Detailed Information on Publication Record
2012
Endoscopic third ventriculostomy to treat hydrocephalus in children with brain tumours - a single centre experience
VENTRUBA, Jiří, Zdeněk MACKERLE, Karel ZITTERBART and Jaroslav ŠTĚRBABasic information
Original name
Endoscopic third ventriculostomy to treat hydrocephalus in children with brain tumours - a single centre experience
Name in Czech
Endoskopická ventrikulostomie III. komory v léčbě hydrocefalu u dětí s mozkovými tumory- zkušenosti jednoho centra
Name (in English)
Endoscopic Third Ventriculostomy to Treat Hydrocephalus in Children with Brain Tumours - a Single Centre Experience
Authors
VENTRUBA, Jiří, Zdeněk MACKERLE, Karel ZITTERBART and Jaroslav ŠTĚRBA
Edition
CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE, Praha, ČLS JEP, 2012, 1210-7859
Other information
Language
Czech
Type of outcome
Článek v odborném periodiku
Field of Study
30200 3.2 Clinical medicine
Country of publisher
Czech Republic
Confidentiality degree
není předmětem státního či obchodního tajemství
Impact factor
Impact factor: 0.372
Organization unit
Faculty of Medicine
UT WoS
000303294000012
Keywords (in Czech)
Endoskopická III. ventrikulostomie; hydrocefalus; tumor mozku; dětská onkologie
Keywords in English
endoscopic third ventriculostomy; hydrocephalus; brain tumour; paediatric oncology
Změněno: 23/4/2014 15:29, Ing. Mgr. Věra Pospíšilíková
V originále
Neuroendoskopie je miniinvazivní alternativou především implantace drenážních systémů. V indikovaných případech od ní lze očekávat výrazné snížení morbidity a zlepšení kvality života dětí s mozkovými nádory. U dětí s tumorem zadní jámy lební může neuroendoskopická. ventrikulostomie III. komory nahradit implantaci vnitřního drenážního systému. U obtížně přístupných nitrokomorových expanzí je možné zpřesnit diagnózu endoskopickým odběrem biopsie a v jedné době provést i definitivní ošetření sekundárního hydrocefalu.
In English
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.