caa a22 4500 463180844 CHVBK 20180406164838.0 cr unu---uuuuu 170326e20070501xx s 000 0 eng 10.1007/s00381-006-0278-1 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0278-1 Risk reduction of subdural collections following endoscopic third ventriculostomy [Elektronische Daten] [Senta Kurschel, Shigeki Ono, Shizuo Oi] Object: To evaluate the efficacy and safety using fibrin glue and absorbable hemostats for packing the endoscopic tract in a pediatric population in the prevention of subdural fluid collections after endoscopic third ventriculostomy. Materials and methods: Twenty-one endoscopic third ventriculostomies were performed in 20 hydrocephalic children with a mean age of 22months over a 4-year period using uniformly this technique. Six children, with age ranged 6days to 22months (mean 9months), had severe ventriculomegaly with thin brain mantle less than 10mm. There was no mortality and no permanent morbidity related to the endoscopic procedure. One child developed an asymptomatic collection, which could be managed conservatively and was most likely attributed to the young age of the child and the assumed poor cerebrospinal fluid absorption ability. Lost compliance of the brain parenchyma may play an additional role, which was not related to the thickness of the brain mantle. No adverse effects regarding the material used for sealing were observed over a mean follow-up of 23months. Conclusions: Subdural fluid collections could be prevented in 20 out of 21 procedures by using this technique regardless of the thickness of the brain mantle, the application of mixture of fibrin glue and hemostatic agents seems to be safe, and we consider this technique effective in reducing the risk of this potential complication. Springer-Verlag, 2007 Endoscopic third ventriculostomy nationallicence Subdural collection nationallicence Fibrin sealant nationallicence Hemostatic agents nationallicence Kurschel Senta Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut Ono Shigeki Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut Oi Shizuo Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut Child's Nervous System Springer-Verlag 23/5(2007-05-01), 521-526 0256-7040 23:5<521 2007 23 381 https://doi.org/10.1007/s00381-006-0278-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0278-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kurschel Senta Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut NATIONALLICENCE 700 1- Ono Shigeki Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut NATIONALLICENCE 700 1- Oi Shizuo Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/5(2007-05-01), 521-526 0256-7040 23:5<521 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer