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Neuroendoscopy for post-infective hydrocephalus in children

  • Chandrashekhar E. Deopujari
  • Llewelyn Padayachy
  • Alias Azmi
  • Anthony Figaji
  • Saurav K. Samantray
Special Annual Issue

Abstract

The treatment of hydrocephalus has changed in recent years with better imaging and introduction of endoscopic procedures as well as enhanced shunts. Indications of endoscopic third ventriculostomy (ETV) are now more refined with better quantification of outcome. This article reviews the current state of neuroendoscopy for infective hydrocephalus in children. The roles of third ventriculostomy as a primary procedure or after shunt malfunction, endoscopic interventions in multiloculated hydrocephalus and introduction of intraventricular lavage to salvage severely infected children are evaluated.

Keywords

Hydrocephalus Paediatric CNS infection Meningitis Endoscopic third ventriculostomy (ETV) Choroid plexus coagulation (CPC) Ventricular lavage 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

  1. 1.
    Akbari SH, Holekamp TF, Murphy TM, Mercer D, Leonard JR, Smyth MD, Park TS, Limbrick DD Jr (2015) Surgical management of complex multiloculated hydrocephalus in infants and children. Child Nerv Syst 31(2):243–249CrossRefGoogle Scholar
  2. 2.
    Albanese V, Tomasello F, Sampaolo S, Picozzi P (1982) Neuroradiological findings in multiloculated hydrocephalus. Actaneurochirurgica 60(3–4):297–311Google Scholar
  3. 3.
    Andresen M, Juhler M (2012) Multiloculated hydrocephalus: a review of current problems in classification and treatment (2012). Child Nerv Syst 28(3):357–362CrossRefGoogle Scholar
  4. 4.
    Bruwer GE, Van Der Westhuizen S, Lombard CJ, Schoeman JF (2004) Can CT predict the level of CSF block in tuberculous hydrocephalus? Child Nerv Syst 20:183–187CrossRefGoogle Scholar
  5. 5.
    Chugh A, Husain M, Gupta RK, Ojha BK, Chandra A, Rastogi M (2009) Surgical outcome of tuberculous meningitis hydrocephalus treated by endoscopic third ventriculostomy: prognostic factors and postoperative neuroimaging for functional assessment of ventriculostomy. J Neurosurg Pediatr 3:371–377CrossRefPubMedGoogle Scholar
  6. 6.
    Cinalli G, Salazar C, Mallucci C, Yada JZ, Zerah M, Sainte-Rose C (1998) The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery 43:1323–1327PubMedGoogle Scholar
  7. 7.
    Ciurea AV, Coman TC, Mircea D (2004) Postinfectious hydrocephalus in children. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus. Springer-Verlag Italia, Milano, pp 201–218Google Scholar
  8. 8.
    Daoud AS, Omari H, al-Sheyyab M, Abuekteish F (1998) Indications and benefits of computer tomography in childhood bacterial meningitis. J Trop Pediatr 44:167–169CrossRefPubMedGoogle Scholar
  9. 9.
    de Louvois J (1994) Acute bacterial meningitis in the newborn. J Antimicrob Chemother 34(Suppl A):61–73CrossRefPubMedGoogle Scholar
  10. 10.
    Deopujari CE, Karmarkar VS, Shaikh ST (2017) Endoscopic third ventriculostomy: success and failure. Korean Neurosurg Soc 60(3):306–314CrossRefGoogle Scholar
  11. 11.
    Di Rocco C, Cinalli G, Massimi L, Spennato P, Cianciulli E, Tamburrini G (2006) Endoscopic third ventriculostomy in the treatment of hydrocephalus in pediatric patients. Adv Tech Stand Neurosurg 31:171–173Google Scholar
  12. 12.
