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Ventriculostomy

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https://www.readbyqxmd.com/read/29453580/neurosurgical-management-of-hydrocephalus-by-a-general-surgeon-in-an-extremely-low-resource-setting-initial-experience-in-north-kivu-province-of-eastern-democratic-republic-of-congo
#1
Sarah B Cairo, Justice Agyei, Kavira Nyavandu, David H Rothstein, Luc Malemo Kalisya
PURPOSE: Evaluate the management of hydrocephalus in pediatric patients in the Eastern Democratic Republic of Congo by a general surgeon. METHODS: Retrospective review of a single institution in the province of North Kivu. Patient charts and surgical notes were reviewed from 2003 to 2016. RESULTS: 116 procedures were performed for an average of 8.9 per year. 51.7% of surgeries were on female patients with an average age of 13.6 ± 22.7. The average distance traveled from home to hospital was 153...
February 16, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29435827/hydrocephalus-in-children-under-the-age-of-five-from-diagnosis-to-short-medium-long-term-progression-a-retrospective-review-of-142-children
#2
Océane Perdaens, Guus Koerts, Marie-Cécile Nassogne
The aim of this study is to evaluate the clinical history and prognosis of children with early-onset hydrocephalus. The retrospective study's inclusion criteria were hydrocephalus diagnosis before the age of 5 years, independent of aetiology, and birth details, January 1, 2000 to December 31, 2014. Overall, 142 children were entered into the study, divided into 11 aetiological groups: premature-birth post-intraventricular haemorrhage (16%), brain tumours (16%), spina bifida (15%), aqueductal stenosis (8%), post-meningitis (8%), post-haemorrhage (8%), Dandy-Walker malformation (6%), unknown origin (6%), arachnoid cyst (5%), miscellaneous obstruction (4%), and various causes (8%)...
February 12, 2018: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29430977/amenorrhoea-and-reversible-infertility-due-to-obstructive-hydrocephalus-literature-review-and-case-report
#3
Kimberly Hamilton, Bermans Iskandar
BACKGROUND: Endocrine abnormalities are well-recognized consequences of intracranial pathology such as pituitary tumours. Less commonly, hydrocephalus may lead to dysfunction of the endocrine system, presenting as amenorrhoea or precocious puberty. We present a case report and literature review of hydrocephalus causing endocrine abnormalities including reversible infertility. CASE DESCRIPTION: A 34 year-old female presented with amenorrhoea and infertility. MRI showed a third ventricular mass and hydrocephalus...
February 12, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29428067/passive-magnetic-based-localization-for-precise-untethered-medical-instrument-tracking
#4
Zhenglong Sun, Luc Maréchal, Shaohui Foong
BACKGROUND AND OBJECTIVE: Motion tracking and navigation systems are paramount for both safety and efficacy in a variety of surgical insertions, interventions and procedures. Among the state-of-art tracking technology, passive magnetic tracking using permanent magnets or passive magnetic sources for localization is an effective technology to provide untethered medical instrument tracking without cumbersome wires needed for signal or power transmission. Motivated by practical needs in two medical insertion procedures: Nasogastric intubation and Ventriculostomy, we propose a unified method based on passive magnetic-field localization, for enhanced efficacy and safety...
March 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29408347/relationship-between-citation-based-scholarly-activity-of-united-states-radiation-oncology-residents-and-subsequent-choice-of-academic-versus-private-practice-career
#5
Jan Chrastina, Zdeněk Novák, Tomáš Zeman, Věra Feitová, Dušan Hrabovský, Ivo Říha
BACKGROUND: Posttraumatic hydrocephalus (PTH) and posthemorrhagic hydrocephalus (PHH) were previously considered not suitable for neuroendoscopic treatment. New hydrocephalus theories support possible successful neuroendoscopy in such patients. METHODS: This study presents the results of neuroendoscopy in PTH and PHH with a background analysis. From 130 hydrocephalic patients after neuroendoscopic surgeries, 35 cases with PTH (11 patients) or PHH (24 patients - 9 acute, 10 subacute, 5 chronic) were found...
