The role of endoscopic third ventriculostomy in the management of hydrocephalus associated with cerebellopontine angle tumours |
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Authors: | C Hayhurst M Javadpour D F O’Brien C L Mallucci |
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Institution: | (1) The Walton Centre for Neurology and Neurosurgery, Liverpool, U.K. |
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Abstract: | Summary
Background. Progressive hydrocephalus secondary to cerebellopontine angle tumours has been traditionally managed with ventriculo-peritoneal
shunting. Endoscopic third ventriculostomy provides an alternative treatment option and the success rate in this patient group
has not previously been reported.
Methods. We report a retrospective series of 11 patients with cerebello-pontine angle tumours who presented with symptomatic hydrocephalus,
or developed hydrocephalus following radiosurgery, who underwent endoscopic third ventriculostomy.
Results. Seven patients (63.6%) remain shunt free. There were no complications following endoscopy in any patient. Where the ventriculostomy
failed there was no additional morbidity.
Conclusions. Endoscopic third ventriculostomy is a low morbidity procedure, which avoids the inherent problems of shunts, particularly
infection and should be considered for patients with hydrocephalus and cerebello-pontine angle tumours. |
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Keywords: | : Cerebellopontine angle tumour hydrocephalus endoscopic third ventriculostomy |
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