Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy
In spite of extensive studies on cerebrospinal fluid (CSF) dynamics, the mechanism of its circulation is still obscure. The aim of this study is to evaluate the effect of an insult to the brain tissue on the success or failure of an endoscopic procedure. During the period from May 1995 to December 1...
Gespeichert in:
| Veröffentlicht in: | Minimally invasive neurosurgery 2002-06, Vol.45 (2), p.65-71 |
|---|---|
| 1. Verfasser: | |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 71 |
|---|---|
| container_issue | 2 |
| container_start_page | 65 |
| container_title | Minimally invasive neurosurgery |
| container_volume | 45 |
| creator | Murshid, W. R. |
| description | In spite of extensive studies on cerebrospinal fluid (CSF) dynamics, the mechanism of its circulation is still obscure. The aim of this study is to evaluate the effect of an insult to the brain tissue on the success or failure of an endoscopic procedure.
During the period from May 1995 to December 1998 we studied 21 children, ages from 2 to 48 months (mean 15 months) with non-communicating hydrocephalus. The intracranial pressure was measured at the time of endoscopic surgery. The follow-up period was from 2 - 5 years. They were divided into 2 groups. Group I were 8 patients with no history of brain insult. Group II (13 cases) had a previous brain insult (infective and/or vascular). Endoscopic third ventriculostomy (ETV) was done in 17 cases; 5 in Group I and 12 in Group II. Fenestration of cyst/s was done in all of Group I and in 9 cases of Group II. Failure was considered whenever shunt implantation was required.
The mean intracranial pressure in Group I was 13.0 mmHg as compared to 9.7 mmHg in Group II (p = 0.015). The failure rate of the endoscopic procedure/s was 25 % and 54 % in Groups I and II, respectively.
The success of ETV and/or fenestration of cyst/s depends on a sufficient pressure gradient. The pressure gradient is generated by a normal or compensated ventricular function.
Brain tissue damage can result in ventricular failure. The quality of ventricular wall function has a significant role on the success of ETV. |
| doi_str_mv | 10.1055/s-2002-32492 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71860548</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71860548</sourcerecordid><originalsourceid>FETCH-LOGICAL-c353t-1c8456e4116630c092797a5f3f5fceb6387420841b5a6728cb2a8ebb16d48d9b3</originalsourceid><addsrcrecordid>eNpt0D1PwzAQgGELgaAUNmbkBRYI-NvxiCq-pEpdCqvlOI4ISuLiiwf-PYFWsDB5eXx3ehE6o-SGEilvoWCEsIIzYdgemlHBTcGYoftoRoxQhWaUHqFjgHdCqDBEH6IjykipJaEztHoNw5hanzuX8INru5wCdoAdXrgMAccGvwyQvQ8ATe7w_VBH8HHTerx-a1ONf_9HGGP_eYIOGtdBON29c_TycL9ePBXL1ePz4m5ZeC75WFBfCqmCoFQpTjwxTBvtZMMb2fhQKV5qMd0oaCWd0qz0FXNlqCqqalHWpuJzdLmdu0nxIwcYbd-CD13nhhAzWE1LRaQoJ3i9hT5FgBQau0lt79KnpcR-B7RgvwPan4ATP9_NzVUf6j-8KzaBix1w4F3XJDf4Fv4c10JJpid3tXXjWxv6YN9jTsNU5P-1X4D5hR8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71860548</pqid></control><display><type>article</type><title>Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy</title><source>MEDLINE</source><source>Thieme Connect Journals</source><creator>Murshid, W. R.</creator><creatorcontrib>Murshid, W. R.</creatorcontrib><description>In spite of extensive studies on cerebrospinal fluid (CSF) dynamics, the mechanism of its circulation is still obscure. The aim of this study is to evaluate the effect of an insult to the brain tissue on the success or failure of an endoscopic procedure.
During the period from May 1995 to December 1998 we studied 21 children, ages from 2 to 48 months (mean 15 months) with non-communicating hydrocephalus. The intracranial pressure was measured at the time of endoscopic surgery. The follow-up period was from 2 - 5 years. They were divided into 2 groups. Group I were 8 patients with no history of brain insult. Group II (13 cases) had a previous brain insult (infective and/or vascular). Endoscopic third ventriculostomy (ETV) was done in 17 cases; 5 in Group I and 12 in Group II. Fenestration of cyst/s was done in all of Group I and in 9 cases of Group II. Failure was considered whenever shunt implantation was required.
