2022
Improving Infant Hydrocephalus Outcomes in Uganda: A Longitudinal Prospective Study Protocol for Predicting Developmental Outcomes and Identifying Patients at Risk for Early Treatment Failure after ETV/CPC
Vadset T, Rajaram A, Hsiao C, Katungi M, Magombe J, Seruwu M, Nsubuga B, Vyas R, Tatz J, Playter K, Nalule E, Natukwatsa D, Wabukoma M, Perez L, Mulondo R, Queally J, Fenster A, Kulkarni A, Schiff S, Grant P, Kabachelor E, Warf B, Sutin J, Lin P. Improving Infant Hydrocephalus Outcomes in Uganda: A Longitudinal Prospective Study Protocol for Predicting Developmental Outcomes and Identifying Patients at Risk for Early Treatment Failure after ETV/CPC. Metabolites 2022, 12: 78. PMID: 35050201, PMCID: PMC8781620, DOI: 10.3390/metabo12010078.Peer-Reviewed Original ResearchCerebral blood flowTreatment failureETV/CPCEarly treatment failureProspective study protocolCerebral tissue oxygenationProgression of hydrocephalusVentriculoperitoneal shunt placementLong-term outcomesEvidence-based guidelinesPost-operative careEndoscopic third ventriculostomyCerebral metabolic rateMulti-center trialChoroid plexus cauterizationGlobal health burdenCURE Children's HospitalYears of agePost-operative measurementsHydrocephalus outcomesNeurodevelopmental outcomesSurgical treatmentNeurodevelopmental assessmentShunt placementChildren's Hospital
2019
The Incidence of Postoperative Seizures Following Treatment of Postinfectious Hydrocephalus in Ugandan Infants: A Post Hoc Comparison of Endoscopic Treatment vs Shunt Placement in a Randomized Controlled Trial.
Punchak M, Mbabazi Kabachelor E, Ogwal M, Nalule E, Nalwoga J, Ssenyonga P, Mugamba J, Rattani A, Dewan M, Kulkarni A, Schiff S, Warf B. The Incidence of Postoperative Seizures Following Treatment of Postinfectious Hydrocephalus in Ugandan Infants: A Post Hoc Comparison of Endoscopic Treatment vs Shunt Placement in a Randomized Controlled Trial. Neurosurgery 2019, 85: e714-e721. PMID: 31086941, PMCID: PMC7534394, DOI: 10.1093/neuros/nyz122.Peer-Reviewed Original ResearchConceptsChoroid plexus cauterizationETV/CPCPostoperative seizure incidencePostinfectious hydrocephalusSeizure incidenceEndoscopic third ventriculostomyUgandan infantsShunt placementMantel-Haenszel hazard ratiosKaplan-Meier methodVentriculoperitoneal shunt placementPostoperative epilepsyPostoperative seizuresPreoperative symptomsEpilepsy incidenceFirst seizureHazard ratioControlled TrialsEndoscopic treatmentThird ventriculostomyTreatment modalitiesSeizure riskHead circumferenceRelative riskSeizure onset
2011
Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa.
Warf B, Alkire B, Bhai S, Hughes C, Schiff S, Vincent J, Meara J. Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa. Journal Of Neurosurgery Pediatrics 2011, 8: 509-21. PMID: 22044378, DOI: 10.3171/2011.8.peds11163.Peer-Reviewed Original ResearchConceptsBenefit-cost ratioDisability-adjusted life yearsHuman capital approachEconomic benefitsNeurosurgical interventionCapital approachCost/disability-adjusted life yearStatistical life approachFavorable benefit-cost ratioTotal economic benefitPotential economic impactMajor public health priorityEndoscopic third ventriculostomyBenefits of treatmentCases of hydrocephalusVSL approachPublic health priorityEconomic modelingCURE Children's HospitalTreatment of hydrocephalusEconomic impactLife yearsUntreated hydrocephalusRetrospective reviewShunt placementFive-year survival and outcome of treatment for postinfectious hydrocephalus in Ugandan infants.
Warf B, Dagi A, Kaaya B, Schiff S. Five-year survival and outcome of treatment for postinfectious hydrocephalus in Ugandan infants. Journal Of Neurosurgery Pediatrics 2011, 8: 502-8. PMID: 22044377, DOI: 10.3171/2011.8.peds11221.Peer-Reviewed Original ResearchConceptsPostinfectious hydrocephalusFive-year survivalShunt placementPrimary brain injuryWorse functional outcomeKaplan-Meier methodLong-term outcomesLog-rank testOutcome of treatmentEndoscopic third ventriculostomyTreatment selection biasPublic health measuresOne-thirdUgandan infantsWorst sequelaeOperative mortalityNeonatal infectionFunctional outcomeThird ventriculostomyBrain injuryPrimary treatmentCommon causeInfant hydrocephalusSurvival advantageOriginal infection
1994
Time-related patterns of ventricular shunt failure
Kast J, Duong D, Nowzari F, Chadduck W, Schiff S. Time-related patterns of ventricular shunt failure. Child's Nervous System 1994, 10: 524-528. PMID: 7882375, DOI: 10.1007/bf00335075.Peer-Reviewed Original ResearchConceptsShunt failureVentricular shunt failureVentriculoperitoneal shunt failureAge of patientsCatheter placement techniqueVentricular catheter placementNovel valve systemDistal failureDistal malfunctionProximal malfunctionConsecutive patientsProximal obstructionShunt placementCatheter placementPrimary etiologyShunt revisionShunt malfunctionSite of failureTime-related patternOverall seriesProximal failureCommon causeOutcome studiesHigh incidencePatients