Abstract
Hydrocephalus is one of the most common neurosurgical procedures that is performed daily all around the world. The burden that hydrocephalus has on manpower, finances and resources in general is significant. It is interesting to note that even though hydrocephalus does not have geographical predilections, the aetiology differs between regions and economic status of countries. Africa, South America and South-East Asia have by far a larger incidence of hydrocephalus and the cases due to infections are much higher than in developed countries. Endoscopic management and modification of shunts have played a major role in the management of hydrocephalus all around the world and new innovative uses of these tools have also come from the developing nations and adopted by developed countries. The global hydrocephalus community needs greater support and we, as neurosurgeons, have to take the forefront as advocates for patients’ rights to excellent health care.
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References
Lifshutz JI, Johnson WD. History of hydrocephalus and its treatments. Neurosurg Focus. 2001;11(2):1–5.
Enchev Y, Oi S. Historical trends of neuroendoscopic surgical techniques in the treatment of hydrocephalus. Neurosurg Rev. 2008;31(3):249–62.
Kestle J, et al. Long-term follow-up data from the Shunt Design Trial. Pediatr Neurosurg. 2000;33(5):230–6.
Drake J, Kestle J, Tuli S. CSF shunts 50 years on–past, present and future. Childs Nerv Syst. 2000;16(10–11):800–4.
Drake JM, et al. Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery. 1998;43(2):294–303.
Dewan MC, et al. Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. J Neurosurg. 2018;27:1–15.
Chi JH, Fullerton HJ, Gupta N. Time trends and demographics of deaths from congenital hydrocephalus in children in the United States: National Center for Health Statistics data, 1979 to 1998. J Neurosurg Pediatr. 2005;103(2):113–8.
Tamakoshi A, et al. A nationwide survey of congenital hydrocephalus in Japan—estimated prevalence and incidence. Eur J Public Health. 1991;1(2):86–9.
Persson EK, Hagberg G, Uvebrant P. Hydrocephalus prevalence and outcome in a population-based cohort of children born in 1989–1998. Acta Paediatr. 2005;94(6):726–32.
Dodge PR, Swartz MN. Bacterial meningitis—a review of selected aspects: special neurologic problems, postmeningitic complications and clinicopathological correlations. N Engl J Med. 1965;272(18):954–60.
Guyot L, Michael D. Post-traumatic hydrocephalus. Neurol Res. 2000;22(1):25–8.
Riva-Cambrin J, et al. Predicting postresection hydrocephalus in pediatric patients with posterior fossa tumors. J Neurosurg Pediatr. 2009;3(5):378–85.
Chen S, et al. Hydrocephalus after subarachnoid hemorrhage: pathophysiology, diagnosis, and treatment. Biomed Res Int. 2017;2017:1–8.
Warf BC. Pediatric hydrocephalus in East Africa: prevalence, causes, treatments, and strategies for the future. World Neurosurg. 2010;73(4):296–300.
Jukonya L. Hydrocephalus management in Zimbabwe; 2018.
Adeloye A. The Rahima Dawood Memorial Guest Lecture–December 2006–Malawi. Pattern, practice and problems of neurological surgery in east and central Africa. East Cent Afr J Surg. 2006;12(2):4–16.
Attebery JE, et al. Initial audit of a basic and emergency neurosurgical training program in rural Tanzania. World Neurosurg. 2010;73(4):290–5.
Mangi DA. An exploration of social predicaments facing children with hydrocephalus: the case study of Muhimbili Orthopaedic Institute. The Open University of Tanzania; 2016.
Cotton M. The acute abdomen and HIV. Trop Dr. 2006;36(4):198–200.
Sibanda SE. Infection after Harare valve VP shunt operations: a review of 92 cases. Cent Afr J Med. 1991;37(12):397–403.
Warf BC. Comparison of 1-year outcomes for the Chhabra and Codman-Hakim Micro Precision shunt systems in Uganda: a prospective study in 195 children. J Neurosurg Pediatr. 2005;102(4):358–62.
Warf BC, et al. Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa. J Neurosurg Pediatr. 2011;8(5):509–21.
Li L, et al. Association of bacteria with hydrocephalus in Ugandan infants. J Neurosurg Pediatr. 2011;7(1):73–87.
