To improve the outcome of surgical treatment of occlusive hydrocephalus in infants by introducing an endoscopic ventriculocisternostomy in the third ventricle (ETV III). Material and methods. We studied the results of a comprehensive examination and surgical treatment of 16 children aged from 28 days to 1 year who were admitted for inpatient treatment during 2021/23, to the department of Pediatric Neurosurgery of SI NMC RT "Shifobakhsh", which is the clinical base of the department of Neurosurgery and Combined Trauma of SEI of Avicenna Tajik state medical university. All examined children were diagnosed with internal progressive occlusive hydrocephalus. In all cases, the children underwent clinical and neurological examination. The observed patients underwent CT and MRI studies, as well as neuro-ophthalmoscopy. All patients underwent minimally invasive intervention of endoscopic ventriculocisternostomy of the fundus of the third ventricle (ETV III). Postoperative follow-up period ranged from 3 months to 1.5 years. Results. The use of the minimally invasive ETV III technique in the surgical treatment of occlusive hydrocephalus in infants made it possible to significantly reduce the time of surgical intervention and the postoperative period of the patient's stay in the hospital. At the same time, the creation of artificial pathways for ventriculosubarachnoid CSF outflow reduced the use of traditional methods of surgical treatment, such as LShO, and the complications associated with this technique. All patients (100%) had cerebral symptoms, hypertensive-hydrocephalic syndrome. Positive results were achieved in 12 patients (75%), one patient (6.25%) had a complication in the form of a subdural hematoma of small volume, which spontaneously resolved. In one patient (6.25%), the stoma did not function during the period of stay in the hospital, and in 2 (12.5%) the formed hole closed in the first month after the operation due to exacerbation of ventriculitis. Conclusions. The use of ETV III in the surgical treatment of occlusive hydrocephalus is a minimally invasive surgical technique that can reduce the time of intervention, reduce trauma and postoperative complications. It can be considered as an alternative to traditional bypass surgery in children with CSF occlusion.
| Mualliflar | Коситов Диловар Давронжонович, Рахмонов Хуршед Джамшедович, Бердиев Рустам Намозович, Турдибоев Шерали Абдуллоевич, Manuchehr Valievich Davlatov, Кодиров Достон Исмоилович, Рахмонов Умеджон Джамшедович |
|---|---|
| Jurnal | Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research |
| Nashr sanasi | 2024-01-04 |
| Jild | 4 |
| Son | 5 |
| Til | Rus |
окклюзионная гидроцефалия, эндоскопическая вентрикулоцистерностомия, грудной возраст, occlusive triventricular hydrocephalus, endoscopic triventriculostomy, infants
Tension headache (TTH) is one of the most common forms of primary headache (PH), manifested by pain episodes lasting from 30 min to several days. The lifetime prevalence of TTH is 78%. Women suffer slightly more often…
Knowledge of the semiotics of epileptic seizures arising as a result of abnormalities in different lobes of the brain is of significant clinical importance primarily for the detection of epileptogenic structural lesions…
Among diseases of the endocrine system, hypothyroidism is the second most common after diabetes mellitus. The vast majority of hypothyroidism is primary, the causes of which are most often: surgical removal of part or…
Clinical, laboratory and neurophysiological signs of congenital myopathies were analyzed. When studying the pedigrees of patients with CM, in 39 cases the marriage was related, which amounted to 70%. It was found that…
Encephalitis is an inflammation of the brain parenchyma resulting from direct viral invasion or as a postinfectious immunologic complication caused by a hypersensitivity reaction to a virus or other foreign protein…
Epilepsy is not a condition that prevents pregnancy and childbirth. With complete control of seizures, a physiological pregnancy and delivery is possible. There are a number of factors that should be considered by the…
this article presents the results of comparative comparison between groups of clinical-neurological and neurovisual examination results of seizure syndrome after hemorrhagic stroke. In the main group of patients, the…
Clinical, laboratory and neurophysiological signs of congenital myopathies were analyzed. 56 patients aged 2 to 15 years who were under observation in the department of medical and genetic counseling of the Republican…
Posterior reversible encephalopathy syndrome (PRES) is considered a clinical-radiological syndrome characterized by headaches, seizures, altered consciousness, and visual disturbances. This syndrome was first described…
The article presents data from numerous studies that have shown the association of migraine with emotional and personality disorders, depression, anxiety and panic attacks. Current data on the prevalence, clinical…