Choroid plexus coagulation for hydrocephalus not due to CSF overproduction: a review
- 754 Downloads
This study aims to review the role of choroid plexus coagulation (CPC) for hydrocephalus not due to CSF overproduction.
The literatures covering CPC/cauterization/extirpation and ablation searched through PubMed were reviewed.
The history of CPC goes back to early 1900s by open surgery. It has evolved to mainly an endoscopic surgery since 1930s. With the development of other treatment methods and the understanding of CSF dynamics, the application of CPC dramatically decreased by 1970s. In late 2000, there was a resurgence of CPC in combination with endoscopic third ventriculostomy (ETV) performed in Africa.
CPC remains one of the options for the treatment of hydrocephalus in selected cases. CPC might provide a temporary reduction in CSF production to allow the further development of CSF absorption in infant. Adding CPC to ETV for infants with communicating hydrocephalus may increase the shunt independent rate thus avoiding the consequence of late complication related to the shunt device. This is important for patients who are difficult to be followed up, due to geographical and/or socioeconomic constrains. Adding CPC to ETV for obstructive hydrocephalus in infant may also increase the successful rate. Furthermore, CPC may be an option for cases with high chance of shunt complication such as hydranencephaly. In addition, CPC may act as an adjunct therapeutic measure for complex cases such as multiloculated hydrocephalus. In comparison with the traditional treatment of CSF shunting, the role of CPC needs to be further evaluated in particular concerning the neurocognitive development.
KeywordsHydrocephalus Choroid plexus coagulation Choroid plexus extirpation Choroid plexus cauterization Choroid plexus ablation Endoscopic third ventriculostomy CSF production
- 3.Tamburrini G, Caldarelli M, Di Rocco F, Massimi L, D'Angelo L, Fasano T, Di Rocco C (2006) The role of endoscopic choroid plexus coagulation in the surgical management of bilateral choroid plexuses hyperplasia. Childs Nerv Syst: ChNS: Off J of the Int Soc for Pediatr Neurosurg 22:605–608CrossRefGoogle Scholar
- 5.Davis L (1939) Neurological surgery. Lea & Febiger, PhiladelphiaGoogle Scholar
- 7.Dandy WE (1932) The brain. WF Prior, HagerstownGoogle Scholar
- 16.Hahn FJ, Rim K (1976) Frontal ventricular dimensions on normal computed tomography. AJR Am J of Roentgenol 126:593–596Google Scholar
- 19.Oi S, Inagaki T, Shinoda M, Takahashi S, Ono S, Date I, Nomura S, Miwa T, Araki T, Ito S, Uchikado H, Takemoto O, Shirane R, Nishimoto H, Tashiro Y, Matsumura A (2011) Guideline for management and treatment of fetal and congenital hydrocephalus: Center of Excellence-Fetal and Congenital Hydrocephalus Top 10 Japan Guideline 2011. Childs Nerv Syst: ChNS: Off J of the Int Soc for Pediatr Neurosurg 27:1563–1570CrossRefGoogle Scholar
- 23.Warf BC, Campbell JW (2008) 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 2:310–316PubMedCrossRefGoogle Scholar
- 24.Warf BC, Campbell JW, Riddle E (2011) Initial experience with combined endoscopic third ventriculostomy and choroid plexus cauterization for post-hemorrhagic hydrocephalus of prematurity: the importance of prepontine cistern status and the predictive value of FIESTA MRI imaging. Childs Nerv Syst: ChNS: Off J of the Int Soc for Pediatr Neurosurg 27:1063–1071CrossRefGoogle Scholar
- 34.Weed LH (1914) Studies on cerebro-spinal fluid. No. IV: The dual source of cerebro-spinal fluid. J Med Res 31(93–118):111Google Scholar