Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
World Neurosurg ; 185: e721-e730, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38423458

RESUMO

BACKGROUND: The selection of patients in whom endoscopic third ventriculostomy (ETV) can be effective remains poorly defined. The ETV success score (ETVSS) and the presence of bowing of the third ventricle have been identified as independent factors for predicting success, each with limitations. The objective of this study is to elaborate a combined predictive model to predict ETV success in a mixed cohort of patients. METHODS: Demographic, intraoperative, postoperative, and radiologic variables were analyzed in all ventriculostomies performed consecutively at a single institution from December 2004 to December 2022. Qualitative and quantitative measurements of preoperative, immediate, and late postoperative magnetic resonance imaging were conducted. Univariate analysis and logistic regression models were performed. RESULTS: 118 ETVs were performed in the selected period. Of these procedures, 106 met the inclusion criteria. The overall success rate was 71.7%, with a median follow-up of 3.64 years (interquartile range, 1.06-5.62). The median age was 36.1 years (interquartile range, 11.7-53.5). 35.84% were children (median, 7.81 years). Among the 80 patients with third ventricle bowing, the success rate was 88.8% (P < 0.001). Larger third ventricle dimensions on preoperative mid-sagittal magnetic resonance imaging were associated with increased ETV success. The model with the best receiver operating characteristic curves, with an area under the curve of 0.918 (95% confidence interval, 0.856-0.979) includes sex, ETVSS, presence of complications, and third ventricle bowing. CONCLUSIONS: The presence of bowing of the third ventricle is strongly associated with a higher ETV success rate. However, a combined predictive model that integrates it with the ETVSS is the most appropriate approach for selecting patients for ETV.


Assuntos
Neuroendoscopia , Terceiro Ventrículo , Ventriculostomia , Humanos , Ventriculostomia/métodos , Terceiro Ventrículo/cirurgia , Terceiro Ventrículo/diagnóstico por imagem , Masculino , Feminino , Criança , Adulto , Pessoa de Meia-Idade , Adolescente , Neuroendoscopia/métodos , Adulto Jovem , Resultado do Tratamento , Hidrocefalia/cirurgia , Hidrocefalia/diagnóstico por imagem , Imageamento por Ressonância Magnética , Estudos Retrospectivos , Pré-Escolar
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...