Preoperative endoscopic third ventriculostomy in children with posterior fossa tumors: an institution experience.
نویسندگان
چکیده
AIM To assess the effectiveness and safety of pre-resection endoscopic third ventriculostomy (ETV) in permanently relieving hydrocephalus in children with posterior fossa tumors. MATERIAL AND METHODS 17 pediatric patients with posterior fossa tumors and associated triventricular obstructive hydrocephalus underwent ETV before definitive tumor resection, and ETV was repeated after tumor resection if hydrocephalus with increased intracranial pressure persisted or recurred. The medical records, operative notes and imaging studies were retrospectively reviewed. RESULTS 18 ETV procedures were performed in 17 patients, consisting of 11 males and 6 females, age range (1.5 to 13 years; mean 6±3.86). Follow-up periods ranged from 6 to 23 months (mean follow-up 13.9±5.4 months). ETV was successful in relieving hydrocephalus during the follow-up period in 15 out of 17 patients (88.2%). Prior to surgical excision of the posterior fossa tumors, no failures of ETV were detected and all of the 17 patients showed marked clinical improvement and radiological disappearance of signs of active hydrocephalus. CONCLUSION Preoperative ETV is a highly effective long-term CSF diversion procedure for treatment of hydrocephalus associated with posterior fossa tumors in children. In experienced hands, ETV has a very low complication rate.
منابع مشابه
Neuroendoscopy Sway in the Treatment of Posterior Fossa Tumours associated Hydrocephalus in Children
The best way to handle obstructive hydrocephalus secondary to posterior fossa tumor is still subject to debate. Approaches include preoperative insertion of a cerebrospinal fluid shunt or external ventricular drainage followed by surgical resection of the tumor [1,2,4,6-9]. Others recommend treatment with corticosteroids and direct approach to the posterior fossa pathology, when possible [10-17...
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OBJECTIVE The majority of children with posterior fossa tumors have hydrocephalus (HC) at the time of presentation. There is no consensus regarding the management of HC in these children. Here, we report the rate of cure of HC with tumor surgery alone. PATIENTS AND METHODS This is a retrospective study of 87 children with posterior fossa tumors in which 35 patients had medulloblastoma, 38 had...
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ورودعنوان ژورنال:
- Turkish neurosurgery
دوره 23 3 شماره
صفحات -
تاریخ انتشار 2013