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@article{1446296,
author = {Chrastina, Jan and Novák, Zdeněk and Zeman, Tomáš and Feitová, Věra and Hrabovský, Dušan and Říha, Ivo},
article_location = {NEW YORK},
article_number = {MAY 2018},
doi = {http://dx.doi.org/10.1016/j.wneu.2018.01.186},
keywords = {Endoscopic third ventriculostomy; Hydrodynamic theory; Neuroendoscopy; Posthemorrhagic hydrocephalus; Posttraumatic hydrocephalus},
language = {eng},
issn = {1878-8750},
journal = {WORLD NEUROSURGERY},
title = {The Results of Neuroendoscopic Surgery in Patients with Posttraumatic and Posthemorrhagic Hydrocephalus},
volume = {113},
year = {2018}
}
TY - JOUR
ID - 1446296
AU - Chrastina, Jan - Novák, Zdeněk - Zeman, Tomáš - Feitová, Věra - Hrabovský, Dušan - Říha, Ivo
PY - 2018
TI - The Results of Neuroendoscopic Surgery in Patients with Posttraumatic and Posthemorrhagic Hydrocephalus
JF - WORLD NEUROSURGERY
VL - 113
IS - MAY 2018
SP - "E113"-"E121"
EP - "E113"-"E121"
PB - ELSEVIER SCIENCE INC
SN - 18788750
KW - Endoscopic third ventriculostomy
KW - Hydrodynamic theory
KW - Neuroendoscopy
KW - Posthemorrhagic hydrocephalus
KW - Posttraumatic hydrocephalus
N2 - 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 (n = 11) or PHH (n = 24; acute: n = 9, subacute: n = 10, chronic: n = 5) were found. The success rate (Glasgow Outcome Scale [GOS] score 4 or 5 without shunt) and clinical outcome (GOS score) of endoscopic third ventriculostomy (ETV) were analyzed. During the study period, 34 patients had ventriculoperitoneal shunts implanted, including 2 PTH and 5 PHH patients (all chronic). RESULTS: The success rate of ETV in PTH was 54.5%. In acute PHH, the success rate was 33.3%, 42.8% after excluding devastating hematomas. A post-ETV shunt was implanted in 1 patient (massive subarachnoid hemorrhage [SAH]) with final GOS score of 5. In subacute cases, the ETV success rate was 40% (no post-ETV shunts). In chronic PHH, only 1 patient with a GOS score of 5 was shunt-free (20%). The cause of ETV failure was massive SAH. Low final GOS score was caused by the extent of intracerebral bleeding or extracranial problems. The main indications for primary shunt implantation in PTH and PHH were infectious complications. The rate of good outcomes was 0% in PTH and 40% in PHH. CONCLUSIONS: The best results of neuroendoscopy were achieved in PTH and acute PHH. ETV failures were associated with massive SAH; arachnoid cistern blockage and scarring precludes ETV success.
ER -
CHRASTINA, Jan, Zdeněk NOVÁK, Tomáš ZEMAN, Věra FEITOVÁ, Dušan HRABOVSKÝ a Ivo ŘÍHA. The Results of Neuroendoscopic Surgery in Patients with Posttraumatic and Posthemorrhagic Hydrocephalus. \textit{WORLD NEUROSURGERY}. NEW YORK: ELSEVIER SCIENCE INC, 2018, roč.~113, MAY 2018, s.~''E113''-''E121'', 9 s. ISSN~1878-8750. Dostupné z: https://dx.doi.org/10.1016/j.wneu.2018.01.186.
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