Open Journal of Modern Neurosurgery

Volume 8, Issue 1 (January 2018)

ISSN Print: 2163-0569   ISSN Online: 2163-0585

Google-based Impact Factor: 0.47  Citations  

Surgical Treatment for Neonatal Hydrocephalus: Catheter-Based Cerebrospinal Fluid Diversion or Endoscopic Intervention?

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DOI: 10.4236/ojmn.2018.81002    949 Downloads   2,287 Views  Citations

ABSTRACT

Neonatal hydrocephalus can arise from a multitude of disturbances, among them congenital aqueductal stenosis, myelomeningocele or posthemorrhagic complications in preterm infants. Diagnostic work-up comprises transfontanellar ultrasonography, T2 weighted MRI and clinical assessment for rare inherited syndromes. Classification of hydrocephalus and treatment guidelines is based on detailed consensus statements. The recent evidence favors catheter-based cerebrospinal fluid diversion in children below 6 months, but emerging techniques such as neuroendoscopic lavage carry the potential to lower shunt insertion rates. More long-term study results will be needed to allow for individualized, multidisciplinary decision making. This article gives an overview regarding contemporary pathophysiological concepts, the latest consensus statements and most recent technical developments.

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Krause, M. , Panteliadis, C. , Hagel, C. , Hirsch, F. , Thome, U. , Meixensberger, J. and Nestler, U. (2018) Surgical Treatment for Neonatal Hydrocephalus: Catheter-Based Cerebrospinal Fluid Diversion or Endoscopic Intervention?. Open Journal of Modern Neurosurgery, 8, 30-45. doi: 10.4236/ojmn.2018.81002.

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