This study presents one of the largest studies evaluating ventricular indices in children diagnosed with ESS. Despite mild ventriculomegaly and macrocephaly, no children underwent neurosurgical intervention. However, the association with therapy input supports a shift of focus to one of facilitating the children to achieve their developmental potential, best delivered by the pediatric and/or community service. Continued neurosurgical monitoring should be reserved for children in whom the diagnosis of ESS is not secure and concerns of raised intracranial pressure or hydrocephalus persist.
Chen et al. (Fri,) studied this question.