Comment les infections peuvent-elles influencer la ventriculostomie ?
Les infections peuvent augmenter le risque de complications post-opératoires et nécessiter des soins intensifs.
InfectionsComplicationsSoins intensifs
#3
Quel rôle joue l'âge dans le risque de complications ?
Les patients âgés peuvent avoir un risque accru de complications en raison de comorbidités.
ÂgeComplicationsComorbidités
#4
Quels médicaments augmentent le risque d'hémorragie ?
Les anticoagulants et les anti-inflammatoires non stéroïdiens peuvent augmenter le risque d'hémorragie.
AnticoagulantsHémorragieAnti-inflammatoires non stéroïdiens
#5
Comment les troubles de la coagulation affectent-ils la chirurgie ?
Les troubles de la coagulation peuvent augmenter le risque d'hémorragie pendant et après la chirurgie.
Troubles de la coagulationHémorragieChirurgie
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"@type": "Question",
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"@type": "Question",
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"@type": "Question",
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"@type": "Question",
"name": "Quels signes neurologiques peuvent apparaître ?",
"position": 8,
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"@type": "Question",
"name": "Quels symptômes indiquent une infection post-opératoire ?",
"position": 9,
"acceptedAnswer": {
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"@type": "Question",
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"@type": "Question",
"name": "Quel est le but de la ventriculostomie ?",
"position": 11,
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"@type": "Question",
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{
"@type": "Question",
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"position": 15,
"acceptedAnswer": {
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"text": "Des analgésiques et des antibiotiques peuvent être prescrits pour gérer la douleur et prévenir l'infection."
}
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"@type": "Question",
"name": "Quelles sont les complications possibles de la ventriculostomie ?",
"position": 16,
"acceptedAnswer": {
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"text": "Les complications incluent l'infection, les hémorragies et les obstructions du cathéter."
}
},
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"@type": "Question",
"name": "Comment prévenir les infections après une ventriculostomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention inclut une bonne hygiène, des soins appropriés du site opératoire et des antibiotiques prophylactiques."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une obstruction du cathéter ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une augmentation de la pression intracrânienne ou une absence de drainage peuvent indiquer une obstruction."
}
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"@type": "Question",
"name": "Quels sont les risques d'hémorragie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques d'hémorragie peuvent survenir lors de l'insertion du cathéter ou en raison de troubles de la coagulation."
}
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"@type": "Question",
"name": "Comment gérer une infection post-opératoire ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion inclut l'administration d'antibiotiques et, si nécessaire, un drainage chirurgical."
}
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"@type": "Question",
"name": "Quels facteurs augmentent le risque d'hydrocéphalie ?",
"position": 21,
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"@type": "Answer",
"text": "Les facteurs incluent des malformations congénitales, des infections cérébrales et des traumatismes crâniens."
}
},
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"@type": "Question",
"name": "Comment les infections peuvent-elles influencer la ventriculostomie ?",
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}
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"@type": "Question",
"name": "Quel rôle joue l'âge dans le risque de complications ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
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"@type": "Question",
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"position": 24,
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"acceptedAnswer": {
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}
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5Department of Neurosurgery, Vanderbilt University Medical Center, and Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt University, Nashville, Tennessee.
5Department of Neurosurgery, Vanderbilt University Medical Center, and Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt University, Nashville, Tennessee.
Pineal neoplasms have a significant impact on children although they are relatively uncommon. They account for approximately 3-11% of all childhood brain tumors, which is considerably higher than the ...
The narrow surgical passage provided by the supraorbital keyhole craniotomy restricts the instrument's maneuverability and presents a number of technical challenges. Inadequate brain relaxation may ev...
The craniometric point was planned on one normal computed tomography (CT) brain. The coordinates were verified on 43 magnetic resonance imaging (MRI) brain images uploaded on the neuronavigation syste...
Out of 32 patients, in 29 patients, ventricular hit was attained in a single attempt, and the rest 3 patients needed two attempts. The intraoperative ventricular hit rate was 100% with 90.6% success i...
The novel intraoperative frontal ventriculostomy is a safe trajectory and is a valid alternative to Menovsky's ventriculostomy or external lumbar drainage. The authors recommend this technique be gene...
