Bullivant Kelly J, Hader Walter, Hamilton Mark
Alberta Children's Hospital, Calgary, Alberta.
Can J Neurosci Nurs. 2009;31(2):16-9.
Pediatric neuroscience nurses deal with many children with hydrocephalus. This paper will provide a review of hydrocephalus with a specific focus on third ventriculostomy. Endoscopic third ventriculostomy (ETV) is an accepted treatment option for patients with obstructive hydrocephalus. At the Alberta Children's Hospital in Calgary, Alberta, we have been performing ETV for 15 years. This experience has helped us better understand the complications and benefits of ETV. The author will provide data on the complications specific to ETV in pediatric patients at the Alberta Children's Hospital. A case report comparing neurocognitive testing before and after ETV will be shared. An additional case report of a patient with a spontaneous third ventriculostomy will help illustrate our understanding of the natural history of hydrocephalus.
儿科神经科学护士会接触到许多患有脑积水的儿童。本文将对脑积水进行综述,特别关注第三脑室造瘘术。内镜下第三脑室造瘘术(ETV)是梗阻性脑积水患者公认的治疗选择。在艾伯塔省卡尔加里市的艾伯塔儿童医院,我们开展ETV手术已有15年。这段经历帮助我们更好地理解了ETV的并发症和益处。作者将提供艾伯塔儿童医院儿科患者ETV特有的并发症数据。还将分享一份比较ETV前后神经认知测试的病例报告。另外一份关于自发性第三脑室造瘘术患者的病例报告将有助于阐明我们对脑积水自然病程的理解。