Laeke T, et al. Pediatric hydrocephalus in Ethiopia: treatment failures and infections: a hospital-based, retrospective study. World Neurosurg. 2017;100:30–7.
Warf BC. Hydrocephalus in Uganda: the predominance of infectious origin and primary management with endoscopic third ventriculostomy. J Neurosurg Pediatr. 2005;102(1):1–15.
Kulkarni AV, et al. Surgery for hydrocephalus in sub-Saharan Africa versus developed nations: a risk-adjusted comparison of outcome. Childs Nerv Syst. 2010;26(12):1711–7.
Agrawal J, et al. Kathmandu Univ Med J. 2012;9(2):1–2.
Spennato P, et al. Neuroendoscopic treatment of multiloculated hydrocephalus in children. J Neurosurg Pediatr. 2007;106(1):29–35.
Warf BC. Hydrocephalus associated with neural tube defects: characteristics, management, and outcome in sub-Saharan Africa. Childs Nerv Syst. 2011;27(10):1589.
Kulkarni AV, et al. Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr. 2009;155(2):254–259.e1.
Kulkarni AV, Riva-Cambrin J, Browd SR. Use of the ETV Success Score to explain the variation in reported endoscopic third ventriculostomy success rates among published case series of childhood hydrocephalus. J Neurosurg Pediatr. 2011;7(2):143–6.
Shitsama S, et al. Choroid plexus coagulation in infants with extreme hydrocephalus or hydranencephaly. J Neurosurg Pediatr. 2014;14(1):55–7.
Chamiraju P, et al. Endoscopic third ventriculostomy and choroid plexus cauterization in posthemorrhagic hydrocephalus of prematurity. J Neurosurg Pediatr. 2014;13(4):433–9.
Thwaites GE, van Toorn R, Schoeman J. Tuberculous meningitis: more questions, still too few answers. Lancet Neurol. 2013;12(10):999–1010.
Rajshekhar V. Management of hydrocephalus in patients with tuberculous meningitis. Neurol India. 2009;57(4):368.
Palur R, et al. Shunt surgery for hydrocephalus in tuberculous meningitis: a long-term follow-up study. J Neurosurg. 1991;74(1):64–9.
Figaji A, Fieggen A, Peter J. Endoscopic third ventriculostomy in tuberculous meningitis. Childs Nerv Syst. 2003;19(4):217–25.
Figaji A, Fieggen A, Peter J. Endoscopy for tuberculous hydrocephalus. Childs Nerv Syst. 2007;23(1):79–84.
Figaji AA, Fieggen AG. The neurosurgical and acute care management of tuberculous meningitis: evidence and current practice. Tuberculosis. 2010;90(6):393–400.
Warf BC, Kulkarni AV. Intraoperative assessment of cerebral aqueduct patency and cisternal scarring: impact on success of endoscopic third ventriculostomy in 403 African children. J Neurosurg Pediatr. 2010;5(2):204–9.
Kim S, et al. The use of frameless navigation during endoscopic interventions in children with multilocular hydrocephalus. Zh Vopr Neirokhir Im N N Burdenko. 2015;79(4):61–70.
Whitehead WE, et al. Accurate placement of cerebrospinal fluid shunt ventricular catheters with real-time ultrasound guidance in older children without patent fontanelles. J Neurosurg. 2007;107(5 Suppl):406–10.
Padayachy LC, et al. Change in optic nerve sheath diameter as a radiological marker of outcome from endoscopic third ventriculostomy in children. Childs Nerv Syst. 2015;31(5):721–8.
Warf BC, Campbell JW. Combined endoscopic third ventriculostomy and choroid plexus cauterization as primary treatment of hydrocephalus for infants with myelomeningocele: long-term results of a prospective intent-to-treat study in 115 East African infants. J Neurosurg Pediatr. 2008;2(5):310–6.
Stagno V, et al. Management of hydrocephalus around the world. World Neurosurg. 2013;79(2):S23.e17–20.
Oikonomou J, et al. New valves—new dangers? 22 valves (38 probes) designed in the ‘nineties in ultralong-term tests (365 days). Eur J Pediatr Surg. 1999;9(S1):23–6.
