Summary
In 130 posterior fossa operations 6 cases of progressive distension of the operation site have been recorded and documented. The possible causes of this complication and the surgical management are discussed. Isotope studies after injection of Ytterbium169 DTPA into the underlying cyst have shown abnormal patterns in CSF circulation and absorption. All the cases have resolved after ventriculo-peritoneal shunts.
Similar content being viewed by others
References
Carmel, P. N., Fraser, R. A. R., Stein, B. M., Aseptic meningitis following posterior fossa surgery in children. J. Neurosurg.41 (1974), 44–48.
Cushing, H., Experiences with the cerebellar medulloblastomas. Acta Path. et Microbiol. Scan.7 (1930), 1–86.
Finlayson, A. I., Penfield, W., Acute post-operative aseptic leptomeningitis: Review of cases and discussion of pathogenesis. Arch. Neurol. Psychiat.46 (1941), 250–276.
Jacobs, G., Klemure, W. M., Murphree, H. C., Aseptic meningitis and pseudomeningocele formation as a complication of surgery in the posterior fossa. Pacif. Med. Surg.74 (1966), 320–324.
Lamas, E., Sanchis, J., Algunos aspectos sobre el diagnóstico y tratamiento de los epidermoides del ángulo ponto-cerebeloso. Arquiv. Neurocirurg. de Coimbra5 (1969), 43–56.
Matson, D. D., Neurosurgery of Infancy and childhood, 2nd ed., p. 435. Springfield, Ill.: Ch. C Thomas. 1969.
McLaurin, R., Ford, L. E., Obstruction following posterior fossa surgery: The post-operative Dandy-Walker syndrome. Johns Hopkins Med. J.122 (1968), 309–318.
Oberson, R., Le bloc incisural. Son diagnostic radiologique. Neuro-Chirurgie21 (1975), 357–364.
Scatliff, J. H., Kummer, A. J., Frankel, S. A., German, W. J., Cystic enlargement and obstruction of the fourth ventricle following posterior fossa surgery. The post-operative Dandy-Walker syndrome. Amer. J. Roentgen.88 (1962), 536–542.
Stein, B. M., Tenner, S. M., Fraser, R. A. R., Hydrocephalus following removal of cerebellar astrocytomas in children. J. Neurosurg.36 (1972), 763–768.
Stern, W. E., Neurological Surgery by R. Youmans, Vol. III, p. 1980. Philadelphia, USA: W. B. Saunders. 1973.
Williams, B., Is aqueduct stenosis a result of hydrocephalus? Brain96 (1973), 399–412.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sanchis, J., Bordes, M., Lucas, E. et al. Distension of the operation site after posterior fossa surgery. Acta neurochir 40, 243–251 (1978). https://doi.org/10.1007/BF01774750
Issue Date:
DOI: https://doi.org/10.1007/BF01774750