Pediatrics

Read the latest pediatric clinical findings in Neurosurgery Watch and improve your practice with new approaches and techniques.

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Complications following pediatric cranioplasty after decompressive craniectomy: a multicenter retrospective study

November 1, 2018
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
Journal of Neurosurgery: Pediatrics

Renewed focus on neurosurgical health care quality metrics dictates critical evaluation of current practices and their impact on postoperative complications, hospital costs and patient outcomes. Cranioplasty procedures in both adult and pediatric patients have been traditionally been associated with significant...

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CDC Guidelines for Managing Pediatric Mild Traumatic Brain Injury

November 1, 2018
Pediatrics, Trauma
By: 
Brandon G. Rocque, MD MS
Source: 
CDC Guidelines

The US Centers for Disease Control and Prevention conducted a systematic review and published guidelines for Mild traumatic brain injury (mTBI) care, including 25 yrs of literature up to 2015. Nineteen sets of recommendations regarding imaging, diagnosis, risk factors, and...

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Endoscopic Treatment versus Shunting for Infant Hydrocephalus

January 1, 2018
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
NEJM

Endoscopic treatment of hydrocephalus in developing countries enables effective CSF diversion. Yet, several studies have demonstrated relative ventriculomegaly despite successful CSF shunting in patients undergoing endoscopic third ventriculostomy and choroid plexus cauterization (ETV-CPC) versus ventriculoperitoneal shunting (VPS). The secondary effects...

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ETV & Repeat ETV in Children

December 4, 2017
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
J Neurosurg Pediatr

Breimer et al. report on the results of a large retrospective series of endoscopic third ventriculostomy (ETV) and repeat ETV, with the goal of analyzing the risk of repeat ETV failure compared to primary ETV, based on 624 ETV and...

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Outcomes of temporizing measures for posthemorrhagic hydrocephalus in infants

August 2, 2017
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
Journal of Neurosurgery: Pediatrics

This prospective observational study evaluated efficacy and treatment outcomes for temporizing CSF approaches utilizing ventricular reservoirs (VR) and ventriculosubgaleal shunts (VSG) for management of post hemorrhagic hydrocephalus in infants. Previous retrospective studies have reported similar conversion and complication rates for...

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Primary ETV does not affect success of subsequent shunt in pediatric hydrocephalus

June 1, 2017
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
Child's Nervous System

The effect of primary endoscopic third ventriculostomy (ETV) for pediatric hydrocephalus on subsequent shunting remains unclear, particularly as to whether there is a protective or negative effect on subsequet shunting. The International Infant Hydrocephalus Study prospectively evaluated primary ETV in infants...

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Hemorrhage risk and Radiosurgery outcomes for Pediatric AVM

March 1, 2017
Cerebrovascular, Pediatrics, Stereotactic & Functional
By: 
Brandon G. Rocque, MD MS
Source: 
Journal of Neurosurgery

The International Gamma Knife Research Foundation presented 2 pediatric brain arteriovenous malformations (AVM) reports: 1) the incidence and risk for hemorrhagic presentation, and 2) radiosurgery outcomes. Retrospective review of 357 patients (mean age of 12.6 years) from 7 centers: all...

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Anterior ventricular catheter entry site associated with lower shunt failure risk

March 1, 2017
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Journal of Neurosurgery: Pediatrics

A study by the Hydrocephalus Clinical Research Network (HCRN) used data from 3 previous trials to determine the optimal position of ventricular catheter tips in ventriculoperitoneal shunts. Positioning of ventricular catheter tips were defined with 5 parameters: tip location (frontal...

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Prospective, multicenter results of endoscopic third ventriculostomy in children

November 30, 2016
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Journal of Neurosurgery: Pediatrics

Investigators from the Hydrocephalus Clinical Research Network (HCRN) present the results of 336 patients who underwent endoscopic third ventriculostomy (ETV) between 2008 and 2013. Clinical and intraoperative data were collected prospectively, with minimum follow-up of 18 months. ETV failure was...

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Guidelines for the Management of Patients with Positional Plagiocephaly

November 30, 2016
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
CNS

Guidelines for the treatment of positional plagiocephaly have recently been published after systematic reviews of evidence related to four main topics. Key points are as follows:

  1. Physical examination is recommended for diagnosis of plagiocephaly with imaging necessary only rarely
  2. ...

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