No evidence of epilepsy following endoscopic third ventriculostomy: a short-term follow-up.
Patients with ventriculo-peritoneal shunts are predisposed to various complications, including the appearance of seizures over time. The high rate of complications prompted an interest in alternative procedures such as endoscopic third venticulostomy (ETV) in selected patients. From 1996 to 1998, 42 patients underwent ETV in our center. Of the 27 operated children who were followed for an average of 32 months, none experienced seizures during that time. We conclude that, in addition to other benefits, ETV minimizes the risk of epilepsy following shunt insertion, probably due to the lack of direct cortical insult.
Kramer
U
U
Child Development Center and Pediatric Neurology Unit, Sackler Faculty of Medicine, Tel-Aviv University, Beit Habriut Strauss, 14 Balfour Street, Tel Aviv 65211, Israel. umkramer@netvision.net.il
Kanner
A A
AA
Siomin
V
V
Harel
S
S
Constantini
S
S
D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000379:methods*; D004827:Epilepsy / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D007223:Infant; D011446:Prospective Studies; D020542:Third Ventricle / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D014696:Ventriculostomy / Q000379:methods*