caa a22 4500 463179129 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00381-007-0335-4 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0335-4 Endoscopic third ventriculostomy in children younger than 2years of age [Elektronische Daten] [Jörg Baldauf, J. Oertel, Michael Gaab, Henry Schroeder] Introduction: Endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus of different etiologies is still controversial in children younger than 2years of age. The success rate of ETV in this group of patients is analyzed in this study. Materials and methods: The series consisted of 21 patients treated with ETV. The mean age of the patients was 6.7months, ranging from 9days to 15months (16 patients were younger than 1year). The study included hydrocephalus due to idiopathic aqueductal stenosis (eight) and other congenital anomalies (four) as well as posthemorrhagic (three) and tumor-related occlusive hydrocephalus (three). Two patients presented with shunt infection and one with a shunt failure. ETV was considered to be successful when shunting could be avoided. Results: ETV was successful in nine patients, with a mean follow-up period of 26.2months. The procedure was successful in four patients with idiopathic aqueductal stenosis, in two with other congenital anomalies, in one posthemorrhagic, and in two with a tumor-related hydrocephalus. In 12 patients, the ETV was unsuccessful after a mean follow-up of 3.3months. These patients required a shunt. Ten of them were less than 1year old when ETV was performed. In one tumor-related hydrocephalus, a shunt was inserted after a meningitis after tumor removal. Conclusions: The success of ETV in children younger than 2years of age suffering from non-communicating hydrocephalus seems to be dependent on both age and etiology. Our results show an overall success rate of 43%. In 37.5% of the children younger than 1year of age, ETV was successful. ETV in patients with hydrocephalus due to idiopathic aqueductal stenosis seems to be more beneficial than in other causes of hydrocephalus. Springer-Verlag, 2007 Endoscopic third ventriculostomy nationallicence Hydrocephalus nationallicence Children nationallicence Baldauf Jörg Department of Neurosurgery, Ernst-Moritz-Arndt University, Sauerbruchstrasse, 17475, Greifswald, Germany aut Oertel J. Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany aut Gaab Michael Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany aut Schroeder Henry Department of Neurosurgery, Ernst-Moritz-Arndt University, Sauerbruchstrasse, 17475, Greifswald, Germany aut Child's Nervous System Springer-Verlag 23/6(2007-06-01), 623-626 0256-7040 23:6<623 2007 23 381 https://doi.org/10.1007/s00381-007-0335-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0335-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Baldauf Jörg Department of Neurosurgery, Ernst-Moritz-Arndt University, Sauerbruchstrasse, 17475, Greifswald, Germany aut NATIONALLICENCE 700 1- Oertel J. Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany aut NATIONALLICENCE 700 1- Gaab Michael Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany aut NATIONALLICENCE 700 1- Schroeder Henry Department of Neurosurgery, Ernst-Moritz-Arndt University, Sauerbruchstrasse, 17475, Greifswald, Germany aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/6(2007-06-01), 623-626 0256-7040 23:6<623 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer