Pediatrics

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

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Pediatric Traumatic Brain Injury Guidelines

April 1, 2019
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Neurosurgery

This effort represents the third edition of guidelines for management of pediatric severe traumatic brain injury from the Brain Trauma Foundation. Forty-eight studies are included that were not in the second edition (2012), though the level of evidence for most...

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Reinfection rates after following treatment guidelines in CSF shunted children

March 4, 2019
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Journal of Neurosurgery: Pediatrics

In a recently reported large longitudinal cohort study of children who were treated for cerebrospinal fluid (CSF) shunt infection, the goal was to determine whether reinfection rates in CSF-shunted children with healthcare-associated ventriculitis/meningitis is altered by following Infectious Disease...

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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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Reinfection after treatment of first shunt infection: a prospective observational cohort study

April 2, 2018
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
Journal of Neurosurgery, Pediatrics

CSF shunt re-infection rates are approximately 2-3 fold higher following an initial infection. Data from 7 participating centers of the Hydrocephalus Clinical Research Network was used to evaluate how clinical management of initial CSF shunt infections affects reinfection rates. Overall...

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Comparison of ETV/CPC versus ETV alone versus VP shunt alone in infants

April 2, 2018
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Journal of Neurosurgery, Pediatrics

This study from the Hydrocephalus Clinical Research Network is the first prospective, multi-institution comparison of endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) to ventriculoperitoneal shunting (VPS) in North America. 118 infants under 2 years old (adjusted age for those...

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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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