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Comparing Outcomes in Pediatric Neurosurgery

Cerebrospinal Fluid Shunts and Endoscopic Third Ventriculostomy

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Pediatric Hydrocephalus

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Abstract

Cerebrospinal fluid shunting for pediatric hydrocephalus comprises nearly half of all pediatric neurosurgical procedures. Because of the high rate of shunt failure and the resultant medical, social, and economic effects, alternatives to shunt placement have been actively sought. Endoscopic third ventriculostomy has shown promise as a possible alternative, and significant investigations have been undertaken to determine the safety and efficacy of this procedure. In this review, we examine the complications and outcomes of shunting and endoscopic third ventriculostomy and compare these head-to-head. Both procedures have inherent risks, benefits, and alternatives, and appropriate patient selection remains the most important factor in choosing which intervention to use in each child.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of Utah, Salt Lake City, UT, USA

    Jian Guan

  2. Division of Pediatric Neurosurgery, Alberta Children’s Hospital, University of Calgary, Calgary, AB, Canada

    Jay Riva-Cambrin

Authors
  1. Jian Guan
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  2. Jay Riva-Cambrin
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Corresponding author

Correspondence to Jay Riva-Cambrin .

Editor information

Editors and Affiliations

  1. Pediatric Neurosurgery, Santobono Pausilipon Children’s Hospital, Naples, Italy

    Giuseppe Cinalli

  2. Division of Pediatric Neurosurgery, Acıbadem University, School of Medicine, Istanbul, Istanbul, Turkey

    M. Memet Ozek

  3. Hopital Necker-Enfants Malades, Paris, France

    Christian Sainte-Rose

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Guan, J., Riva-Cambrin, J. (2018). Comparing Outcomes in Pediatric Neurosurgery. In: Cinalli, G., Ozek, M., Sainte-Rose, C. (eds) Pediatric Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-31889-9_85-1

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  • DOI: https://doi.org/10.1007/978-3-319-31889-9_85-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31889-9

  • Online ISBN: 978-3-319-31889-9

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