Endoscopic third ventriculostomy in idiopathic normal pressure hydrocephalus: an Italian multicenter study

Neurosurgery
M GangemiPaolo Ferroli

Abstract

The aim of the report is to define the indications and results of endoscopic third ventriculostomy (ETV) in idiopathic normal pressure hydrocephalus and to discuss the physiopathological mechanism of this procedure. The cases of 110 patients with idiopathic normal pressure hydrocephalus who underwent ETV in four Italian neurosurgical centers were retrospectively reviewed. The postoperative outcome was correlated with patient age, length of clinical history, preoperative clinical score, symptoms of clinical onset, type of hydrocephalus, and intraoperative findings. The follow-up period ranged from 2 to 12 years (average, 6.5 yr). The outcome evaluation was made 2 years after the procedure. Postoperative clinical improvement occurred in 76 (69.1%) of 110 patients. There was no correlation between success rate and patient age or type of ventricular enlargement (normal or enlarged fourth ventricle). Conversely, the rate of neurological improvement was higher in patients with shorter clinical history, better preoperative neurological score, and clinical onset with gait disturbances. Moreover, the intraoperative finding of the sudden reappearance of normal cerebral pulsations and significant downward and upward movements of the third...Continue Reading

Associated Clinical Trials

References

May 1, 1977·Journal of the Neurological Sciences·J E Guinane
Mar 1, 1985·Neurology·R C PetersenE R Laws
Apr 1, 1981·Surgical Neurology·E L Foltz, C Aine
Sep 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·J A Vanneste
Nov 14, 1997·Acta Paediatrica·D GreitzT Hindmarsh
Jan 5, 2000·British Journal of Neurosurgery·P Mitchell, B Mathew
Jul 15, 1965·The New England Journal of Medicine·R D ADAMSW H SWEET
Jun 25, 2004·Neurosurgery·Michelangelo GangemiEnrico de Divitiis
Jan 28, 2005·Minimally Invasive Neurosurgery : MIN·P L LongattiA Martinuzzi
Mar 29, 2005·Neurosurgery·Yoshiyasu IwaiKatsunobu Yoshioka
Jun 5, 2007·Minimally Invasive Neurosurgery : MIN·M GangemiE de Divitiis

❮ Previous
Next ❯

Citations

Sep 20, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Harold L Rekate
Mar 14, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Benjamin C Warf
Feb 6, 2009·Nature Clinical Practice. Neurology·Sachin Batra, Daniele Rigamonti
Feb 3, 2012·Journal of Neurosurgery. Pediatrics·Brian J DlouhyJeremy D W Greenlee
Jun 19, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Laura González GarcíaMiguel Angel Arráez Sánchez
Aug 19, 2010·Current Opinion in Anaesthesiology·Neus Fàbregas, Rosemary Ann Craen
Aug 29, 2012·Der Radiologe·M Kiefer
Mar 3, 2012·World Neurosurgery·Dieter HellwigChristoph Kappus
Mar 3, 2012·World Neurosurgery·Henry W S Schroeder
Mar 5, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·T A CageN Gupta
May 5, 2009·Seminars in Pediatric Neurology·Harold L Rekate
Dec 15, 2015·Neurosurgical Review·Anastasia TasiouKonstantinos N Paterakis
Oct 27, 2010·Annals of Neurology·Guy McKhann, Richard Mayeux
Feb 26, 2016·World Neurosurgery·Michael E SughrueCharles Teo
Oct 16, 2010·Neurosurgery Clinics of North America·Daniel J Guillaume
May 17, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Eric W SankeyDaniele Rigamonti
Jan 13, 2015·Clinical Neurology and Neurosurgery·Hamid Reza NiknejadJohannes van Loon
Jul 21, 2016·World Neurosurgery·Mueez WaqarMichael D Jenkinson
Aug 8, 2015·Revista da Associação Médica Brasileira·Matheus Fernandes de OliveiraFernando Campos Gomes Pinto
Mar 6, 2015·Radiologia brasileira·Daniel Aguiar DiasNelson Fortes Paes Diniz Ferreira
Jun 5, 2017·World Neurosurgery·Gabriel André Silva MendesFernando Campos Gomes Pinto
Jul 8, 2017·Journal of Neurosurgery. Pediatrics·Thomas J GianarisDaniel H Fulkerson
Jul 30, 2015·The Cochrane Database of Systematic Reviews·Katarina Ivana TudorJosip Car
Nov 7, 2017·Neurologia i neurochirurgia polska·Young Sill KangKyu-Won Shim
Feb 13, 2020·British Journal of Neurosurgery·Katarina Ivana TudorFran Borovečki
Jan 1, 2009·Dementia & Neuropsychologia·Benito Pereira Damasceno
Nov 18, 2018·AJNR. American Journal of Neuroradiology·M TrellesA M Blitz
Dec 4, 2019·Current Treatment Options in Neurology·Albert M IsaacsMark G Hamilton
Jan 28, 2012·Deutsches Ärzteblatt International·Michael Kiefer, Andreas Unterberg
Mar 23, 2021·Neurocirugía·Jorge Linares TorresMiguel Ángel Arráez Sánchez
Jul 21, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Takuya AkaiSatoshi Kuroda
Aug 15, 2021·Neurosurgical Review·Mendel Castle-Kirszbaum, Tony Goldschlager

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomegaly

Cardiomegaly, known as an enlarged heart, is a multifactorial disease with different pathophysiological mechanisms. Hypertension, pregnancy, exercise-induced and idiopathic causes are some mechanisms of cardiomegaly. Discover the latest research of cardiomegaly here.