Complicações da terceiro ventriculostomia endoscópica em lactentes e relação com falha do procedimento: uma revisão da literatura
DOI:
https://doi.org/10.34024/rnc.2021.v29.11473Palavras-chave:
lactentes, complicações, falha, terceiro ventriculostomia endoscópicaResumo
Introdução. A terceiro ventriculostomia endoscópica (TVE) é uma opção de tratamento para hidrocefalia. Alguns fatores, como menor idade e etiologia, são considerados como de risco para falha da cirurgia. Os lactentes são população de risco para falha e desenvolvimento de complicações. Objetivo. O objetivo dessa revisão foi descrever as complicações sofridas por lactentes e identificar quais se relacionam com falha da TVE. Método. Revisão da literatura utilizando os descritores das bases Lilacs, Pubmed e Embase referentes a lactente e falha de TVE. Leitura de resumos e textos completos aplicando critérios de exclusão e por fim análise de qualidade do artigo, a fim de sintetizar a melhor evidencia científica acerca do tema. Resultados. Foram relatadas as seguintes complicações: fistula liquórica, crise convulsiva, sangramento intraventricular, lesão de fórnice, coleção subdural, diabetes insipidus, infecção, alteração da mirada conjugada, hiponatremia, diabetes insipidus e piora de espasticidade prévia. As mais frequentemente relatadas foram hemorragia intraventricular e fístula liquórica, ambas se relacionaram com falha da TVE. Infecção intraventricular também se relacionou com falha da cirurgia. Conclusão. As principais complicações de TVE descritas em lactentes foram hemorragia intraventricular e fístula liquórica, ambas se relacionaram com a falha da TVE. A infecção intraventricular/meningite também foi associada à falha da cirurgia.
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Copyright (c) 2021 Clara Paiva, Maria Virgínia Marques Peixoto, José Francisco Manganelli Salomão
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Aceito: 2021-07-26
Publicado: 2021-09-02
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