• Main Authors: Luciano Lopes Furlanetti, Marcelo Volpon Santos, Ricardo Santos de Oliveira
• Format: Article
• Language: English
• Published: Academia Brasileira de Neurologia (ABNEURO) 2013-03-01
• Series: Arquivos de Neuro-Psiquiatria
• Subjects: terceiro ventriculostomia endoscópica; hidrocefalia; neuroendoscopia; neurocirurgia pediátrica; endoscopic third ventriculostomy; hydrocephalus; neuroendoscopy; pediatric neurosurgery
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000300165

<sec><title>Objective</title><p id="para1">Neuroendoscopic surgery in children has particular features and is associated with different success rates (SR). The aim of this study was to identify putative factors that could influence the outcome in pediatric patients.</sec><sec><title>Methods</title><p id="para2">Clinical data of 177 patients under 18 years of age submitted to 200 consecutive neuroendoscopic procedures from January 2000 to January 2010 were reviewed.</sec><sec><title>Results</title>The overall success rate was 77%. Out of the patients with successful outcomes, 46% were under six months, 68% were between six months and one year of age, and 85% older than one year. Neuroendoscopic techniques provide very good results for a wide number of indications in children. Tumor-related cerebrospinal fluid (CSF) circulation problems and aqueductal stenosis seem to be particularly well suited to neuroendoscopic treatment regardless of the patient's age.</sec><sec><title>Conclusion</title>Patients' age and etiology of hydrocephalus were associated with a different outcome. In all cases, surgical experience is extremely important to reduce complications.</sec><br><sec><title>Objetivo</title>A cirurgia neuroendosc&#243;pica em crian&#231;as apresenta particularidades e est&#225; associada a diferentes taxas de sucesso (TS). O objetivo deste estudo consistiu em identificar fatores que pudessem influir no resultado do tratamento em pacientes pedi&#225;tricos.</sec><sec><title>M&#233;todos</title>Dados cl&#237;nicos de 177 pacientes com idade inferior a 18 anos submetidos a 200 procedimentos neuroendosc&#243;picos consecutivos entre janeiro de 2000 e janeiro de 2010 foram revisados.</sec><sec><title>Resultados</title>A taxa de sucesso global foi de 77%. Os pacientes com idade inferior a seis meses apresentaram taxa de sucesso de 46%; pacientes entre seis meses e um ano de vida obtiveram &#234;xito em 68% dos casos; dentre os maiores de um ano, 85% dos procedimentos foram bem-sucedidos. T&#233;cnicas neuroendosc&#243;picas proporcionam muito bons resultados para uma grande variedade de indica&#231;&#245;es em crian&#231;as. Independentemente da faixa et&#225;ria, o tratamento endosc&#243;pico apresenta-se particularmente adequado para problemas da circula&#231;&#227;o liqu&#243;rica relacionados a tumores e &#224; estenose aquedutal.</sec><sec><title>Conclus&#227;o</title>A faixa et&#225;ria dos pacientes e a etiologia da hidrocefalia est&#227;o associadas a diferentes resultados. Em todos os casos, experi&#234;ncia neurocir&#250;rgica &#233; extremamente importante para a redu&#231;&#227;o das complica&#231;&#245;es.</sec>