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Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa

Authors: MORGAN Eghosa

Publication Type: Journal article

Journal: Egyptian Journal Of Neurosurgery

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Abstract Background: Endoscopic third ventriculostomy (ETV) is becoming a popular option of treatment in carefully selected patients with hydrocephalus (Drake et al., Childs Nerv Syst 25:467-472, 2009). The success or possible outcome of its application in treating hydrocephalus can be predicted by employing a preoperative scoring system. An example of such a system is the endoscopic third ventriculostomy success score (ETVSS). It could form a basis for decision-making and prognostication. This study aimed to evaluate ETVSS as a preoperative predictive tool in children with hydrocephalus who satisfy the inclusion criteria for the option of ETV procedure as treatment modality. Methodology: This is a prospective hospital-based study of 68 children under 2years of age that presented at the Lagos University Teaching Hospital (LUTH) out of 161 children with hydrocephalus from November 2014 to April 2016. The predicted ETVSS was calculated by the addition of patients’ age, presumed aetiology and prior shunting. These children were stratified into three groups according to ETVSS as higher score predicts better ETV outcome and vice versa. They were followed up for 6months to determine the success rate of ETV. Results: The age of the study population ranged from 0 to 24months with a mean age of 5.52±5.48months. 69.1% of these patients were male and 30.9% were female with a male to female ratio of 2.2:1. The mean predicted ETVSS (48.82±19.20%) and actual ETV success score (56.20±15.10%) using the ANOVA were significantly related (p value <0>

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MORGAN,E. . (2019). Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa, 27 (), 1-1.

MORGAN,E. . "Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa" 27, no (), (2019): 1-1.

MORGAN,E. and . (2019). Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa, 27 (), pp1-1.

MORGANE, . Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa. 2019, 27 ():1-1.

MORGAN,Eghosa , . "Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa", 27 . (2019) : 1-1.

M.Eghosa , "Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa" vol.27, no., pp. 1-1, 2019.

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