    Doctor BA, Newman N, Minich NM, Taylor HG, Fanaro AA, Hack M (2001) Clinical outcomes of neonatal meningitis in very low birthweight infant. Clin Pediatr 40:473–480CrossRefGoogle Scholar
  13. 13.
    Figaji AA, Fieggen AG (2013) Endoscopic challenges and applications in tuberculous meningitis. World Neurosurg 79(2 Suppl):S24.e9–S24.14Google Scholar
  14. 14.
    Figaji AA, Fieggen AG, Peter JC (2003) Endoscopic third ventriculostomy in tuberculous meningitis. Childs Nerv Syst 19:217–225CrossRefPubMedGoogle Scholar
  15. 15.
    Figaji AA, Fieggen AG, Peter JC (2005) Air encephalography for hydrocephalus in the era of neuroendoscopy. Child Nerv Syst 21:559–565CrossRefGoogle Scholar
  16. 16.
    Fritsch MJ, Mehdorn M (2002) Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age. Pediatr Neurosurg 36(4):183–188CrossRefPubMedGoogle Scholar
  17. 17.
    Gandhoke GS, Frassanito P, Chandra N, Ojha BK, Singh A (2013) Role of magnetic resonance ventriculography in multiloculated hydrocephalus. J Neurosurg Pediatr 11(6):697–703CrossRefPubMedGoogle Scholar
  18. 18.
    Ghosh S, Chandy MJ (1992) Intrasellar tuberculoma. Clin Neurol Neurosurg 94:251–252CrossRefPubMedGoogle Scholar
  19. 19.
    Goel RK, Ahmad FU, Vellimana AK, Suri A, Chandra PS, Kumar R, Sharma BS, Mahapatra AK (2008) Endoscopic management of intraventricular neurocysticercosis. J Clin Neurosci 15:1096–1101CrossRefPubMedGoogle Scholar
  20. 20.
    Husain M, Jha DK, Rastogi M, Husain GRK (2005) Role of neuroendoscopy in the management of patients with tuberculous meningitis hydrocephalus. Neurosurg Rev 28:278–283CrossRefPubMedGoogle Scholar
  21. 21.
    Husain M, Rastogi M, Jha DK, Husain N, Gupta RK (2007) Endoscopic transaqueductal removal of fourth ventricular neurocysticercosis with an angiographic catheter. Neurosurgery 60(4 Suppl 2):249–253PubMedGoogle Scholar
  22. 22.
    Johnson JR, Idris Z, Abdullah JM, Alias A, Haspani MS (2017) Prevalence of shunt dependency and clinical outcome in patients with massive intraventricular haemorrhage treated with endoscopic washout and external ventricular drainage. Malays J Med Sci 24(1):40–46PubMedPubMedCentralGoogle Scholar
  23. 23.
    Jonathan A, Rajshekhar V (2005) Endoscopic third ventriculostomy for chronic hydrocephalus after tuberculous meningitis. Surg Neurol 63:32–34CrossRefPubMedGoogle Scholar
  24. 24.
    Kaiser G (1985) Hydrocephalus following toxoplasmosis. Z Kinderkir 40(Suppl. 1):10–11Google Scholar
  25. 25.
    Kulkarni AV, Riva-Cambrin J, Browd SR (2011) Use of the ETV success score to explain the variation in reported endoscopic third ventriculostomy success rates among published case series of childhood hydrocephalus. J Neurosurg Paediatrics 7:143–146CrossRefGoogle Scholar
  26. 26.
    Kulkarni AV, Schiff SJ, Mbabazi-Kabachelor E et al (2017) Endoscopic treatment versus shunting for infant hydrocephalus in Uganda. N Engl J Med 377:2456–2464CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Kulkarni AV, Riva-Cambrin J, Rozzelle CJ, Naftel RP, Alvey JS, Reeder RW, Holubkov R, Browd SR, Cochrane DD, Limbrick DD Jr, Simon TD, Tamber M, Wellons JC III, Whitehead WE, Kestle JRW (2018) Endoscopic third ventriculostomy and choroid plexus cauterization in infant hydrocephalus: a prospective study by the Hydrocephalus Clinical Research Network. J Neurosurg Pediatr 21(3):214–223CrossRefPubMedGoogle Scholar
  28. 28.
    Lewis AI, Keiper GL Jr, Crone KR (1995) Endoscopic treatment of loculated hydrocephalus. J Neurosurg 82(5):780–785CrossRefPubMedGoogle Scholar
