Hydrocephalus and Brain Tumors

  • Jonathan Roth
  • Shlomi Constantini


Brain tumors may be associated with hydrocephalus by several mechanisms. Be it obstructive, absorptive, or overproduction of cerebrospinal fluid (CSF), CSF physiology may be affected by various brain tumor pathologies and locations. The association between brain tumors and hydrocephalus exists across age groups, with typical lesions presenting at different age groups.

Hydrocephalus may be the actual cause of the tumor presentation, leading to increased intracranial pressure, potentially posing with a life-threatening condition beyond the oncological aspects. Thus, in certain cases, treatment of the hydrocephalus may take priority over actual treatment of the tumor.

Treatment of tumor-associated hydrocephalus may be affected in many ways, both in the goals and the surgical technique.

In this chapter, we review the tumor-hydrocephalus interaction and the treatment implications of this condition. By no means does this chapter aim to entirely cover this topic, as this is a wide and complex topic. However, we try and stress the pathophysiological basis for this interaction and suggest the accepted methods for treatment.


Hydrocephalus Brain tumor Shunt Resection Endoscopy Obstruction CSF production Malabsorption 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jonathan Roth
    • 1
  • Shlomi Constantini
    • 1
  1. 1.Dana Children’s Hospital, Tel-Aviv Medical Center, Pediatric NeurosurgeryTel AvivIsrael

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