Abstract
Children with posterior fossa tumors have hydrocephalus in 60–91% of cases. Even though this condition is quite common, optimal treatment algorithm has not yet been determined.
In the past, the majority of children were diagnosed too late and were usually admitted to hospital in poor neurological state. Neurosurgeons agreed that hydrocephalus should be treated immediately with shunting and only after the child is stable and recovered to continue with the tumor resection. Nowadays, endoscopic third ventriculocisternostomy is a widely applied, safe, and efficient procedure.
In high-risk patients or patients in neurologically bad condition, hydrocephalus needs to be addressed primarily before tumor resection. Authors prefer endoscopic third ventriculocisternostomy instead of a shunt, because of its low complications rate and high rate of success in this particular group of patients. Shunting should be reserved for the cases where ETV failed or it’s technically not possible.
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Zivkovic, B., Özek, M.M. (2019). Hydrocephalus in Posterior Fossa Tumors. In: Cinalli, G., Özek, M., Sainte-Rose, C. (eds) Pediatric Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-27250-4_11
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DOI: https://doi.org/10.1007/978-3-319-27250-4_11
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