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Introduction: The Changed Epidemiology of CSF Shunt Complications, Failures Versus Complications

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Complications of CSF Shunting in Hydrocephalus

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Abstract

Advances in endoscopic technology have led to a new era in the management of hydrocephalus. Currently, neuroendoscopy is used for creating alternative cerebrospinal fluid (CSF) circulation pathways, restoring normal CSF flow, reducing CSF production, and creating intercompartmental connections in complex multiloculated hydrocephalus. Many complications have been described in relation to the application of procedures, and minimizing these complications requires a good knowledge of the intervention-related anatomy as well as the use of appropriate neuroradiological imaging techniques in every subject.

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References

  1. Abbott R (2004) History of neuroendoscopy. Neurosurg Clin N Am 15:1–7

    Article  PubMed  Google Scholar 

  2. Abtin K (1998) Basilar artery perforation as a complication of endoscopic third ventriculostomy. Pediatr Neurosurg 28(1):35–41

    Article  CAS  PubMed  Google Scholar 

  3. Aldana PR, Kestle JRW, Brockmeyer DL, Walker ML (2003) Results of endoscopic septal fenestration in the treatment of isolated ventricular hydrocephalus. Pediatr Neurosurg 38:286–294

    Article  PubMed  Google Scholar 

  4. Andresen M, Juhler M (2012) Multiloculated hydrocephalus: a review of current problems in classification and treatment. Childs Nerv Syst 28:357–362

    Article  PubMed  Google Scholar 

  5. Aquilina K, Pople IK, Sacree J, Carter MR, Edwards RJ (2012) The constant flow ventricular infusion test: a simple and useful study in the diagnosis of third ventriculostomy failure. J Neurosurg 116:445–452

    Article  PubMed  Google Scholar 

  6. Basaldella L, Fiorindi A, Sammartino F, De Caro R, Longatti P (2013) Third ventriculostomy site as a neuroreceptorial area. Childs Nerv Syst. doi:10.1007/sw00381-013-2289-z

    PubMed  Google Scholar 

  7. Baykan N, Isbir O, Gerçek A, Dağçınar A, Özek MM (2005) Ten years of experience with pediatric neuroendoscopic third ventriculostomy. Features and perioperative complications of 210 cases. J Neurosurg Anesthesiol 17:33–37

    PubMed  Google Scholar 

  8. Boschert J, Hellwig D, Krauss JK (2003) Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review. J Neurosurg 98:1032–1039

    Article  PubMed  Google Scholar 

  9. Bouras T, Sgouros S (2012) Complications of endoscopic third ventriculostomy: a systematic review. Acta Neurochir Suppl 113:149–153

    Article  PubMed  Google Scholar 

  10. Brockmeyer D (2004) Techniques of endoscopic third ventriculostomy. Neurosurg Clin N Am 15:51–59

    Article  PubMed  Google Scholar 

  11. Cinalli G, Sainte-Rose C, Chumas P, Zerah M, Brunelle F, Lot G, Pierre-Kahn A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448–454

    Article  CAS  PubMed  Google Scholar 

  12. Cinalli G, Spennato P, Savarese L, Ruggiero C, Alberti F, Cuomo L, Cianciulli E, Maggi G (2006) Endoscopic aqueductoplasty and placement of a stent in the cerebral aqueduct in the management of isolated fourth ventricle in children. J Neurosurg 104(1 Suppl):21–27

    PubMed  Google Scholar 

  13. Drake JM, Kestle JRW, Milner R, Cinalli G, Boop F, Piatt J, Hainess S, Schiff SJ, Cochrane DD, Steinbok P, MacNeil N (1998) Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery 43:294–305

    Article  CAS  PubMed  Google Scholar 

  14. Drake JM, Kulkarni AV, Kestle J (2009) Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in pediatric patients: a decision analysis. Childs Nerv Syst 25:467–472

    Article  PubMed  Google Scholar 

  15. Enchev Y, Oi S (2008) Historical trends of neuroendoscopic surgical techniques in the treatment of hydrocephalus. Neurosurg Rev 31:249–262

    Article  PubMed  Google Scholar 

  16. Fukuhara T, Voster SJ, Luciano MG (2000) Risk factors for failure of endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurgery 46:1100–1111

    Article  CAS  PubMed  Google Scholar 

  17. Gangemi M, Maiuri F, Donati PA, Signorelli F, Basile D (1999) Endoscopic surgery for monoventricular hydrocephalus. Surg Neurol 52:246–250

