title: [Management of obstructive hydrocephalus before posterior fossa tumor resection in children].
abstract: OBJECTIVE
  To explore the management of obstructive hydrocephalus caused by posterior fossa tumors before tumor resection in children.
  
  
  METHODS
  The clinical data were reviewed of 162 pediatric patients of posterior fossa tumors with obstructive hydrocephalus undergoing surgical tumor removal between January 2008 and June 2012. Ninety children received preoperative Ommaya external drainage (group A) and 72 underwent preoperative ventriculo-peritoneal shunting (V-Ps) (group B). The therapeutic effects were evaluated and compared between the two groups.
  
  
  RESULTS
  Postoperative complications found in a total of 67 cases including infection (27), shunt blockage (19), subdural hematoma or effusion (16), ventricle fissure syndrome (5), and tumor hernia (4). Significant differences were found in the incidences of shunt blockage (P=0.047) and subdural hematoma or effusion (P=0.039) but not in the incidences of intracranial infection (P=0.478) or tumor hernia (P=0.462) between the two groups.
  
  
  CONCLUSIONS
  Ommaya reservoir can produce good results through simple surgical procedures for treatment of acute hydrocephalus in children with posterior fossa tumors and is associated less trauma and complications.
authors.affiliation: Department of Neurosurgery, Children's Hospital Affiliated to Chongqing Medical University, Chongqing 400014, China.E-mail: jiwenyuanfengxue@126.com.
authors.forename: Wenyuan
authors.initials: W
authors.lastname: Ji
authors.forename: Ping
authors.initials: P
authors.lastname: Liang
authors.forename: Yudong
authors.initials: Y
authors.lastname: Zhou
authors.forename: Lusheng
authors.initials: L
authors.lastname: Li
authors.forename: Xuan
authors.initials: X
authors.lastname: Zhai
authors.forename: Zuozhong
authors.initials: Z
authors.lastname: Xia
mesh_terms: D000293:Adolescent; D001254:Astrocytoma / Q000150:complications / Q000601:surgery; D001927:Brain Diseases / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery*; D007223:Infant; D007239:Infections / Q000209:etiology; D015192:Infratentorial Neoplasms / Q000150:complications* / Q000601:surgery; D008297:Male; D008527:Medulloblastoma / Q000150:complications* / Q000601:surgery; D057234:Preoperative Period; D012189:Retrospective Studies; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects