RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS
Zahran, A., Moharram, H., Hany, M., Sabry, H., Abdelmohsen, I. (2023). RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS. EKB Journal Management System, 74(1), 207-222. doi: 10.21608/asmj.2023.298320
Ahmed Zahran; Hussein Alsayed Moharram; Mohamed Mostafa Hany; Hatem A. Sabry; Ibrahim Abdelmohsen. "RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS". EKB Journal Management System, 74, 1, 2023, 207-222. doi: 10.21608/asmj.2023.298320
Zahran, A., Moharram, H., Hany, M., Sabry, H., Abdelmohsen, I. (2023). 'RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS', EKB Journal Management System, 74(1), pp. 207-222. doi: 10.21608/asmj.2023.298320
Zahran, A., Moharram, H., Hany, M., Sabry, H., Abdelmohsen, I. RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS. EKB Journal Management System, 2023; 74(1): 207-222. doi: 10.21608/asmj.2023.298320

RE-OPERATIVE CSF DIVERSION VERSUS DIRECT SURGICAL ATTACK IN POSTERIOR FOSSA TUMOURS WITH SECONDARY HYDROCEPHALUS

Ain Shams Medical Journal
Volume 74, Issue 1, March 2023, Page 207-222  XML PDF (913.69 K)
Document Type: Original Article
DOI: 10.21608/asmj.2023.298320
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Authors
Ahmed Zahran1; Hussein Alsayed Moharram1; Mohamed Mostafa Hany1; Hatem A. Sabry1; Ibrahim Abdelmohsen email orcid 2
1Department of Neurosurgery, Faculty of medicine, Ain Shams University, Cairo, Egypt.
2Neurosurgery department, Faculty of medicine, Ain Shams University, Cairo, Egypt.
Abstract
Background: Posterior fossa tumors could usually be complicated by secondary hydrocephalus due to obstruction or compression of the 4th ventricle. Aim of the work: To analyze the efficacy of preoperative CSF diversion versus direct tumour attack in long-term management of hydrocephalus. Patients and Methods: A retrospective study carried out on 30 patients presenting with posterior fossa tumors and secondary obstructive hydrocephalus managed at Ain Shams University Hospitals. Results: About one third of posterior fossa tumour patients become shunt dependent, surgical excision alone could be life threatening. Midline posterior fossa tumors were associated with a higher incidence of shunt dependance compared with those that only affected the cerebellar hemispheres or the CPA. Conclusion: Less than one-third of patients with posterior fossa tumours require a CSF diversion during the course of their illness, the fact that refutes the role of prophylactic shunting or ETV. However, higher post-operative morbidity and mortality in cases with direct tumour attack raises the protective role of preoperative CSF diversion especially in midline posterior fossa tumours.
Recommendations: Finally, previous results may need to be strengthened in the future study of more cases.
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