  29. 29.
    Moorthy RK, Rajshekhar V (2011) Endoscopic third ventriculostomy for hydrocephalus: a review of indications, outcomes, and complications. Neurol India 59:848–854CrossRefPubMedGoogle Scholar
  30. 30.
    Nowoslawska E, Polis L, Kaniewska D, Mikolajczyk W, Krawczyk J, Szymanski W et al (2003) Effectiveness of neuroendoscopic procedures in the treatment of complex compartmentalized hydrocephalus in children. Childs Nerv Syst 19(9):659–665CrossRefPubMedGoogle Scholar
  31. 31.
    O’Brien DF, Javadpour M, Collins DR, Spennato P, Mallucci CL (2005) Endoscopic third ventriculostomy: an outcome analysis of primary cases and procedures performed after ventriculoperitoneal shunt malfunction. J Neurosurg 103(5 Suppl):393–400PubMedGoogle Scholar
  32. 32.
    Oi S (2011) Classification of hydrocephalus: critical analysis of classification categories and advantages of “multi-categorical hydrocephalus classification” (McHC). Childs Nerv Syst 27:1523–1533CrossRefPubMedGoogle Scholar
  33. 33.
    Paraskevopoulos D, Biyani N, Constantini S, Beni-Adani L (2011) Combined intraoperative magnetic resonance imaging and navigated neuroendoscopy in children with multicompartmental hydrocephalus and complex cysts: a feasibility study. J Neurosurg: Peds 8(3):279–288Google Scholar
  34. 34.
    Pearlman J, Argyle C (1992) Lethal cytomegalovirus infection in preterm infants: clinical, radiological, and neuropathological findings. Ann Neurol 31(1):64–68CrossRefGoogle Scholar
  35. 35.
    Rajsekhar V, Chandy MJ (1997) Tuberculomas presenting as isolated brain stem masses. Br J Neurosurg 11:127–133CrossRefGoogle Scholar
  36. 36.
    Raouf A, Zidan I, Mohamed E (2015) Endoscopic third ventriculostomy for post-inflammatory hydrocephalus in pediatric patients: is it worth a try? Neurosurg Rev 38:149–155CrossRefPubMedGoogle Scholar
  37. 37.
    Sandberg DI, McComb JG, Krieger MD (2005) Craniotomy for fenestration of multiloculated hydrocephalus in pediatric patients. Neurosurgery 57(1 Suppl):100–106PubMedGoogle Scholar
  38. 38.
    Schulz M, Bohner G, Knaus H, Haberl H, Thomale UW (2010) Navigated endoscopic surgery for multiloculated hydrocephalus in children. J Neurosurg Pediatr 5(5):434–442CrossRefPubMedGoogle Scholar
  39. 39.
    Schulz M, Buhrer C, Pohl-Schickinger A, Haberl H, Thomale UW (2014) Neuroendoscopic lavage for the treatment of intraventricular hemorrhage and hydrocephalus in neonates. J Neurosurg Pediatr 13(6):626–635CrossRefPubMedGoogle Scholar
  40. 40.
    Shimizu T, Luciano MG, Fukuhara T (2012) Role of endoscopic third ventriculostomy at infected cerebrospinal fluid shunt removal. J Neurosurg Pediatr 9:320–326CrossRefPubMedGoogle Scholar
  41. 41.
    Singh D, Sachdev V, Singh AK, Sinha S (2005) Endoscopic third ventriculostomy in post tubercular meningitic hydrocephalus: a preliminary report. Minim Invasive Neurosurg 48:47–52CrossRefPubMedGoogle Scholar
  42. 42.
    Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, Weiner H, Roth J, Beni-Adani L, Pierre-Kahn A, Takahashi Y, Mallucci C, Abbott R, Wisoff J, Constantini S (2002) Endoscopic third ventriculostomy for patients with cerebrospinal fluid infections and/or hemorrhage. J Neurosurg 97:519–524CrossRefPubMedGoogle Scholar
  43. 43.
    Spennato P, Cinalli G, Ruggiero C, Aliberti F, Trischitta V, Cianciulli E, Maggi G (2007) Neuroendoscopic treatment of multiloculated hydrocephalus in children. J Neurosurg 106(1 Suppl):29–35PubMedGoogle Scholar
