Management of Hydrocephalus Around the World

被引：18

作者：

Stagno, Vita ^{[1
]}

Arcas Navarrete, Esperanza ^{[2
]}

Mirone, Giuseppe ^{[3
]}

Esposito, Felice ^{[1
]}

机构：

[1] Univ Naples Federico II, Div Neurosurg, Naples, Italy

[2] Hosp Univ Reina Sofia, Div Neurosurg, Cordoba, Spain

[3] Santobono Pausilipon Childrens Hosp, Naples, Italy

来源：

WORLD NEUROSURGERY | 2013年 / 79卷 / 02期

关键词：

Developing countries; Endoscopic third ventriculostomy; Hydrocephalus; Neuroendoscopy; Shunting; ENDOSCOPIC 3RD VENTRICULOSTOMY; POSTERIOR-FOSSA TUMORS; EAST-AFRICA; SHUNT VALVE; NEUROENDOSCOPY; CHILDREN; SURGERY; UGANDA;

D O I：

10.1016/j.wneu.2012.02.004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: The objective of this study is to review the management of hydrocephalus and, in particular, how different economic and social conditions affect its treatment around the world. METHODS: The main techniques for the surgical treatment and the management of hydrocephalus have been retraced through a brief historical overview up to the present day. RESULTS: During the last century, continuous technological progress has favored the diffusion of expensive and sophisticated shunt systems. On the other hand, the advent of minimally invasive endoscopic techniques, such as endoscopic third ventriculostomy, seems to represent a valid route for attempting a natural cerebrospinal fluid diversion, thus avoiding complications related to shunt failure. CONCLUSIONS: The management of hydrocephalus around the world is still widely debated. However, definition of proper indications and adequate training in neuroendoscopic techniques seem to represent the preeminent trend for new generations of neurosurgeons.

引用

页码：S23.e17 / S23.e20

页数：4

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