Acta Neurochirurgica

, Volume 160, Issue 5, pp 1063–1071 | Cite as

Frequency and treatment of hydrocephalus prior to and after posterior fossa tumor surgery in adult patients

  • Sascha Marx
  • Maresa Reinfelder
  • Marc Matthes
  • Henry W. S. Schroeder
  • Joerg Baldauf
Original Article - Brain Tumors
First Online:
Received:
Accepted:
  • 73 Downloads

Abstract

Background

There is paucity of information about the frequency of hydrocephalus prior to and after posterior fossa tumor surgery in adult patients and about the best way it should be managed. The present study was conducted to determine the frequency of hydrocephalus prior to and after posterior fossa tumor surgery in adult patients as well as the value of an endoscopic third ventriculostomy (ETV) prior to posterior fossa tumor surgery with regard to the rate of perioperative complications and persistent hydrocephalus.

Methods

A single-institution retrospective chart review of all posterior fossa tumor surgeries of our department in a 10-year period (2005 to 2014) has been done.

Results

Fifty-two of 243 adult patients with posterior fossa tumors presented with hydrocephalus at the time of admission prior to tumor surgery. 39/52 received early tumor surgery, 11/52 an ETV prior to tumor surgery and in 2/52 an external ventricular drainage (EVD) was inserted prior to tumor surgery. 3/52 patients required a permanent cerebrospinal fluid (CSF) diverting procedure for persistent hydrocephalus after tumor removal. One hundred ninety-one patients did not demonstrate a hydrocephalus before surgical treatment and four of them developed a post-resection hydrocephalus.

Conclusion

The frequency of hydrocephalus prior to posterior fossa tumor surgery in adult patients is 21.4% and therefore much lower than in respective reports of pediatric patients. The risk of persistent hydrocephalus and newly developed hydrocephalus after tumor surgery was very low, too (5.7 and 2.1%, respectively). An ETV is not justified in every adult patient prior to posterior fossa tumor surgery.

Keywords

Posterior fossa tumor Hydrocephalus Adult Brain tumor Endoscopic third ventriculostomy Tumor-related hydrocephalus Persistent hydrocephalus Frequency of hydrocephalus 
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Notes

Compliance with ethical standards

Disclosure

No.

Conflicts of interest

Henry W. S. Schroeder is a consultant to Karl Storz GmbH & Co. KG, Tuttlingen, Germany.

All other authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (name of institute/committee) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Sascha Marx
    • 1
  • Maresa Reinfelder
    • 1
  • Marc Matthes
    • 1
  • Henry W. S. Schroeder
    • 1
  • Joerg Baldauf
    • 1
  1. 1.Department of NeurosurgeryUniversity Medicine GreifswaldGreifswaldGermany

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