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Feasibility Versus Success: Bridging the Evidence Gap in Endoscopic Third Ventriculostomy for Fetal Interventions.
Prenat Diagn
December 2024
Division of Maternal-Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
In Response to the Letter by Dr. Shamshirsaz and Colleagues: "Feasibility Versus Success: Bridging the Evidence Gap in Endoscopic Third Ventriculostomy for Fetal Interventions.".
Prenat Diagn
December 2024
HCor, Hospital do Coração de Sao Paulo, Sao Paulo, Brazil.
Tubular single-port endoscope-assisted surgery for fetal myelomeningocele repair.
J Neurosurg Pediatr
December 2024
2Fetal Medicine Division, Hospital e Maternidade Santa Joana, São Paulo; and.
Objective: The authors aimed to describe a low-cost and easily reproducible alteration of the Bruner and Tulipan procedure to preserve uterine muscular fibers. They conducted a retrospective cohort study of 10 pregnant women whose fetuses developed lumbosacral myelomeningocele (MM). The MM was repaired through a fetal neurosurgical procedure using a tubular single-port endoscope-assisted technique.
View Article and Find Full Text PDFEndoscopic third ventriculostomy with or without choroid plexus cauterization for preventing shunt dependence in pediatric hydrocephalus: preliminary results of a prospective clinical case series in a lower-middle-income country (Egypt).
Childs Nerv Syst
December 2024
Department of Neurosurgery, Boston Childrens Hospital, Harvard Medical School, Boston, MA, USA.
Purpose: Pediatric hydrocephalus imposes a significant clinical and financial burden in developing countries. Traditional treatment by ventricular shunting in this setting suffers a high rate of shunt infection and malfunction. This study aims at assessing the efficacy and safety of endoscopic third ventriculostomy (ETV), either alone or combined with choroid plexus cauterization (CPC), for preventing shunt dependence in pediatric hydrocephalus within a healthcare setting of a tertiary hospital in Egypt.
View Article and Find Full Text PDFSuccessful endoscopic third ventriculostomy in a patient with 40 years of ventriculoperitoneal shunt dependency since infancy: a case report.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Noto General Hospital, A 6-4, Fujihashi-Machi, Nanao, Ishikawa, 926-0816, Japan.
Ventriculoperitoneal shunt malfunction is a common complication in patients with lifelong hydrocephalus. We present a case of a 40-year-old man who successfully underwent endoscopic third ventriculostomy (ETV) for shunt malfunction following neonatal meningitis. Despite long-term shunt dependency and an infectious etiology, ETV effectively managed his hydrocephalus, probably due to aqueductal stenosis and preserved cerebrospinal fluid absorption.
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