{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:40:39Z","timestamp":1792809639165,"version":"4.5.0"},"reference-count":35,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Treating Dandy-Walker syndrome\u2013related hydrocephalus (DWSH) involves either a CSF shunt-based or endoscopic third ventriculostomy (ETV)\u2013based procedure. However, comparative investigations are lacking. This study aimed to compare shunt-based and ETV-based treatment strategies utilizing archival data from the Hydrocephalus Clinical Research Network (HCRN) registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective review of prospectively collected and maintained data on children with DWSH, available from the HCRN registry (14 sites, 2008\u20132018), was performed. The primary outcome was revision-free survival of the initial surgical intervention. The primary exposure was either shunt-based (i.e., cystoperitoneal shunt [CPS], ventriculoperitoneal shunt [VPS], and\/or dual-compartment) or ETV-based (i.e., ETV alone or with choroid plexus cauterization [CPC]) initial surgical treatment. Primary analysis included multivariable Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of 8400 HCRN patients, 151 (1.8%) had DWSH. Among these, the 102 patients who underwent shunt placement (79 VPSs, 16 CPSs, 3 other, and 4 multiple proximal catheter) were younger (6.6 vs 18.8 months, p &lt; 0.001) and more frequently had 1 or more comorbidities (37.3% vs 14.3%, p = 0.005) than the 49 ETV-treated children (28 ETV-CPC). Fifty percent of the shunt-based and 51% of the ETV-based treatments failed. Notably, 100% (4\/4) of the dual-compartment shunts failed. Adjusting for age, baseline ventricular size, and comorbidities, ETV-based treatment was not significantly associated with earlier failure compared with shunt-based treatment (HR for failure 1.32, 95% CI 0.77\u20132.26; p = 0.321). Complication rates were low: 4.9% and 6.1% (p = 0.715) for shunt- and ETV-based procedures, respectively. There was no difference in survival between ETV-CPC\u2013 and ETV-based treatment when adjusting for age (HR for failure 0.86, 95% CI 0.29\u20132.55, p = 0.783).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>In this North American, multicenter, prospective database review, shunt-based and ETV-based primary treatment strategies of DWSH appear similarly durable. Pediatric neurosurgeons can reasonably consider ETV-based initial treatment given the similar durability and the low complication rate. However, given the observational nature of this study, the treating surgeon might need to consider subgroups that were too small for a separate analysis. Very young children with comorbidities were more commonly treated with shunts, and older children with fewer comorbidities were offered ETV-based treatment. Future studies may determine preoperative characteristics associated with ETV treatment success in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.11.peds20806","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T03:10:01Z","timestamp":1619752201000},"page":"93-101","source":"Crossref","is-referenced-by-count":19,"title":["Treatment strategies for hydrocephalus related to Dandy-Walker syndrome: evaluating procedure selection and success within the Hydrocephalus Clinical Research Network"],"prefix":"10.3171","volume":"28","author":[{"given":"Aaron M.","family":"Yengo-Kahn","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University Medical Center; and"},{"name":"Surgical Outcomes Center for Kids, Monroe Carell Jr. Children\u2019s Hospital at Vanderbilt University, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Wellons","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University Medical Center; and"},{"name":"Surgical Outcomes Center for Kids, Monroe Carell Jr. Children\u2019s Hospital at Vanderbilt University, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd C.","family":"Hankinson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital Colorado, Colorado Springs, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason S.","family":"Hauptman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seattle Children\u2019s Hospital, University of Washington, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Johns Hopkins Hospital, Johns Hopkins University, Baltimore, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailey","family":"Jensen","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Krieger","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital Los Angeles, University of Southern California, Los Angeles, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhaya V.","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Hospital for Sick Children, Toronto, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David. D.","family":"Limbrick","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine in St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, British Columbia Children\u2019s Hospital, The University of British Columbia, Vancouver, British Columbia, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Naftel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University Medical Center; and"},{"name":"Surgical Outcomes Center for Kids, Monroe Carell Jr. Children\u2019s Hospital at Vanderbilt University, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan A.","family":"Pindrik","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Ohio State University College of Medicine, Columbus, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian F.","family":"Pollack","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, UPMC Children\u2019s Hospital of Pittsburgh, University of Pittsburgh, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Reeder","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Riva-Cambrin","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Alberta Children\u2019s Hospital, University of Calgary, Alberta, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curtis J.","family":"Rozzelle","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Children\u2019s of Alabama, University of Alabama at Birmingham, Alabama; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep S.","family":"Tamber","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, British Columbia Children\u2019s Hospital, The University of British Columbia, Vancouver, British Columbia, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R. W.","family":"Kestle","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Utah, Salt Lake City, Utah;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"r1","series-title":"AJR Am J Roentgenol","first-page":"1289","article-title":"Revised classification of posterior fossa cysts and cystlike malformations based on the results of multiplanar MR imaging","volume":"153","author":"Barkovich AJ","year":"1989","unstructured":"Barkovich AJ, Kjos BO, Norman D, Edwards MS. Revised classification of posterior fossa cysts and cystlike malformations based on the results of multiplanar MR imaging. 