Babcock University Research Portal

Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study

Authors: MORGAN Eghosa

Publication Type: Journal article

Journal: Operative Neurosurgery

ISSN Number:

Downloads

Views

Abstract

BACKGROUND: Myelomeningocele is associated with hydrocephalus in 35% to 90%
of cases. Hydrocephalus is usually treated with insertion of ventriculoperitoneal shunt;
however, there is growing evidence that endoscopic third ventriculostomy (ETV) with
choroid plexus cauterization (CPC) is an alternative.
OBJECTIVE: To compare the success rate and morbidity of ETV with CPC and ventriculoperitoneal shunt (VPS) as the primary treatment of hydrocephalus in patients with
myelomeningocele.
METHODS: A prospective study from January 2016 to February 2019, involving 46 patients
with myelomeningocele who developed hydrocephalus after repair in a tertiary hospital
in southwestern Nigeria. Biodata and preoperative features of hydrocephalus were
documented. ETV + CPC or VPS was done using standard operative techniques. Patients
were followed up monthly for 6 mo.
RESULTS: There were 23 patients in the ETV
+ CPC arm and 22 patients in the VPS arm.
Morbidities were cerebrospinal fluid leak, 8.3% in the ETV
+ CPC arm and 4.5% in the VPS
arm, wound dehiscence, 13.6% in the VPS arm, none in the ETV
+ CPC arm. At 6-mo followup, success rate for ETV + CPC was 60.9% and 59.1% for VPS, P =
.9.
CONCLUSION: ETV + CPC had similar success rate with VPS at 6 mo with lower morbidity.
ETV + CPC should be considered a viable alternative when treating patients with
myelomeningocele and hydrocephalus

Access to Documents

Download

Keywords

MORGAN,E. . (2021). Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study, 0 (), 1-1.

MORGAN,E. . "Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study" 0, no (), (2021): 1-1.

MORGAN,E. and . (2021). Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study, 0 (), pp1-1.

MORGANE, . Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study. 2021, 0 ():1-1.

MORGAN,Eghosa , . "Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study", 0 . (2021) : 1-1.

M.Eghosa , "Early Outcome of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunt as Primary Treatment of Hydrocephalus in Children With Myelomeningocele: A Prospective Cohort Study" vol.0, no., pp. 1-1, 2021.

Access to Documents

Keywords

About Us

Admissions

Contact Us

Policies

ALUMNI

STUDENT POPULATION