Management of hydrocephalus in posterior fossa tumors: how, what, when?
| Autor: | Harold L. Rekate, Jonathan C. Peter, Spiros Sgouros, Tai-Tong Wong, Edgardo Schijman |
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| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Attitude of Health Personnel medicine.medical_treatment Context (language use) Skull Base Neoplasms Ventriculoperitoneal Shunt Ventriculostomy Postoperative Complications Preoperative Care Medicine Humans Child Craniotomy Internet Perioperative management business.industry Data Collection Endoscopic third ventriculostomy Infant Endoscopy General Medicine medicine.disease Posterior Fossa Tumors Hydrocephalus Surgery Outcome and Process Assessment Health Care Cranial Fossa Posterior Child Preschool Pediatrics Perinatology and Child Health Neurology (clinical) Neurosurgery business Shunt (electrical) |
| Zdroj: | Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 20(3) |
| ISSN: | 0256-7040 |
| Popis: | The aim of this work is to analyze the current management of hydrocephalus associated with posterior fossa (PF) tumors. The personal perspectives of experienced pediatric neurosurgeons were presented at a virtual round table. Preoperative hydrocephalus has been reported in about 80% of patients with PF tumors and postoperative treatment is required for persistent or progressive hydrocephalus in about 25–30% of the cases. Preoperative management includes external ventricular drainage (EVD), endoscopic third ventriculostomy (ETV), shunt insertion, and no treatment at all, while ETV and ventriculo-peritoneal (V-P) shunt are recommended as treatment after PF craniotomy. There is no consensus on the way hydrocephalus should be managed before, during, and after PF surgery. While awaiting prospective multicenter trials of various management schemes the perioperative management of hydrocephalus in the context of posterior fossa tumors should be considered as options. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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