The mean intracranial pressure in Group I was 13.0 mmHg as compared to 9.7 mmHg in Group II (p = 0.015). The failure rate of the endoscopic procedure/s was 25 % and 54 % in Groups I and II, respectively.
The success of ETV and/or fenestration of cyst/s depends on a sufficient pressure gradient. The pressure gradient is generated by a normal or compensated ventricular function.
Brain tissue damage can result in ventricular failure. The quality of ventricular wall function has a significant role on the success of ETV.</description><identifier>ISSN: 0946-7211</identifier><identifier>EISSN: 1439-2291</identifier><identifier>DOI: 10.1055/s-2002-32492</identifier><identifier>PMID: 12087501</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Arachnoid Cysts - diagnostic imaging ; Arachnoid Cysts - surgery ; Biological and medical sciences ; Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves ; Child, Preschool ; Endoscopy - adverse effects ; Endoscopy - methods ; Female ; Humans ; Hydrocephalus - diagnostic imaging ; Hydrocephalus - physiopathology ; Hydrocephalus - surgery ; Infant ; Intracranial Pressure - physiology ; Male ; Medical sciences ; Neurosurgery ; Original Article ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Treatment Failure ; Ventriculostomy - adverse effects ; Ventriculostomy - methods</subject><ispartof>Minimally invasive neurosurgery, 2002-06, Vol.45 (2), p.65-71</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-1c8456e4116630c092797a5f3f5fceb6387420841b5a6728cb2a8ebb16d48d9b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2002-32492.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2002-32492$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,780,784,3017,3018,27924,27925,54559,54560</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13746527$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12087501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murshid, W. R.</creatorcontrib><title>Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy</title><title>Minimally invasive neurosurgery</title><addtitle>Minim Invasive Neurosurg</addtitle><description>In spite of extensive studies on cerebrospinal fluid (CSF) dynamics, the mechanism of its circulation is still obscure. The aim of this study is to evaluate the effect of an insult to the brain tissue on the success or failure of an endoscopic procedure.
During the period from May 1995 to December 1998 we studied 21 children, ages from 2 to 48 months (mean 15 months) with non-communicating hydrocephalus. The intracranial pressure was measured at the time of endoscopic surgery. The follow-up period was from 2 - 5 years. They were divided into 2 groups. Group I were 8 patients with no history of brain insult. Group II (13 cases) had a previous brain insult (infective and/or vascular). Endoscopic third ventriculostomy (ETV) was done in 17 cases; 5 in Group I and 12 in Group II. Fenestration of cyst/s was done in all of Group I and in 9 cases of Group II. Failure was considered whenever shunt implantation was required.
The mean intracranial pressure in Group I was 13.0 mmHg as compared to 9.7 mmHg in Group II (p = 0.015). The failure rate of the endoscopic procedure/s was 25 % and 54 % in Groups I and II, respectively.
The success of ETV and/or fenestration of cyst/s depends on a sufficient pressure gradient. The pressure gradient is generated by a normal or compensated ventricular function.