Meta-analysis and systematic review. To understand the role of endoscopic third ventriculostomy (ETV) for the treatment of concurrent Chiari Malformation Type I (CMI) and hydrocephalus in adults. A li...
The aim of this study was to compare the efficacy of ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus after thalamic hemorrhage (TH) where...
The clinical data of patients with hydrocephalus after TH whose EVD could not be removed after hematoma absorption were retrospectively analyzed. According to the patients' surgical methods, the patie...
There was no statistically significant difference in intraoperative bleeding, length of hospital stay between the two groups. The EVD tubes were successfully removed in all patients after surgery. The...
ETV had good efficacy in treating hydrocephalus caused by TH and TH that broke into the lateral ventricle and the third ventricle. However, if hydrocephalus was caused by TH with the fourth ventricula...
Patients with pulvinar area lesions may develop hydrocephalus at any stage. The role of endoscopic third ventriculostomy (ETV) in this setting remains unclear....
We retrospectively enrolled 15 patients with a mean age of 43 years who underwent endoscopic resection of pulvinar area lesions using the supracerebellar infratentorial approach (SCITA). We compared t...
Nine of 15 patients (60.0%) had preoperative obstructive hydrocephalus. Five patients underwent ETV before tumor resection, and none developed postoperative hydrocephalus. Four patients underwent one-...
Endoscopic surgery via the SCITA can address both tumor and hydrocephalus issues in some cases but has a higher surgical risk and postoperative hydrocephalus rate. Preoperative ETV can prevent these c...
Ventriculoperitoneal shunt insertion (VPSI) and endoscopic third ventriculostomy (ETV) are the major procedures for treating pediatric hydrocephalus. However, studies comparing motor development follo...
We aimed to determine motor development outcomes in children with hydrocephalus up to 2 years of age after undergoing VPSI or ETV, to identify which surgical approach yields better motor outcomes and ...
This was a cross-sectional study where we recruited two groups of participants: one group consisted of children with hydrocephalus treated with VP shunt whilst the other group were treated with ETV, a...
A total 152 children treated for hydrocephalus within an 18-month period met the inclusion criteria. Upon follow up and tracing, we recruited 25 children who had been treated: 12 had VPSI and 13 had E...
Children with hydrocephalus demonstrate delays in motor development six to 18 months after treatment with either VPSI or ETV. This may necessitate early and prolonged intensive rehabilitation to resto...
The outcome of endoscopic third ventriculostomy (ETV) in children who had previously received shunts and who were experiencing shunt dysfunction is still discussed in terms of efficacy (success rate f...
This study was a monocentric retrospective case series and a meta-analysis of children who had previously received shunts and who underwent secondary ETV for shunt dysfunction between 2012 and 2022. C...
Seventy consecutive patients were included. The overall success rate of secondary ETV was 63%. Primary obstructive hydrocephalus, age ≥ 36 months, and the presence of aqueductal obstruction were predi...
ETV is safe and effective for children with obstructive hydrocephalus experiencing shunt dysfunction, notably in cases of primary obstructive hydrocephalus with aqueductal stenosis, and among children...
The application of endoscopic third ventriculostomy (ETV) for the treatment of obstructive hydrocephalus in shunt malfunction represents a paradigm shift, as it allows hydrocephalus to be transformed ...
We present a 54-year-old male with a diagnosis of idiopathic Sylvian aqueduct stenosis treated with shunt. The patient presented to our institution with symptoms of shunt malfunction and an increase i...
ETV shows promise as a viable treatment option for shunt malfunction in noncommunicating obstructive hydrocephalic patients. Its potential to avoid VPS-related complications, preserve physiological CS...
Although controversial, endoscopic third ventriculostomy (ETV) in the management of Myelomeningocele and Chiari type II malformation-related hydrocephalous is gaining wider popularity and use. With va...
A 5-year-old boy with a history of surgically treated lumbosacral myelomeningocele and ventriculoperitoneal shunting at six months of age is presented. During the course following the initial surgery,...
We believe that ETV should be carefully indicated in selected patients with Chiari II, post-infectious hydrocephalus, by experienced hands, as the surgical anatomy can be extremely complex and mislead...
This qualitative review aims to summarize current knowledge on ventriculostomy-related infection (VRI) pathophysiology and its prevention. VRI generally occurs at day 10, mainly because of Gram-positi...