The Management of Hydrocephalus in Children with Posterior Fossa Tumours: The Role of Pre-Resectional Endoscopic Third Ventriculostomy

2009 ◽  
Vol 45 (3) ◽  
pp. 186-191 ◽  
Author(s):  
Robin Bhatia ◽  
Mohammed Tahir ◽  
Christopher L. Chandler
Keyword(s):  
Posterior Fossa ◽  
Endoscopic Third Ventriculostomy ◽  
Third Ventriculostomy ◽  
Posterior Fossa Tumours

Hydrocephalus in children with posterior fossa tumors: role of endoscopic third ventriculostomy

2005 ◽  
Vol 103 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Michael J. Fritsch ◽  
Lutz Doerner ◽  
Sven Kienke ◽  
H. Maximilian Mehdorn
Keyword(s):  
Posterior Fossa ◽  
Endoscopic Third Ventriculostomy ◽  
Third Ventriculostomy ◽  
Posterior Fossa Tumors

Ventriculoperitoneal Shunt versus Endoscopic Third Ventriculostomy in the treatment of Obstructive Hydrocephalus in Pediatric Midline Posterior Fossa tumors

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohammed Tarek ◽  
Hamdy Ibrahim ◽  
H Jalalod'din ◽  
SR Tawadros
Keyword(s):  
Posterior Fossa ◽  
Ventriculoperitoneal Shunt ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Clinical Findings ◽  
Third Ventriculostomy ◽  
Posterior Fossa Tumors ◽  
Shunt Insertion ◽  
Vp Shunt ◽  
Csf Diversion

Abstract Background Treatment of secondary hydrocephalus due to posterior fossa tumors in these children is still a matter of controversy, although preoperative ventriculo-peritoneal shunt (VP shunt) insertion before tumor excision is widely accepted among neurosurgeons but many attempts are rising to minimize permanent VP shunt insertion and associated complications and introducing third endoscopic ventriculostomy (ETV) as one of the options of 2ry hydrocephalus. Objectives Comparing the post-operative clinical success with resolution of the manifestations and post-operative complications between endoscopic third ventriculostomy and ventriculoperitoneal shunt as different modes of CSF diversion in children with 2ry hydrocephalus due to midline posterior fossa tumors. Methods The following electronic databases were searched from June 2009 to june2019: PubMed, Google scholar search engine. Cochrane database of systematic reviews, EMBASE and science Direct, using the keywords ―hydrocephalus; posterior fossa tumors; pediatrics; ventriculoperitoneal shunt; endoscopic third ventriculostomy‖. Studies were eligible if they contain the target keywords in title or abstract, addressing the Pediatric age group with 2ry hydrocephalus due to de novo posterior fossa tumor manifested by signs of increase the intra cranial tension including persistent headache and vomiting, blurred vision, 6th nerve palsy, papilledema in fundus examination, acute DCL and 2ry hydrocephalus confirmed by brain imaging. Exclusion criteria included studies including age group below 1yr or above 18 yr, or patients with recurrent post fossa tumors and operated before or patients presented by failed previously attempt of CSF diversion. Results: A total of 1255 citations were screened for eligibility,6 studies were included in our systematic review discussing, comparing and evaluating the durability of ETV versus VP shunt in treatment the 2ry hydrocephalusdue to pediatric posterior fossa tumor.. Overall study population reached 474 patients. the overall clinical findings at presentation and postoperative outcomes regarding the clinical findings improvement, radiological improvement and postoperative complications between ETV and VP shunt are compared and showing that ETV should be considered as an alternative procedure to VP shunt in controlling severe hydrocephalus related to posterior fossa tumors to relieve symptoms quickly during the preoperative period when patients should wait for their definite tumor excision. Conclusion The shorter duration of surgery, the lower incidence of morbidity, the absence of mortality, the lower incidence of procedure failure of endoscopic third ventriculostomy as compared to ventriculoperitoneal shunt, and the significant advantage of not becoming shunt dependent make endoscopic third ventriculostomy to be recommended as the first choice in the treatment of pediatric patients with marked obstructive hydrocephalus due to posterior fossa tumors. It is a preliminary, simple, safe, effective, physiological, minimally invasive procedure for the relief of elevated intracranial pressure before direct tumor removal.

Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus Associated with Posterior Fossa Tumors in Children

Neurosurgery ◽  
1999 ◽  
Vol 45 (3) ◽  
pp. 734-735
Author(s):  
F. E. Roux ◽  
G. Cinalli ◽  
C. Sainte-Rose ◽  
P. Chumas ◽  
M. Zerah ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Endoscopic Third Ventriculostomy ◽  
Third Ventriculostomy ◽  
Posterior Fossa Tumors

Role of Endoscopic Third Ventriculostomy in Tuberculous Meningitis with Hydrocephalus

2017 ◽  
pp. 429-446 ◽  
Author(s):  
Y. R. Yadav ◽  
Nishtha Yadav ◽  
Vijay Parihar ◽  
Shailendra Ratre ◽  
Jitin Bajaj
Keyword(s):  
Tuberculous Meningitis ◽  
Endoscopic Third Ventriculostomy ◽  
Third Ventriculostomy

Role of Secondary Endoscopic Third Ventriculostomy in Children: Review of an Institutional Experience

2019 ◽  
Vol 54 (3) ◽  
pp. 188-195
Author(s):  
Salman Shaikh ◽  
Chandrashekhar Eknath  Deopujari ◽  
Vikram Karmarkar ◽  
Kapil Muley ◽  
Chandan Mohanty
Keyword(s):  
Endoscopic Third Ventriculostomy ◽  
Third Ventriculostomy ◽  
Institutional Experience
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