Searching for the Optimal Treatment of Infant Hydrocephalus - Benjamin Warf for OPENPediatrics

Explore a comprehensive lecture on the treatment of infant hydrocephalus, delivered by Benjamin Warf for OPENPediatrics. Delve into the various types of hydrocephalus, including acquired, congenital, and postinfectious forms, with a focus on infant hydrocephalus in East Africa. Examine the evolution of surgical treatment options, from early shunt types to modern ventriculoperitoneal shunts and endoscopic third ventriculostomy. Analyze the hydrodynamic model of cerebrospinal fluid circulation and compare developmental outcomes between different treatment approaches. Learn about ongoing research, including patient selection criteria, study recruitment, and preliminary results on treatment survival curves and brain volume changes. Gain valuable insights into this critical pediatric condition and the latest advancements in its management.

Intro
What is Hydrocephalus?
Acquired hydrocephalus
Congenital or developmental hydrocephalus
Postinfectious Hydrocephalus
Infant Hydrocephalus in East Africa
Surgical Treatment Options for Hydrocephalus
Surgical Treatment Options: Types of Shunts 1940s - 1960s
Surgical Treatment Options: Ventriculoperitoneal Shunt (1960s)
Surgical Treatment Options: Endoscopic 3rd Ventriculostomy (1970)
Hydrodynamic Model
Bayley Scales of Infant Development in Spina Bifida Children • No difference between shunted and ETV/CPC Groups
Post-Surgical Developmental Outcomes
Inclusion criteria: Patient must be a candidate for either procedure
Study Recruitment
Preliminary Results: Treatment Survival Curves
Preliminary Results: Brain and CSF Volumes