{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T09:10:12Z","timestamp":1648890612700},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[1981,12]]},"abstract":"<jats:p>S\u00e3o analisadas a evolu\u00e7\u00e3o clinica e a mortalidade de 57 crian\u00e7as hidroc\u00e9falas submetidas a tratamento cir\u00fargico, no periodo de 1970 a 1980. As causas de hidroc\u00e9falo foram malforma\u00e7\u00e3o cong\u00eanita (42,1%), infec\u00e7\u00e3o men\u00edngea (36,8%) e neoplasias (21,1%). A implanta\u00e7\u00e3o de reservat\u00f3rio no couro cabeludo, em comunica\u00e7\u00e3o com o ventr\u00edculo lateral e a deriva\u00e7\u00e3o externa do LCR foram utilizadas com bons resultados no controle transit\u00f3rio da hipertens\u00e3o intracraniana em crian\u00e7as com hidroc\u00e9falo e infec\u00e7\u00e3o ventricular. A ventriculocisternostomia transhipotal\u00e2mica apresentou bons resultados no controle da hipertens\u00e3o intracraniana em crian\u00e7as com hidroc\u00e9falo por processos n\u00e3o inflamat\u00f3rios. A DVA, apesar de pouco utilizada, controlou a hipertens\u00e3o intracraniana em 85,7% dos casos e ocasionou uma mortalidade operat\u00f3ria de 25,7%. A DVP controlou a hipertens\u00e3o intracraniana em 89,4% dos casos no p\u00f3s-operat\u00f3rio imediato e ao final de 18 meses 88,2% dos sobreviventes encontravam-se sem hipertens\u00e3o intracraniana. A mortalidade global destas crian\u00e7as foi de 34%. Entre os sobreviventes dos grupos de crian\u00e7as com hidroc\u00e9falo cong\u00eanito e p\u00f3s-infec\u00e7\u00e3o men\u00edngea 27,3% eram normais ao final do primeiro trimestre e 50% ao final de 24 meses. A mortalidade operat\u00f3ria nestes grupos foi de 25% e a principal causa de morte operat\u00f3ria foi a infec\u00e7\u00e3o men\u00edngea.<\/jats:p>","DOI":"10.1590\/s0004-282x1981000400005","type":"journal-article","created":{"date-parts":[[2012,8,25]],"date-time":"2012-08-25T08:36:56Z","timestamp":1345883816000},"page":"396-407","source":"Crossref","is-referenced-by-count":1,"title":["Tratamento cirurgico do hidrocefalo em crian\u00e7as: I - evolu\u00e7\u00e3o clinica e mortalidade"],"prefix":"10.1590","volume":"39","author":[{"given":"Benedicto Oscar","family":"Colli","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin Montague","family":"Starr","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson","family":"Martelli","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/S0004-282X1969000100001","article-title":"Deriva\u00e7\u00e3o ventriculoatrial no tratamento da hidrocefalia em crian\u00e7as","volume":"27","author":"ALMEIDA G. 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