Endoscopic third ventriculostomy (ETV) success score
Endoscopic third ventriculostomy (ETV) success score
ETV success score = Age score + etiology score + previous shunt score
≈ Percentage probability of ETV success
Category
Score
Age
<1 month = 0
1 to <6 months = 10
6 to <12 months = 30
1 to <10 years = 40
≥10 years = 50
Etiology
Postinfectious = 0
Myelomeningocele, intraventricular hemorrhage, or nontectal brain tumor = 20
Aqueductal stenosis, tectal tumor, or other etiology = 30
Previous shunt
Previous shunt = 0
No previous shunt = 10
Interpretation:
The score in each category (age, etiology, previous shunt) are added together to determine the total score.
The total score estimates the percent probability of ETV success.
≥80 percent – High likelihood of success
50 to 70 percent – Moderate likelihood of success
≤40 percent – Low likelihood of success
Adapted from: Kulkarni AV, Drake JM, Mallucci CL, et al. Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr 2009; 155:254.
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