Surgical Outcome of Cerebellar and Fourth Ventricle Tumors
Moussa, A., Ellabbad, M., Al Azzazi, A., Al-Sabbagh, M. (2025). Surgical Outcome of Cerebellar and Fourth Ventricle Tumors. EKB Journal Management System, 2025(3), 76-82. doi: https://doi.org/10.21608/aimj.2025.446466
Abdel Halim Abd Alrazq Moussa; Mohamed Ahmed Ellabbad; Al Azzazi Rabei Al Azzazi; Muhammad Ahmad Ahmad Al-Sabbagh. "Surgical Outcome of Cerebellar and Fourth Ventricle Tumors". EKB Journal Management System, 2025, 3, 2025, 76-82. doi: https://doi.org/10.21608/aimj.2025.446466
Moussa, A., Ellabbad, M., Al Azzazi, A., Al-Sabbagh, M. (2025). 'Surgical Outcome of Cerebellar and Fourth Ventricle Tumors', EKB Journal Management System, 2025(3), pp. 76-82. doi: https://doi.org/10.21608/aimj.2025.446466
Moussa, A., Ellabbad, M., Al Azzazi, A., Al-Sabbagh, M. Surgical Outcome of Cerebellar and Fourth Ventricle Tumors. EKB Journal Management System, 2025; 2025(3): 76-82. doi: https://doi.org/10.21608/aimj.2025.446466

Surgical Outcome of Cerebellar and Fourth Ventricle Tumors

Al-Azhar International Medical Journal
Volume 2025, Issue 3, March 2025, Page 76-82  XML PDF (625.15 K)
Document Type: Original Article
DOI: https://doi.org/10.21608/aimj.2025.446466
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Authors
Abdel Halim Abd Alrazq Moussa1; Mohamed Ahmed Ellabbad2; Al Azzazi Rabei Al Azzazi2; Muhammad Ahmad Ahmad Al-Sabbagh* 3
1Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;
2Associate Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University,
3MSc, General Surgery Faculty, of Medicine, Ain Shams University, Cairo, Egypt.
Abstract
Abstract
 
Background: The posterior cranial fossa extends from the tentorium down to the foramen magnum and contains the cerebellum, brainstem, fourth ventricle and the cranial nerves. Intra-axial tumors of the posterior fossa arise from the cerebellum, fourth ventricle or the brainstem.    
Aim and objectives: To evaluate the surgical outcome of cerebellar and fourth ventricle tumors regarding management, including decision making, using cerebrospinal fluid(CSF) diversion or not, surgical approaches(techniques) and postoperative complications in order to establish the optimum way for management of cerebellar and fourth ventricle tumors.
Patients and methods: Both a retrospective analysis and a prospective study were carried out. The retrospective study covered a 2-year period from January 2020 to December 2021 and involved 25 patients with cerebellar and fourth ventricle tumors. The prospective study was done between January 2022 and June 2023 at Al-Azhar University hospitals (Department of Neurosurgery), El Sheikh Zayed Specialized Hospital and El-Sahel Teaching Hospital in Cairo.
Results: The most frequent tumors observed in our study are medulloblastomas 42%) then ependymomas 18%) then pilocytic astrocytomas (16%). Our study found a 12% incidence of newly-discovered postoperative hydrocephalus after posterior fossa surgery. Headache, nausea, vomiting, abnormal gait, palsy of the abducens nerve, or, in younger children, a swollen skull and bulging fontanelle are all symptoms of postoperative hydrocephalus. Shunting the CSF is the method of treatment.
Conclusion: The telovelar approach demonstrated superior progression-free survival, while the transvermian approach exhibited the best overall survival rates. Additionally, pre-excision CSF diversion(when needed) appeared to correlate with improved progression-free survival.
 
Keywords
Ventricle tumors; Surgical outcome; Cerebellar tumors
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