On the Horizon for Managing Abnormal CSF Circulation in Children

Authors

Kemel Ahmed Ghotme, M.D.

James M. Drake, M.D.

Section Editor

Shlomi Constantini, M.D.

Editor in Chief

Rick Abbott, M.D.

Shunting

  • Development of shunt hardware: The quest for the perfect shunt continues. Research in shunting to treat hydrocephalus relies basically on the development of new hardware that will lead to prevention of complications and increase the shunting success rate. Patient selection is another field in clinical research, since new alternatives, such as endoscopic approaches, are becoming more indicated.
  • Increased attention from lay public: Non-profit, patient-based organizations, such as the Hydrocephalus Association, canalize resources to drive research directed to improve technologies in the diagnosis and treatment of hydrocephalus.

Third Ventriculostomy

  • Validity of endoscopic ETV success score (ETV success score): In 2009 Kulkarni et al. published their results in using a scoring system to predict successful management of hydrocephalus with an ETV. This scoring system may improve our success in identifying candidates for management of their hydrocephalus with an ETV (58).