Post-hemispherectomy Hydrocephalus in Children: Results of a ...

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Methods • First tier data collected on all Hemi patients • Basic demographics • Etiology of epilepsy • Surgical technique – Anatomic, functional, hemicorticectomy – Any resection of basal ganglia or thalamus tissue? – Use of hemostatic adjuncts, EVD • Post-operative infection • Prior resective brain surgery? • Pre-existing CSF shunt? Excluded from analysis
Methods • Second tier data collected on subset of patients who developed HCP requiring shunt placement or ETV (n=1) • Time to shunt placement • Presenting symptoms and signs – Headache, emesis, diminished LOC, cognitive decline, behavioral issue, wound issues • Presenting imaging changes? • Confirmatory studies – ICP monitoring, diagnostic LP, temporary CSF drainage, other invasive diagnostics • Multivariate logistic regression analysis with a fixed effect controlling for center was performed
Page 1 and 2: Post-hemispherectomy Hydrocephalus
Page 3 and 4: Year N Surg details HCP Incidence R
Page 5: Center Children’s Hospital-Denver
Page 9 and 10: Etiology of epilepsy Dysplasia 237
Page 11 and 12: Basal ganglia and/or thalamus inclu
Page 13 and 14: HCP-free 1.0 0.9 0.8 0.7 0.6 0.5 Ti
Page 15 and 16: Predictive variables - Univariate V
Page 17 and 18: Results - Non-predictive variables
Page 19 and 20: Conclusions • Hydrocephalus is a

Post-hemispherectomy Hydrocephalus in Children: Results of a ...

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