Kamalo P. Point of view: exit ventriculoperitoneal shunt; enter endoscopic third ventriculostomy (ETV): contemporary views on hydrocephalus and their implications on management. Malawi Med J. 2013;25(3):78–82.
Ringel F, Schramm J, Meyer B. Comparison of programmable shunt valves vs standard valves for communicating hydrocephalus of adults: a retrospective analysis of 407 patients. Surg Neurol. 2005;63(1):36–41.
Pollack IF, Albright AL, Adelson PD. A randomized, controlled study of a programmable shunt valve versus a conventional valve for patients with hydrocephalus. Neurosurgery. 1999;45(6):1399–411.
Ravindra VM, et al. The need for cost-effective neurosurgical innovation—a global surgery initiative. World Neurosurg. 2015;84(5):1458–61.
Kalangu KK. Pediatric neurosurgery in Africa–present and future. Childs Nerv Syst. 2000;16(10–11):770–5.
Ibrahim GM, Bernstein M. Models of neurosurgery international aid and their potential ethical pitfalls. Virtual Mentor. 2015;17(1):49.
Oka K. Introduction of the videoscope in neurosurgery. Oper Neurosurg. 2008;62(suppl_5):ONS337–41.
Joseph RA, Killian MR, Brady EE. Nursing care of infants with a ventriculoperitoneal shunt. Adv Neonatal Care. 2017;17(6):430–9.
Clewell WH, et al. A surgical approach to the treatment of fetal hydrocephalus. N Engl J Med. 1982;306(22):1320–5.
Adzick NS, et al. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med. 2011;364(11):993–1004.
Sader E, Yee P, Hodaie M. Barriers to neurosurgical training in sub-Saharan Africa: the need for a phased approach to global surgery efforts to improve neurosurgical care. World Neurosurg. 2017;98:397–402.
Kanyi JK, et al. Burr-hole craniostomy for chronic subdural hematomas by General Surgeons in Rural Kenya. World J Surg. 2018;42(1):40–5.
Dechambenoit G. Action Africa! World Neurosurg. 2010;73(4):251–3.
Warf BC. Educate one to save a few. Educate a few to save many. World Neurosurg. 2013;79(2):S15.e15–8.
Eriksen AA, et al. Implementing routine head circumference measurements in Addis Ababa, Ethiopia: means and challenges. World Neurosurg. 2016;91:592–596.e2.
Andersson S. Visual function and ocular morphology in children with surgically treated hydrocephalus. Göteborg: Institute of Neuroscience and Physiology. Department of Clinical Neuroscience and Rehabilitation; 2011.
Thomale U, et al. Smartphone-assisted guide for the placement of ventricular catheters. Childs Nerv Syst. 2013;29(1):131–9.
Warf B, et al. Neurocognitive outcome and ventricular volume in children with myelomeningocele treated for hydrocephalus in Uganda. J Neurosurg Pediatr. 2009;4(6):564–70.
Jacobs R, Northam E, Anderson V. Cognitive outcome in children with myelomeningocele and perinatal hydrocephalus: A longitudinal perspective. J Dev Phys Disabil. 2001;13(4):389–405.
Erickson K, Baron IS, Fantie BD. Neuropsychological functioning in early hydrocephalus: review from a developmental perspective. Child Neuropsychol. 2001;7(4):199–229.
Baron IS, Goldberger E. Neuropsychological disturbances of hydrocephalic children with implications for special education and rehabilitation. Neuropsychol Rehabil. 1993;3(4):389–410.
Gathura E, et al. Outcomes of ventriculoperitoneal shunt insertion in sub-Saharan Africa. J Neurosurg Pediatr. 2010;6(4):329–35.
Constantini S, Sgouros S, Kulkarni A. Neuroendoscopy in the youngest age group. World Neurosurg. 2013;79(2):S23.e1–S23.e11.
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Enslin, J.M.N., Fieggen, A.G. (2019). Global Perspectives on the Treatment of Hydrocephalus. In: Limbrick Jr., D., Leonard, J. (eds) Cerebrospinal Fluid Disorders . Springer, Cham. https://doi.org/10.1007/978-3-319-97928-1_20
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