Brain tissue damage can result in ventricular failure. The quality of ventricular wall function has a significant role on the success of ETV.</description><subject>Arachnoid Cysts - diagnostic imaging</subject><subject>Arachnoid Cysts - surgery</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</subject><subject>Child, Preschool</subject><subject>Endoscopy - adverse effects</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocephalus - diagnostic imaging</subject><subject>Hydrocephalus - physiopathology</subject><subject>Hydrocephalus - surgery</subject><subject>Infant</subject><subject>Intracranial Pressure - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Failure</subject><subject>Ventriculostomy - adverse effects</subject><subject>Ventriculostomy - methods</subject><issn>0946-7211</issn><issn>1439-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0D1PwzAQgGELgaAUNmbkBRYI-NvxiCq-pEpdCqvlOI4ISuLiiwf-PYFWsDB5eXx3ehE6o-SGEilvoWCEsIIzYdgemlHBTcGYoftoRoxQhWaUHqFjgHdCqDBEH6IjykipJaEztHoNw5hanzuX8INru5wCdoAdXrgMAccGvwyQvQ8ATe7w_VBH8HHTerx-a1ONf_9HGGP_eYIOGtdBON29c_TycL9ePBXL1ePz4m5ZeC75WFBfCqmCoFQpTjwxTBvtZMMb2fhQKV5qMd0oaCWd0qz0FXNlqCqqalHWpuJzdLmdu0nxIwcYbd-CD13nhhAzWE1LRaQoJ3i9hT5FgBQau0lt79KnpcR-B7RgvwPan4ATP9_NzVUf6j-8KzaBix1w4F3XJDf4Fv4c10JJpid3tXXjWxv6YN9jTsNU5P-1X4D5hR8</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Murshid, W. R.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy</title><author>Murshid, W. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-1c8456e4116630c092797a5f3f5fceb6387420841b5a6728cb2a8ebb16d48d9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Arachnoid Cysts - diagnostic imaging</topic><topic>Arachnoid Cysts - surgery</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</topic><topic>Child, Preschool</topic><topic>Endoscopy - adverse effects</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocephalus - diagnostic imaging</topic><topic>Hydrocephalus - physiopathology</topic><topic>Hydrocephalus - surgery</topic><topic>Infant</topic><topic>Intracranial Pressure - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Failure</topic><topic>Ventriculostomy - adverse effects</topic><topic>Ventriculostomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murshid, W. R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Minimally invasive neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murshid, W. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy</atitle><jtitle>Minimally invasive neurosurgery</jtitle><addtitle>Minim Invasive Neurosurg</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>45</volume><issue>2</issue><spage>65</spage><epage>71</epage><pages>65-71</pages><issn>0946-7211</issn><eissn>1439-2291</eissn><abstract>In spite of extensive studies on cerebrospinal fluid (CSF) dynamics, the mechanism of its circulation is still obscure. The aim of this study is to evaluate the effect of an insult to the brain tissue on the success or failure of an endoscopic procedure.
During the period from May 1995 to December 1998 we studied 21 children, ages from 2 to 48 months (mean 15 months) with non-communicating hydrocephalus. The intracranial pressure was measured at the time of endoscopic surgery. The follow-up period was from 2 - 5 years. They were divided into 2 groups. Group I were 8 patients with no history of brain insult. Group II (13 cases) had a previous brain insult (infective and/or vascular). Endoscopic third ventriculostomy (ETV) was done in 17 cases; 5 in Group I and 12 in Group II. Fenestration of cyst/s was done in all of Group I and in 9 cases of Group II. Failure was considered whenever shunt implantation was required.
The mean intracranial pressure in Group I was 13.0 mmHg as compared to 9.7 mmHg in Group II (p = 0.015). The failure rate of the endoscopic procedure/s was 25 % and 54 % in Groups I and II, respectively.
The success of ETV and/or fenestration of cyst/s depends on a sufficient pressure gradient. The pressure gradient is generated by a normal or compensated ventricular function.
Brain tissue damage can result in ventricular failure. The quality of ventricular wall function has a significant role on the success of ETV.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>12087501</pmid><doi>10.1055/s-2002-32492</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0946-7211 |
| ispartof | Minimally invasive neurosurgery, 2002-06, Vol.45 (2), p.65-71 |
| issn | 0946-7211 1439-2291 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71860548 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Arachnoid Cysts - diagnostic imaging Arachnoid Cysts - surgery Biological and medical sciences Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves Child, Preschool Endoscopy - adverse effects Endoscopy - methods Female Humans Hydrocephalus - diagnostic imaging Hydrocephalus - physiopathology Hydrocephalus - surgery Infant Intracranial Pressure - physiology Male Medical sciences Neurosurgery Original Article Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Treatment Failure Ventriculostomy - adverse effects Ventriculostomy - methods |
| title | Ventricular Failure as a Cause of Unsuccessful Endoscopic Third Ventriculostomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T06%3A08%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ventricular%20Failure%20as%20a%20Cause%20of%20Unsuccessful%20Endoscopic%20Third%20Ventriculostomy&rft.jtitle=Minimally%20invasive%20neurosurgery&rft.au=Murshid,%20W.%20R.&rft.date=2002-06-01&rft.volume=45&rft.issue=2&rft.spage=65&rft.epage=71&rft.pages=65-71&rft.issn=0946-7211&rft.eissn=1439-2291&rft_id=info:doi/10.1055/s-2002-32492&rft_dat=%3Cproquest_cross%3E71860548%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71860548&rft_id=info:pmid/12087501&rfr_iscdi=true |