Resolution of papilledema after endoscopic third ventriculostomy versus cerebrospinal fluid shunting in hydrocephalus: a comparative study Clinical article

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dc.contributor.authorKöktekir, Ender
dc.contributor.authorKöktekir, Bengü Ekinci
dc.contributor.authorKarabağlı, Hakan
dc.contributor.authorGedik, Şansal
dc.contributor.authorAkdemir, Gökhan
dc.date.accessioned2020-03-26T18:58:28Z
dc.date.available2020-03-26T18:58:28Z
dc.date.issued2014
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObject. In this study the authors compare the efficacy of endoscopic third ventriculostomy (ETV) versus CSF shunting for resolution of papilledema in hydrocephalus. Methods. This comparative case series study recruited 12 patients (24 eyes) with hydrocephalus who underwent either an ETV (Group 1, 6 patients [12 eyes]) or CSF shunt treatment (Group 2, 6 patients [12 eyes]). A complete ophthalmological examination including retinal nerve fiber layer (RNFL) evaluation by optical coherence tomography was provided for all patients before surgery and in the 1st week, 1st month, and 3rd month postoperatively. The 2 groups were compared for quantitative changes in RNFL thickness and, thereby, resolution of papilledema. Statistical evaluation was performed using the Mann-Whitney U-test with the aid of SPSS version 16.0. Results. The mean preoperative RNFL thickness was 259.7 +/- 35.8 mu m in Group 1 and 244.5 +/- 53.4 mu m in Group 2 (p = 0.798). The mean decrease in RNFL thickness was 101.3 +/- 38.8 mu m, 141.2 +/- 34.6 mu m, and 162.0 +/- 35.9 mu m in Group 1 versus 97.0 +/- 44.6 mu m, 143 +/- 45.6 mu m, and 130.0 +/- 59.8 mu m in Group 2 for the postoperative 1st week, 1st month, and 3rd month, respectively. There was no significant difference between the two groups with respect to decrease in RNFL thickness during the 1st week, 1st month, and 3rd month (p = 0.563, p = 0.753, and p = 0.528, respectively). Conclusions. This is the first study to quantitatively evaluate papilledema in assessing the success of ETV and CSF shunting. The authors' results indicated that ETV is as effective as CSF shunting with respect to decreasing intracranial pressure and resolution of papilledema.en_US
dc.identifier.doi10.3171/2014.2.JNS132002en_US
dc.identifier.endpage1470en_US
dc.identifier.issn0022-3085en_US
dc.identifier.issn1933-0693en_US
dc.identifier.issue6en_US
dc.identifier.pmid24678778en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1465en_US
dc.identifier.urihttps://dx.doi.org/10.3171/2014.2.JNS132002
dc.identifier.urihttps://hdl.handle.net/20.500.12395/31111
dc.identifier.volume120en_US
dc.identifier.wosWOS:000336352700024en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAMER ASSOC NEUROLOGICAL SURGEONSen_US
dc.relation.ispartofJOURNAL OF NEUROSURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectendoscopic third ventriculostomyen_US
dc.subjectCSF shuntingen_US
dc.subjectpapilledemaen_US
dc.subjecthydrocephalusen_US
dc.subjectintracranial pressureen_US
dc.titleResolution of papilledema after endoscopic third ventriculostomy versus cerebrospinal fluid shunting in hydrocephalus: a comparative study Clinical articleen_US
dc.typeArticleen_US

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