    Article  CAS  PubMed  Google Scholar 

  18. Hader WJ, Drake J, Cochrane D, Sparrow O, Johnson ES, Kestle J (2002) Death after late failure of third ventriculostomy in children. Report of three cases. J Neurosurg 97:211–215

    Article  PubMed  Google Scholar 

  19. Hellwig D, Giordano M, Kappus C (2013) Redo third ventriculostomy. World Neurosurg. doi:10.1016/j.wneu.2012.02.006

    PubMed  Google Scholar 

  20. Hoffman HJ (1976) The advantages of percutaneous third ventriculostomy over other forms of surgical treatment for infantile obstructive hydrocephalus. In: Morley TP (ed) Current controversies in neurosurgery. WB Saunders, Philadelphia, pp 691–703

    Google Scholar 

  21. Hoffman HJ, Harwood-Nash D, Gilday DL (1980) Percutaneous third ventriculostomy in the management of non-communicating hydrocephalus. Neurosurgery 7:313–321

    Article  CAS  PubMed  Google Scholar 

  22. Hopf NJ, Grunert P, Fries G, Resch KDM, Perneczky A (1999) Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures. Neurosurgery 44:795–806

    Article  CAS  PubMed  Google Scholar 

  23. Iantosca MR, Hader WJ, Drake JM (2004) Results of endoscopic third ventriculostomy. Neurosurg Clin N Am 15:67–75

    Article  PubMed  Google Scholar 

  24. Kadrian D, van Gelder J, Florida D, Jones R, Vonaou M, Teo C, Stening W, Kwok B (2005) Long-term reliability of endoscopic third ventriculostomy. Neurosurgery 56:1271–1278

    Article  PubMed  Google Scholar 

  25. Kehler U, Regelsberger J, Gliemroth J (2003) The mechanism of fornix lesions in 3rd ventriculostomy. Minim Invasive Neurosurg 46(4):202–204

    Article  CAS  PubMed  Google Scholar 

  26. Kluge S, Bauman HJ, Regelsberger J, Kehler U, Gliemroth J, Koziej B, Klose H, Meyer A (2010) Pulmonary hypertension after ventriculoatrial shunt implantation. J Neurosurg 113(6):1279–1283

    Article  PubMed  Google Scholar 

  27. Kurschel S, Ono S, Oi S (2007) risk reduction of subdural collections following endoscopic third ventriculostomy. Childs Nerv Syst 23(5):521–526

    Article  PubMed  Google Scholar 

  28. Lindert EJV, Beems T, Grotenhuis JA (2006) The role of different imaging modalities: is MRI a conditio sine qua non for ETV? Childs Nerv Syst 22:1529–1536

    Article  PubMed  Google Scholar 

  29. Mohanty A (2003) Endoscopic third ventriculostomy with cystoventricular stent placement in the management of Dandy-Walker malformation: technical case report of three patients. Neurosurgery 53:1223–1229

    Article  PubMed  Google Scholar 

  30. Oi S, Abbott R (2004) Loculated ventricles and isolated compartments in hydrocephalus: their pathophysiology and the efficacy of neuroendoscopic surgery. Neurosurg Clin N Am 15:77–87

    Article  PubMed  Google Scholar 

  31. Oi S, Matsumoto S (1985) Slit ventricles as a cause of isolated ventricles after shunting. Childs Nerv Syst 1:189–193

    Article  CAS  PubMed  Google Scholar 

  32. Oka K, Yamamoto M, Nonaka T, Tomonaga M (1996) The significance of artificial cerebrospinal fluid as perfusate and endoneurosurgery. Neurosurgery 38:733–736

    Article  CAS  PubMed  Google Scholar 

  33. Pople IK, Ettles D (1995) The role of endoscopic choroid plexus coagulation in the management of hydrocephalus. Neurosurgery 36:698–702

    Article  CAS  PubMed  Google Scholar 

  34. Rekate HL (2004) Selecting patients for endoscopic third ventriculostomy. Neurosurg Clin N Am 15:39–49

    Article  PubMed  Google Scholar 

  35. Ribaupierre S, Rilliet B, Vernet O, Regli L, Villemure JG (2007) Third ventriculostomy vs ventriculoperitoneal shunt in pediatric obstructive hydrocephalus: results from a Swiss series and literature review. Childs Nerv Syst 23:527–533

    Article  PubMed  Google Scholar 

  36. Romero L, Ros B, Ibanez G, Rius F, Gonzalez L, Arraez MA (2014) Endoscopic third ventriculostomy: can we predict success during surgery? Neurosurg Rev 37(1):89–97

