Nervous System Diseases
Conditions
Interventions
Conventional Freehand
Novel Stereotactic Frame
Sponsors
mansoura university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Age: Patients aged = 6 months (no upper age limit specified). Diagnosis: Diagnosis of hydrocephalus requiring ventriculoperitoneal (VP) shunt insertion, confirmed by neuroimaging (MRI or CT) demonstrating ventricular enlargement (e.g., Evans index > 0.3). Surgical Fitness: Patients deemed suitable for general anesthesia (GA) following standard preoperative evaluation, including anesthesia assessment.
Exclusion criteria
Exclusion criteria: Coagulopathy: Patients with bleeding disorders or coagulopathy (defined as INR > 1.5). Significant Midline Shift: Patients with intracranial pathology causing midline shift > 1 cm. Active Infection: Patients with evidence of active systemic or local infection (at surgical site). Prior Surgery: Patients with prior shunt surgery or any previous intracranial procedure that might distort anatomy. Severe Airway Compromise: Patients with severe airway compromise precluding safe administration of general anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of optimal VP shunt catheter placement (tip in frontal horn of lateral ventricle, 1-2 cm anterior to foramen of Monro, no choroid plexus/foramen contact) on 24h postop CT, targeting =95% success (vs. 67-80% freehand). | — |
Secondary
| Measure | Time frame |
|---|---|
| Anesthesia airway protection: intubation time (2 laryngoscopy attempts, desaturation <90%), airway complications (e.g., aspiration, trauma). | — |
Countries
Egypt
Contacts
Public Contactmohamed salama
lecturer of anesthesia and surgical icu faculty of medicine mansoura university
Outcome results
None listed