February 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29406903/the-effect-and-evolution-of-patient-selection-on-outcomes-in-endoscopic-third-ventriculostomy-for-hydrocephalus-a-large-scale-review-of-the-literature
#6
Peter J Madsen, Arka N Mallela, Eric D Hudgins, Phillip B Storm, Gregory G Heuer, Sherman C Stein
Endoscopic third ventriculostomy (ETV) has become a popular technique for the treatment of hydrocephalus, but small sample size has limited the generalizability of prior studies. We performed a large-scale review of all available studies to help eliminate bias and determine how outcomes have changed and been influenced by patient selection over time. A systematic literature search was performed for studies of ETV that contained original, extractable patient data, and a meta-analytic model was generated for correlative and predictive analysis...
February 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29397452/update-on-the-treatment-of-spontaneous-intraparenchymal-hemorrhage-medical-and-interventional-management
#7
REVIEW
Thomas J Cusack, J Ricardo Carhuapoma, Wendy C Ziai
PURPOSE OF REVIEW: Spontaneous intraparenchymal hemorrhage (IPH) is a prominent challenge faced globally by neurosurgeons, neurologists, and intensivists. Over the past few decades, basic and clinical research efforts have been undertaken with the goal of delineating biologically and evidence-based practices aimed at decreasing mortality and optimizing the likelihood of meaningful functional outcome for patients afflicted with this devastating condition. Here, the authors review the medical and surgical approaches available for the treatment of spontaneous intraparenchymal hemorrhage, identifying areas of recent progress and ongoing research to delineate the scope and scale of IPH as it is currently understood and treated...
February 3, 2018: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/29395511/healthcare-associated-infections-in-the-neurological-intensive-care-unit-results-of-a-6-year-surveillance-study-at-a-major-tertiary-care-center
#8
Yasser B Abulhasan, Susan P Rachel, Marc-Olivier Châtillon-Angle, Najayeb Alabdulraheem, Ian Schiller, Nandini Dendukuri, Mark R Angle, Charles Frenette
BACKGROUND: Healthcare-associated infections (HAIs) occur frequently in neurological intensive care units (neuro-ICUs); however, data differentiating associations with various diagnostic categories and resulting burdens are limited. This prospective cohort study reported incidence rates, pathogen distribution, and patient-related outcomes of HAIs in a neuro-ICU population from April 2010 to March 2016. METHODS: Laboratory results and specific clinical indicators were used to categorize infections as per National Healthcare Safety Network nosocomial infection surveillance definitions...
January 25, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29393809/comparison-of-hydrocephalus-metrics-between-infants-successfully-treated-with-endoscopic-third-ventriculostomy-with-choroid-plexus-cauterization-and-those-treated-with-a-ventriculoperitoneal-shunt-a-multicenter-matched-cohort-analysis
#9
Michael C Dewan, Jaims Lim, Stephen R Gannon, David Heaner, Matthew C Davis, Brandy Vaughn, Joshua J Chern, Brandon G Rocque, Paul Klimo, John C Wellons, Robert P Naftel
OBJECTIVE It has been suggested that the treatment of infant hydrocephalus results in different craniometric changes depending upon whether ventriculoperitoneal shunt (VPS) placement or endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) is performed. Without an objective and quantitative description of expected changes to the infant cranium and ventricles following ETV/CPC, asserting successful treatment of hydrocephalus is difficult. By comparing infants successfully treated via ETV/CPC or VPS surgery, the authors of this study aimed to define the expected postoperative cranial and ventricular alterations at the time of clinical follow-up...
February 2, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29362932/increased-rate-of-ventriculostomy-related-hemorrhage-following-endovascular-treatment-of-ruptured-aneurysms-compared-to-clipping
#10
Christian Scheller, Christian Strauss, Julian Prell, Sebastian Simmermacher, Silvio Brandt
OBJECTIVE: Acutely ruptured aneurysms can be treated by endovascular intervention or via surgery (clipping). After endovascular treatment, the risk of thromboembolic complications is reduced by the use of anticoagulative agents, which is not required after clipping. The aim of the study is to investigate the rate of ventriculostomy-related hemorrhage after endovascular treatment and clipping. METHODS: A consecutive series of 99 patients treated for a ruptured aneurysm which required an external ventricular drainage between 2010 and 2015 were included...