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Childs Nerv Syst. 2011;27(10):1665\u20131681."},{"issue":"3","key":"r4","series-title":"J Neurosurg Pediatr","first-page":"194","article-title":"The Dandy-Walker variant: a case series of 24 pediatric patients and evaluation of associated anomalies, incidence of hydrocephalus, and developmental outcomes","volume":"2","author":"Sasaki-Adams D","year":"2008","unstructured":"Sasaki-Adams D, Elbabaa SK, Jewells V, . The Dandy-Walker variant: a case series of 24 pediatric patients and evaluation of associated anomalies, incidence of hydrocephalus, and developmental outcomes. J Neurosurg Pediatr. 2008;2(3):194\u2013199."},{"issue":"3","key":"r5","series-title":"Pediatr Neurosurg","first-page":"163","article-title":"Management of the Dandy-Walker syndrome","volume":"16","author":"Bindal AK","year":"1990\u20131991","unstructured":"Bindal AK, Storrs BB, McLone DG. Management of the Dandy-Walker syndrome. Pediatr Neurosurg. 1990\u20131991;16(3):163\u2013169."},{"key":"r6","series-title":"Surg Gynecol Obstet","first-page":"112","article-title":"The diagnosis and treatment of hydrocephalus due to occlusions of the foramina of Magendie and Luschka","volume":"32","author":"Dandy WE","year":"1921","unstructured":"Dandy WE. The diagnosis and treatment of hydrocephalus due to occlusions of the foramina of Magendie and Luschka. Surg Gynecol Obstet. 1921;32:112\u2013114."},{"issue":"5)(suppl","key":"r7","series-title":"J Neurosurg","first-page":"348","article-title":"Treatment options for Dandy-Walker malformation","volume":"105","author":"Mohanty A","year":"2006","unstructured":"Mohanty A, Biswas A, Satish S, . Treatment options for Dandy-Walker malformation. J Neurosurg. 2006;105(5)(suppl):348\u2013356."},{"issue":"2","key":"r8","series-title":"Pediatr Neurosci","first-page":"66","article-title":"Dandy-Walker syndrome: experience at the Hospital for Sick Children, Toronto","volume":"15","author":"Asai A","year":"1989","unstructured":"Asai A, Hoffman HJ, Hendrick EB, Humphreys RP. Dandy-Walker syndrome: experience at the Hospital for Sick Children, Toronto. Pediatr Neurosci. 1989;15(2):66\u201373."},{"issue":"4","key":"r9","series-title":"J Neurosurg Pediatr","first-page":"377","article-title":"Management of Dandy-Walker complex-associated infant hydrocephalus by combined endoscopic third ventriculostomy and choroid plexus cauterization","volume":"8","author":"Warf BC","year":"2011","unstructured":"Warf BC, Dewan M, Mugamba J. Management of Dandy-Walker complex-associated infant hydrocephalus by combined endoscopic third ventriculostomy and choroid plexus cauterization. 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Acta Neurochir (Wien). 2020;162(10):2475\u20132485."},{"issue":"3","key":"r17","series-title":"J Neurosurg Pediatr","first-page":"214","article-title":"Endoscopic third ventriculostomy and choroid plexus cauterization in infant hydrocephalus: a prospective study by the Hydrocephalus Clinical Research Network","volume":"21","author":"Kulkarni AV","year":"2018","unstructured":"Kulkarni AV, Riva-Cambrin J, Rozzelle CJ, . Endoscopic third ventriculostomy and choroid plexus cauterization in infant hydrocephalus: a prospective study by the Hydrocephalus Clinical Research Network. J Neurosurg Pediatr. 2018;21(3):214\u2013223."},{"issue":"5","key":"r18","series-title":"Pediatr Neurosurg","first-page":"245","article-title":"Frontal and occipital horn ratio: a linear estimate of ventricular size for multiple imaging modalities in pediatric hydrocephalus","volume":"29","author":"O\u2019Hayon BB","year":"1998","unstructured":"O\u2019Hayon BB, Drake JM, Ossip MG, . 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Predicting who will benefit from endoscopic third ventriculostomy compared with shunt insertion in childhood hydrocephalus using the ETV Success Score. J Neurosurg Pediatr. 2010;6(4):310\u2013315."},{"issue":"4","key":"r31","series-title":"J Neurosurg Pediatr","first-page":"392","article-title":"Endoscopic third ventriculostomy in patients younger than 2 years: outcome analysis of 41 hydrocephalus cases","volume":"5","author":"Sufianov AA","year":"2010","unstructured":"Sufianov AA, Sufianova GZ, Iakimov IA. Endoscopic third ventriculostomy in patients younger than 2 years: outcome analysis of 41 hydrocephalus cases. J Neurosurg Pediatr. 2010;5(4):392\u2013401."},{"issue":"12","key":"r32","series-title":"Childs Nerv Syst","first-page":"1711","article-title":"Surgery for hydrocephalus in sub-Saharan Africa versus developed nations: a risk-adjusted comparison of outcome","volume":"26","author":"Kulkarni AV","year":"2010","unstructured":"Kulkarni AV, Warf BC, Drake JM, . Surgery for hydrocephalus in sub-Saharan Africa versus developed nations: a risk-adjusted comparison of outcome. Childs Nerv Syst. 2010;26(12):1711\u20131717."},{"issue":"3","key":"r33","series-title":"J Neurosurg Pediatr","first-page":"224","article-title":"Endoscopic third ventriculostomy and choroid plexus cauterization in infants with hydrocephalus: a retrospective Hydrocephalus Clinical Research Network study","volume":"14","author":"Kulkarni AV","year":"2014","unstructured":"Kulkarni AV, Riva-Cambrin J, Browd SR, . Endoscopic third ventriculostomy and choroid plexus cauterization in infants with hydrocephalus: a retrospective Hydrocephalus Clinical Research Network study. 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