Zarate MA, Hernández SM, Valdez OR, Sosa GA, López PA, Solís SO, Galicia TJ

Idioma: Español
Referencias bibliográficas: 36
Paginas: 170-176
Archivo PDF: 150.94 Kb.

RESUMEN

En el presente trabajo se muestran resultados de una revisión de casos durante 2 años 5 meses con el uso de la Derivación Ventrículo Peritoneal (DVP) simple y asistida por endoscopia para manejo de Hidrocefalia. Las variables estudiadas fueron demográficas, clínicas, y de morbilidad referidas por el estado actual del paciente. Se clasificaron en 4 categorías según el origen de la hidrocefalia en: tumoral, hemorrágica, infecciosa y espontánea. Resultados: se obtuvieron 62 pacientes con hidrocefalia y de acuerdo a su origen fueron: hidrocefalia postumoral 46.8% (n=29), poshemorragica 17.5% (n=11), postinfecciosa 13.1% (n=8), espontánea 22.6% (n=14). El procedimiento derivativo tuvo 72% de resultados satisfactorios con un porcentaje acumulado de 90.3%. La sobrevida en pacientes derivados por endoscopía en la hidrocefalia postumoral fue mayor que la derivativa simple (RR=1.10, en intervalo 0.87‹RR‹1.39). El procedimiento endoscópico mostró mayor seguridad siendo un procedimiento definitivo o de resolución y evidenció una superioridad sobre la DVP simple en la hidrocefalia posthemorragica, postinfecciosa y postumoral es decir hidrocefalia compleja (valor p=0.002).

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