A cohort comparison study of prenatal versus postnatal surgery for closure of meningomyelocele, using the National Spina Bifida Patient Registry: rates of ventriculoperitoneal shunt insertion and Chiari II surgery

2015 ◽  
Vol 57 ◽  
pp. 56-56
Keyword(s):  
Spina Bifida ◽  
Ventriculoperitoneal Shunt ◽  
Patient Registry ◽  
Comparison Study ◽  
Shunt Insertion ◽  
Cohort Comparison ◽  
Chiari Ii ◽  
Postnatal Surgery

Timing of ventriculoperitoneal shunt insertion following spina bifida closure in Kenya

2010 ◽  
Vol 26 (11) ◽  
pp. 1523-1528 ◽  
Author(s):  
Franklin C. Margaron ◽  
Dan Poenaru ◽  
Richard Bransford ◽  
A. Leland Albright
Keyword(s):  
Spina Bifida ◽  
Ventriculoperitoneal Shunt ◽  
Shunt Insertion

scholarly journals Decompression for Chiari malformation type II in individuals with myelomeningocele in the National Spina Bifida Patient Registry

2018 ◽  
Vol 22 (6) ◽  
pp. 652-658 ◽  
Author(s):  
Irene Kim ◽  
Betsy Hopson ◽  
Inmaculada Aban ◽  
Elias B. Rizk ◽  
Mark S. Dias ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Spina Bifida ◽  
Significant Relationship ◽  
Chiari Malformation ◽  
Patient Registry ◽  
Type Ii ◽  
History Of ◽  
Chiari Ii ◽  
Lesion Level ◽  
The Relationship

OBJECTIVEThe purpose of this study was to determine the rate of decompression for Chiari malformation type II in individuals with myelomeningocele in the National Spina Bifida Patient Registry (NSBPR). In addition, the authors explored the variation in rates of Chiari II decompression across NSBPR institutions, examined the relationship between Chiari II decompression and functional lesion level of the myelomeningocele, age, and need for tracheostomy, and they evaluated for temporal trends in rates of Chiari II decompression.METHODSThe authors queried the NSBPR to identify all individuals with myelomeningocele between 2009 and 2015. Among these patients, they identified individuals who had undergone at least 1 Chiari II decompression as well as those who had undergone tracheostomy. For each participating NSBPR institution, the authors calculated the proportion of patients enrolled at that site who underwent Chiari II decompression. Logistic regression was performed to analyze the relationship between Chiari II decompression, functional lesion level, age at decompression, and history of tracheostomy.RESULTSOf 4448 individuals with myelomeningocele identified from 26 institutions, 407 (9.15%) had undergone at least 1 Chiari II decompression. Fifty-one patients had undergone tracheostomy. Logistic regression demonstrated a statistically significant relationship between Chiari II decompression and functional lesion level of the myelomeningocele, with a more rostral lesion level associated with a higher likelihood of posterior fossa decompression. Similarly, children born before 2005 and those with history of tracheostomy had a significantly higher likelihood of Chiari II decompression. There was no association between functional lesion level and need for tracheostomy. However, among those children who underwent Chiari II decompression, the likelihood of also undergoing tracheostomy increased significantly with younger age at decompression.CONCLUSIONSThe rate of Chiari II decompression in patients with myelomeningocele in the NSBPR is consistent with that in previously published literature. There is a significant relationship between Chiari II decompression and functional lesion level of the myelomeningocele, which has not previously been reported. Younger children who undergo Chiari II decompression are more likely to have undergone tracheostomy. There appears to be a shift away from Chiari II decompression, as children born before 2005 were more likely to undergo Chiari II decompression than those born in 2005 or later.

Trans-amniotic stem cell therapy (TRASCET) minimizes Chiari-II malformation in experimental spina bifida

2015 ◽  
Vol 50 (6) ◽  
pp. 1037-1041 ◽  
Author(s):  
Beatrice Dionigi ◽  
Joseph A. Brazzo ◽  
Azra Ahmed ◽  
Christina Feng ◽  
Yaotang Wu ◽  
...  
Keyword(s):  
Stem Cell ◽  
Spina Bifida ◽  
Cell Therapy ◽  
Stem Cell Therapy ◽  
Chiari Ii Malformation ◽  
Chiari Ii

scholarly journals An Endoscopic Intraventricular Approach in Glioblastoma: A Case Report of an Adult Filipino with Periventricular Mass

2021 ◽  
pp. 1-4
Author(s):  
Jonna Maala ◽  
Jonna Maala ◽  
Maurice V Bayhon ◽  
Erickson Torio ◽  
Rhoderick Casis
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Shunt Insertion ◽  
Who Grade ◽  
Cranial Mri ◽  
History Of ◽  
Endoscopic Guidance

In this study, we present a case of a 58-year-old female with a 1-year history of a generalized headache who suddenly developed left-sided weakness accompanied by disorientation and changes in mood and behaviour. A cranial MRI plain and contrast revealed a right thalamo-mesencephalic mass with beginning hydrocephalus. The patient underwent endoscopic transventricular septostomy, biopsy of thalamic mass with ventriculoperitoneal shunt insertion under endoscopic guidance. The official histopathology results revealed a WHO Grade IV glioblastoma. The patient was subsequently treated with chemoradiation.

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