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العنوان
Endoscopic third ventriculostomy and
choroid plexus cauterization versus
Endoscopic third ventriculostomy alone in
treatment of hydrocephalus in infants /
المؤلف
Kaldas,Antony Ihab Fouad.
هيئة الاعداد
باحث / Antony Ihab Fouad Kaldas
مشرف / Essam El Din Abdelrahman Emara
مشرف / Emad Mamoun Hamza
مشرف / Sherif Hashem Mourad
تاريخ النشر
2016
عدد الصفحات
135p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة المخ والاعصاب
الفهرس
Only 14 pages are availabe for public view

from 135

from 135

Abstract

Infantile hydrocephalus is one of the variable and complex
diseases in neurological surgery, hydrocephalus defined as an active
distension of the ventricular system resulting from inadequate passage
of cerebrospinal fluid from its point of production within the cerebral
ventricles to its point of absorption into the systemic circulation.
Hydrocephalus in infants which either can be congenital without
obvious extrinsic cause or secondary to hemorrhage, infection or
neoplasm needs intervention and treatment by one way or another.
Endoscopic third ventriculostomy (ETV) is a procedure in which
a CSF diversion is created through a ventriculocisternostomy directly
into the subarachnoid space, besides it reduces the trans mantle
pulsatile stress by increasing compliance of the ventricular wall, this
procedure has been debatable in infants due to high discrepancy in
failure rates among different studies.
Recently, the combination of Etv with Choroid plexus
cauterization (CPC) in infants has been widely debatable and promising
with favorable results. With the rationale being that an imbalance in
CSF absorption capacity may be one of the reasons behind ETV failure.
Cauterization of the choroid plexus would, in theory, decrease CSF production, compensating for the presumably hindered absorption
capacity of CSF in infants and augment effect of ETV by reducing the
amplitude of intraventricular pulsations, depending on hydrodynamic
theory of hydrocephalus, depending on pulsatite flow theory of CSF
circulation.