Abstract
Obstructive hydrocephalus is a frequent accompaniment of space-occupying lesions in the posterior fossa [6, 7, 8, 18]. The best treatment consists of relieving the acute pressure symptoms before the tumour operation, by means of a preliminary ventricular drainage, or by the insertion of a ventriculo-peritoneal or ventriculo-atrial shunt system. After the removal of the tumour the problem of interference with the fluid pathways can again develop, on account of a recurrence of the tumour or secondary aqueduct stenosis. In such cases a further operation is often necessary. Because of this we have adopted a drainage procedure which remains free of complications and spares the child any further operations, because in general it remains trouble-free. In addition it does not involve the risk of a dissemination of tumour cells through the blood stream or intraperitoneally, by means of the shunt. These requirements are met by using Leksell’s technique of ventriculo-cisternostomy [1, 2, 14, 15, 17, 26].
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Voth, D., Schürmann, K., Schwarz, M. (1982). Ventriculocisternostomy by the Method of Leksell — Indications, Technique, and Results. In: Voth, D., Gutjahr, P., Langmaid, C. (eds) Tumours of the Central Nervous System in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95413-9_41
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DOI: https://doi.org/10.1007/978-3-642-95413-9_41
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