    Article  CAS  PubMed  Google Scholar 

  37. Ros B, Romero L, Ibanez G, Iglesias S, Rius F, Perez S, Arraez MA (2012) Success criteria in pediatric neuroendoscopic procedures. Proposal for classification of results after 67 operations. Childs Nerv Syst 28:691–697

    Article  PubMed  Google Scholar 

  38. Roth J, Constantini S (2012) Selective use of intra-catheter endoscopic-assisted ventricular catheter placement: indications and outcome. Childs Nerv Syst 28:1163–1169

    Article  PubMed  Google Scholar 

  39. Sainte-Rose C, Piatt JH, Renier D, Pierre-Kahn A, Hirsch JF, Hoffman HJ, Humpreys RP, Hendrick EB (1991) Mechanical complications in shunts. Pediatr Neurosurg 17:2–9

    Article  PubMed  Google Scholar 

  40. Scarff J (1970) The treatment of nonobstructive (communicating) hydrocephalus by endoscopic cauterization of the choroid plexus. J Neurosurg 33:1–18

    Article  CAS  PubMed  Google Scholar 

  41. Schroeder HWS, Gaab MR (1999) Endoscopic aqueductoplasty: technique and results. Neurosurgery 45:508–518

    Article  CAS  PubMed  Google Scholar 

  42. Schoeder HW, Niendorf WR, Gaab MR (2002) Complications of endoscopic third ventriculostomy. J Neurosurg 96:1032–1040

    Article  Google Scholar 

  43. Schroeder HWS, Schweim C, Schweim KH, Gaab MR (2000) Analysis of aqueductal cerebrospinal fluid flow after endoscopic aqueductoplasty by using cine phase-contrast magnetic resonance imaging. J Neurosurg 93:237–244

    Article  CAS  PubMed  Google Scholar 

  44. Schulz M, Bohner G, Knaus H, Haberl H, Thomale U-W (2010) Navigated endoscopic surgery for multiloculated hydrocephalus in children. J Neurosurg Pediatr 5:434–442

    Article  PubMed  Google Scholar 

  45. Stone JJ, Walker CT, Jacobson M, Philips V, Silberstein HJ (2013) Revision rate of pediatric ventriculoperitoneal shunts after 15 years. J Neurosurg Pediatr 11(1):15–19

    Article  PubMed  Google Scholar 

  46. Surchev JK, Georkiev KD, Enchev Y, Avramov RS (2002) Ventriculoperitoneal shunt in children – our 14-year experience. Childs Nerv Syst 18:259 (abstr)

    Google Scholar 

  47. Walker ML (2004) Complications of third ventriculostomy. Neurosurg Clin N Am 15:61–66

    Article  PubMed  Google Scholar 

  48. Wong TT, Lee LS (2000) Membranous occlusion of the foramen Monro following ventriculoperitoneal shunt insertion: a role for endoscopic foraminoplasty. Childs Nerv Syst 16:213–217

    Article  CAS  PubMed  Google Scholar 

  49. Yavuz C, Demirtas S, Calıskan A, Kamasak K, Karahan O, Guclu O, Yazıcı S, Mavitas B (2013) Reasons, procedures, and outcomes in ventriculoatrial shunts: a single-center experience. Surg Neurol Int 4:10. doi:10.4103/152-7806

    Article  PubMed Central  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Akdeniz University Faculty of Medicine, Antalya, Turkey

    Mehmet Saim Kazan MD & Ethem Taner Göksu MD

Authors
  1. Mehmet Saim Kazan MD
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  2. Ethem Taner Göksu MD
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Correspondence to Mehmet Saim Kazan MD .

Editor information

Editors and Affiliations

  1. Pediatric Neurosurgery, Catholic University Medical School, Rome, Italy

    Concezio Di Rocco

  2. Department of Neurosurgery, Adnan Menderes University School of Medi, Aydin, Turkey

    Mehmet Turgut

  3. Division of Pediatric Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA

    George Jallo

  4. Regional Service of Neurosurgery and Unit of Pediatric Neurosurgery, Virgen de la Arrixaca University Hospital, Murcia, Spain

    Juan F. Martínez-Lage

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© 2015 Springer International Publishing Switzerland

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Kazan, M.S., Göksu, E.T. (2015). Introduction: The Changed Epidemiology of CSF Shunt Complications, Failures Versus Complications. In: Di Rocco, C., Turgut, M., Jallo, G., Martínez-Lage, J. (eds) Complications of CSF Shunting in Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-09961-3_19

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  • DOI: https://doi.org/10.1007/978-3-319-09961-3_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09960-6

  • Online ISBN: 978-3-319-09961-3

  • eBook Packages: MedicineMedicine (R0)

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