  44. 44.
    Spennato P, Ruggiero C, Aliberti F, Nastro A, Mirone G, Cinalli G (2013) Third ventriculostomy in shunt malfunction. World Neurosurg 79(2 Suppl):S22.e21–S22.e26Google Scholar
  45. 45.
    Stahl W, Kaneda Y (1997) Pathogenesis of murine toxoplasmic hydrocephalus. Parasitology 114:219–229CrossRefPubMedGoogle Scholar
  46. 46.
    Strowitzki M, Keifer M, Steudel W (2002) A new method of ultrasonic guidance of neuroendoscopic procedures. J Neurosurg 96:628–632CrossRefPubMedGoogle Scholar
  47. 47.
    Tabuchi S, Kadowaki M (2015) Neuroendoscopic surgery for ventriculitis and hydrocephalus after shunt infection and malfunction: preliminary report of a new strategy. Asian J Endosc Surg 8:180–184CrossRefPubMedPubMedCentralGoogle Scholar
  48. 48.
    Torres-Corzo JG, Tapia-Pérez JH, Vecchia RR, Chalita-Williams JC, Sánchez-Aguilar M, Sánchez-Rodríguez JJ (2010) Endoscopic management of hydrocephalus due to neurocysticercosis. Clin Neurol Neurosurg 112:11–16CrossRefPubMedGoogle Scholar
  49. 49.
    Warf BC (2005) Hydrocephalus in Uganda: the predominance of infectious origin and primary management with endoscopic third ventriculostomy. J Neurosurg 102(1 Suppl):1–15PubMedGoogle Scholar
  50. 50.
    Warf BC (2005) Comparison of endoscopic third ventriculostomy alone and combined with choroid plexus cauterization in infants younger than 1 year of age: a prospective study in 550 African children. J Neurosurg Pediatr 103:475–481CrossRefGoogle Scholar
  51. 51.
    Warf BC, MacGowen L (2001) Post infectious hydrocephalus: the most common cause of hydrocephalus in Uganda. Ifhsb (International federation for hydrocephalus and spina bifida)Google Scholar
  52. 52.
    Warf BC, Dagi AR, Kaaya BN, Schiff SJ (2011) Five-year survival and outcome of treatment for postinfectious hydrocephalus in Ugandan infants. J Neurosurg Pediatr 8(5):502–508CrossRefPubMedGoogle Scholar
  53. 53.
    Weil AG, Fallah A, Chamiraju P, Ragheb J, Bhatia S (2016) Endoscopic third ventriculostomy and choroid plexus cauterization with a rigid neuroendoscope in infants with hydrocephalus. J Neurosurg Pediatr 17:163–173CrossRefGoogle Scholar
  54. 54.
    Yadav YR, Jaiswal S, Adam N, Basoor A, Jain G (2006) Endoscopic third ventriculostomy in infants. Neurol India 54:161–163PubMedGoogle Scholar
  55. 55.
    Yadav YR, Parihar V, Pande S, Namdev H, Agarwal M (2012) Endoscopic third ventriculostomy. J Neurosci Rural Pract 3:163–173CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Zuccaro G, Ramos JG (2011) Multiloculated hydrocephalus. Childs Nerv Syst 27(10):1609–1619CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Chandrashekhar E. Deopujari
    • 1
  • Llewelyn Padayachy
    • 2
  • Alias Azmi
    • 3
  • Anthony Figaji
    • 4
  • Saurav K. Samantray
    • 5
  1. 1.Bombay Hospital Institute of Medical SciencesMumbaiIndia
  2. 2.Hamilton Naki Senior Clinical Researcher, Division of NeurosurgeryUniversity of Cape TownCape TownSouth Africa
  3. 3.Department of NeurosurgeryTunku Abdul Rahman Neuroscience Institute (IKTAR) HospitalKuala LumpurMalaysia
  4. 4.SARChi Chair of Clinical Neurosciences, Red Cross Children’s Hospital and Groote Schuur HospitalUniversity of Cape TownCape TownSouth Africa
  5. 5.B.J.Wadia Children’s HospitalMumbaiIndia

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