According to Dr. Benjamin Warf, shunt dependency in children with hydrocephalus is more dangerous in developing countries than in developed countries due to poor access to competent intervention in the case of shunt malfunction or infection. In a previous study Dr. Warf found that ETV alone was successful in more than 80% of children older than 1 year of age, but much less effective in infants younger than 1 year old having non-postinfectious hydrocephalus or myelomeningocele.
The population of Dr. Warf’s study included 550 children with differing causes of hydrocephalus, 266 of which underwent a combined ETV – choroid plexus cauterization (CPC) procedure and 284 underwent ETV alone. 443 patients were younger than 1 year of age.
The primary conclusions that can be drawn from this study are that the ETV – CPC procedure is more successful than ETV alone in infants younger than 1 year of age. For this reason, this procedure may be an effective primary treatment for hydrocephalus in infants living in developing countries, especially for those with non-postinfectious hydrocephalus and myelomeningocele.
To read the complete article, click here.
This article was published in the Journal of Neurosurgery (6 Suppl Pediatrics) 103:475-481, 2005