Dimitrios C Nikas1,2, Alexander F Post3, Asim F Choudhri4,5, Catherine A Mazzola6, Laura Mitchell7, Ann Marie Flannery8. 1. Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois 2. 2Advocate Children's Hospital, Oak Lawn, Illinois; 3. Division of Pediatric Neurological Surgery, Department of Neurosciences and Pediatrics, Goryeb Children's Hospital-Morristown Medical Center, Morristown, New Jersey 4. Departments of Radiology, Ophthalmology, and Neurosurgery, University of Tennessee Health Science Center 5. 5Le Bonheur Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, Tennessee; 6. Division of Pediatric Neurological Surgery, Goryeb Children's Hospital, Morristown, New Jersey 7. Congress of Neurological Surgeons, Schaumburg, Illinois 8. Department of Neurological Surgery, Saint Louis University, St. Louis, Missouri
Abstract
OBJECT: The objective of this systematic review is to answer the following question: Does ventricle size after treatment have a predictive value in determining the effectiveness of surgical intervention in pediatric hydrocephalus? METHODS: The US National Library of Medicine PubMed/MEDLINE database and the Cochrane Database of Systematic Reviews were searched using MeSH headings and key words relevant to change in ventricle size after surgical intervention for hydrocephalus in children. An evidentiary table was assembled summarizing the studies and the quality of evidence (Classes I-III). RESULTS: Six articles satisfied inclusion criteria for the evidentiary tables for this part of the guidelines. All were Class III retrospective studies. CONCLUSIONS/RECOMMENDATIon: There is insufficient evidence to recommend a specific change in ventricle size as a measurement of the effective treatment of hydrocephalus and as a measurement of the timing and effectiveness of treatments including ventriculoperitoneal shunts and third ventriculostomies. STRENGTH OF RECOMMENDATION: Level III, unclear clinical certainty.
OBJECT: The objective of this systematic review is to answer the following question: Does ventricle size after treatment have a predictive value in determining the effectiveness of surgical intervention in pediatric hydrocephalus? METHODS: The US National Library of Medicine PubMed/MEDLINE database and the Cochrane Database of Systematic Reviews were searched using MeSH headings and key words relevant to change in ventricle size after surgical intervention for hydrocephalus in children. An evidentiary table was assembled summarizing the studies and the quality of evidence (Classes I-III). RESULTS: Six articles satisfied inclusion criteria for the evidentiary tables for this part of the guidelines. All were Class III retrospective studies. CONCLUSIONS/RECOMMENDATIon: There is insufficient evidence to recommend a specific change in ventricle size as a measurement of the effective treatment of hydrocephalus and as a measurement of the timing and effectiveness of treatments including ventriculoperitoneal shunts and third ventriculostomies. STRENGTH OF RECOMMENDATION: Level III, unclear clinical certainty.
Entities:
Keywords:
AANS = American Association of Neurological Surgeons; CNS = Congress of Neurological Surgeons; CPC = choroid plexus cauterization; ETV = endoscopic third ventriculostomy; FOR = frontal and occipital horn ratio; VP = ventriculoperitoneal; evidence-based guidelines; hydrocephalus; practice guidelines; ventricle size
Authors: Imke Rodis; Cynthia Vanessa Mahr; Michael K Fehrenbach; Jürgen Meixensberger; Andreas Merkenschlager; Matthias K Bernhard; Stefan Schob; Ulrich Thome; Robin Wachowiak; Franz W Hirsch; Ulf Nestler; Matthias Preuss Journal: Childs Nerv Syst Date: 2016-02-27 Impact factor: 1.475
Authors: James P McAllister; Michael R Talcott; Albert M Isaacs; Sarah H Zwick; Maria Garcia-Bonilla; Leandro Castaneyra-Ruiz; Alexis L Hartman; Ryan N Dilger; Stephen A Fleming; Rebecca K Golden; Diego M Morales; Carolyn A Harris; David D Limbrick Journal: Fluids Barriers CNS Date: 2021-11-08