January 23, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29327079/endoscopic-third-ventriculostomy-for-hydrocephalus-in-osteopetrosis-a-case-report-and-review-of-the-literature
#11
Nobuyuki Akutsu, Junji Koyama, Atsufumi Kawamura, Tatsuya Nagashima, Masaaki Taniguchi, Eiji Kohmura
INTRODUCTION: There are very few reports in the literature associating in hydrocephalus in osteopetrosis. As a complication of shunt procedure, there are two reports on shunt malfunction due to osseous overgrowth at the burr hole in patients with osteopetrosis. We herein report a case of osteopetrosis with hydrocephalus that was successfully treated with endoscopic third ventriculostomy (ETV). CASE REPORT: At 5 months of age, a male patient presented with developmental delay...
January 11, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29307024/predictors-of-ventricular-tension-pneumocephalus-after-posterior-fossa-surgery-in-the-sitting-position
#12
Alexandra Sachkova, Timm Schemmerling, Maria Goldberg, Volodymyr Solomiichuk, Veit Rohde, Kajetan L von Eckardstein, Bawarjan Schatlo
BACKGROUND: Ventricular pneumocephalus is a rare but potentially life-threatening complication of cranial surgery in the sitting position. OBJECTIVE: The objective of the study is to assess the incidence and risk factors of postoperative ventricular pneumocephalus. METHODS: We performed a retrospective chart review of 307 consecutive patients (147 men, 160 women) treated at our institution by intracranial surgery in the sitting position from January 2010 to October 2014...
January 6, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29305758/ventriculostomy-and-risk-of-upward-herniation-in-patients-with-obstructive-hydrocephalus-from-posterior-fossa-mass-lesions
#13
Sherri A Braksick, Benjamin T Himes, Kendall Snyder, Jamie J Van Gompel, Jennifer E Fugate, Alejandro A Rabinstein
BACKGROUND: Patients with posterior fossa lesions causing obstructive hydrocephalus present a unique clinical challenge, as relief of hydrocephalus can improve symptoms, but the perceived risk of upward herniation must also be weighed against the risk of worsening or continued hydrocephalus and its consequences. The aim of our study was to evaluate for clinically relevant upward herniation following external ventricular drainage (EVD) in patients with obstructive hydrocephalus due to posterior fossa lesions...
January 5, 2018: Neurocritical Care
https://www.readbyqxmd.com/read/29303456/bobble-head-doll-syndrome-report-of-2-cases-and-a-review-of-the-literature-with-video-documentation-of-the-clinical-phenomenon
#14
Bryan Renne, Stefan Rueckriegel, Sudheesh Ramachandran, Julia Radic, Paul Steinbok, Ash Singhal
Bobble-head doll syndrome (BHDS) is a rare pediatric movement disorder presenting with involuntary 2- to 3-Hz head movements. Common signs and symptoms also found on presentation include macrocephaly, ataxia, developmental delay, optic disc pallor or atrophy, hyperreflexia, tremor, obesity, endocrinopathy, visual disturbance or impairment, headache, and vomiting, among others. The syndrome is associated with suprasellar cysts, third ventricular cysts, or aqueductal obstruction, along with a few other less common conditions...
January 5, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29303442/blossoming-contusions-identifying-factors-contributing-to-the-expansion-of-traumatic-intracerebral-hemorrhage
#15
Joseph A Carnevale, David J Segar, Andrew Y Powers, Meghal Shah, Cody Doberstein, Benjamin Drapcho, John F Morrison, John R Williams, Scott Collins, Kristina Monteiro, Wael F Asaad
OBJECTIVE Traumatic brain injury (TBI) remains a significant cause of neurological morbidity and mortality. Each year, more than 1.7 million patients present to the emergency department with TBI. The goal of this study was to evaluate the prognosis of traumatic cerebral intraparenchymal hemorrhage (tIPH), to develop subclassifications of these injuries that relate to prognosis, and to provide a more comprehensive assessment of hemorrhagic progression contusion (HPC) by analyzing the rate at which tIPH "blossom" (i...
