Pre- and post-operative hydrocephalus in supratentorial intraventricular tumours.
Post-operative problems of hydrocephalus which occur in a high percentage of intraventricular tumours are infrequently discussed. Our experience, however, showed many problems in the treatment of hydrocephalus associated with supratentorial intraventricular tumours. In a series of 40 supratentorial intraventricular tumours different types of management were used and reviewed retrospectively. It is concluded that certain types of management are disadvantageous, like primary shunt insertion. As a result the recommended form of treatment is: primary temporary external CSF-drainage followed by tumour surgery. Post-operative assessment of ventricular compartments and tolerance of drainage withdrawal. Shunt insertion only if compartmentilization or drainage dependency were manifest.
Cedzich
C
C
Neurosurgical Clinic, University of Bonn, Federal Republic of Germany.
Kaden
B
B
Schramm
J
J
D002551:Cerebral Ventricle Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery*; D007427:Intracranial Pressure / Q000502:physiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D015173:Supratentorial Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed