IstanbulCurrently, endoscopic third ventriculostomy is considered as the first choice in the treatment of non-communicating hydrocephalus. But the urge of the physician, to provide a shuntfree survival for his patients, leads to performing the procedure in a diverse group of patients. The aim of this study was to review 31 cases of endoscopic third ventriculostomy, performed in patients less than one year old, retrospectively, to report the rates of success and complications. Seventeen of the patients were male and 14 was female. The average age of the patients was 4 months. All the cases, who did not required a shunt surgery following endoscopic third ventriculostomy, was considered as successfull. Average follow-up period was 25 months. The rate of success was % 71. A transient 3rd nerve paresis was observed in one of the patients. As a conclusion, endoscopic third ventriculostomy can provide a shunt-free survival, also for the patients less than one year old. Keywords: Endoscopy, ventriculostomy, hydrocephalusBir yaş altı hastalarda endoskopik III. ventrikülostominin yeriBurak O. Boran, Adnan Dağçınar, M. Memet ÖzekMarmara Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbulGünümüzde endoskopik lll. ventrikülostomi, non-kommünike hidrosefalide ilk tedavi seçeneği olarak kabul edilmektedir. Hekimlerin hastalarına şanttan bağımsız bir hayat sunabilme arzusu, bu tekniğin ideal sayılamayacak hasta gruplarında da uygulanmaya başlamasını sağlamıştır. Bu çalışmada amaç, endoskopik lll. ventrikülostomi uygulanan bir yaşından küçük 31 hastayı geriye dönük olarak gözden geçirerek, başarı ve komplikasyon oranlarını sunmaktır. Burak O. Boran, Adnan Dağçınar, M. Memet Özek. The role of endoscopic third ventriculostomy in patients less than one year old. . 2004; 19(2): 83-86 Corresponding Author: Adnan Dağçınar, Türkiye |
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