January 5, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29262276/endoscopic-treatment-versus-shunting-for-infant-hydrocephalus-in-uganda
#16
RANDOMIZED CONTROLLED TRIAL
Abhaya V Kulkarni, Steven J Schiff, Edith Mbabazi-Kabachelor, John Mugamba, Peter Ssenyonga, Ruth Donnelly, Jody Levenbach, Vishal Monga, Mallory Peterson, Michael MacDonald, Venkateswararao Cherukuri, Benjamin C Warf
BACKGROUND: Postinfectious hydrocephalus in infants is a major health problem in sub-Saharan Africa. The conventional treatment is ventriculoperitoneal shunting, but surgeons are usually not immediately available to revise shunts when they fail. Endoscopic third ventriculostomy with choroid plexus cauterization (ETV-CPC) is an alternative treatment that is less subject to late failure but is also less likely than shunting to result in a reduction in ventricular size that might facilitate better brain growth and cognitive outcomes...
December 21, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29260909/endoscopic-neuroendoscopy-using-a-novel-ventricular-access-port
#17
Andrew John Gauden, Calum Pears, Andrew Parker, Kelvin Woon, Helge Köck, Martin Hunn, Warren Symons, Agadha Wickremesekera
BACKGROUND: Hydrocephalus remains an important aspect of neurosurgical care and in select circumstances, the endoscopic third ventriculostomy (ETV) continues to remain an important treatment. In our initial experience of ETV using the commercially available plastic ventricular ports we found them both restrictive and expensive. Following this experience, we developed a stainless steel ventricular access port (VAP). We present our novel method of access involving this non-disposable ventricular port...
December 20, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29249076/endoscopic-third-ventriculostomy-in-children-with-a-fiber-optic-neuroendoscopy
#18
Wenjun Shen, Hasan R Syed, Gurpreet Gandhoke, Roxanna Garcia, Tatiana Pundy, Tadanori Tomita
OBJECTIVE: Endoscopic third ventriculostomy (ETV) provides a shunt-free treatment for obstructive hydrocephalus children. With rapidly evolving technology, the semi-rigid fiber optic neuroendoscopy shows a potential application in ETV by blunt fenestration. A retrospective analysis of our experience is reviewed. METHODS: The authors review infants and children who underwent ETV using this technique from June 2004 to June 2016 with radiological and clinical follow-up done by a single surgeon...
December 16, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29243972/endoscopic-third-ventriculostomy-and-choroid-plexus-cauterization-in-infant-hydrocephalus-a-prospective-study-by-the-hydrocephalus-clinical-research-network
#19
Abhaya V Kulkarni, Jay Riva-Cambrin, Curtis J Rozzelle, Robert P Naftel, Jessica S Alvey, Ron W Reeder, Richard Holubkov, Samuel R Browd, D Douglas Cochrane, David D Limbrick, Tamara D Simon, Mandeep Tamber, John C Wellons, William E Whitehead, John R W Kestle
OBJECTIVE High-quality data comparing endoscopic third ventriculostomy (ETV) with choroid plexus cauterization (CPC) to shunt and ETV alone in North America are greatly lacking. To address this, the Hydrocephalus Clinical Research Network (HCRN) conducted a prospective study of ETV+CPC in infants. Here, these prospective data are presented and compared to prospectively collected data from a historical cohort of infants treated with shunt or ETV alone. METHODS From June 2014 to September 2015, infants (corrected age ≤ 24 months) requiring treatment for hydrocephalus with anatomy suitable for ETV+CPC were entered into a prospective study at 9 HCRN centers...
December 15, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29241270/endoscopic-third-ventriculostomy-before-posterior-fossa-tumor-surgery-in-adult-patients
#20
Sascha Marx, Ahmed El Damaty, Jotham Manwaring, Ehab El Refaee, Steffen Fleck, Michael Fritsch, Michael R Gaab, H W S Schroeder, Jörg Baldauf
No abstract text is available yet for this article.
December 14, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
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