Endoscopic third ventriculostomy in posterior fossa tumor

Posterior fossa (PF) tumors are among the most frequent primary neoplasms in children. Proximity to the fourth ventricle, and therefore cerebrospinal fluid (CSF) pathways, predisposes children with PF tumors to the development of obstructive hydrocephalus. Some patients with PF tumors require a perm...

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Autores principales: Ricardo Santos de Oliveira, Matheus Fernando Manzolli Ballestero
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Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2020
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spelling oai:doaj.org-article:7a68b3a7b1014c6282375f33e77afb0f2021-11-23T21:46:37ZEndoscopic third ventriculostomy in posterior fossa tumor2675-362610.29327/apn.v2i1(January-April).17https://doaj.org/article/7a68b3a7b1014c6282375f33e77afb0f2020-04-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/17https://doaj.org/toc/2675-3626Posterior fossa (PF) tumors are among the most frequent primary neoplasms in children. Proximity to the fourth ventricle, and therefore cerebrospinal fluid (CSF) pathways, predisposes children with PF tumors to the development of obstructive hydrocephalus. Some patients with PF tumors require a permanent CSF diversion procedure prior to or after tumor removal. However, management of hydrocephalus in children with resectable PF tumors is still controversial. In order to minimize the use of permanent shunts and to avoid associated complications, some investigators have advocated routine preoperative application of endoscopic third ventriculostomy (ETV) only in selected patients. We showed a clinical video case who experienced a preoperatively ETV before the surgical resection of their posterior fossa tumor. The patient is a 5 year-old boy presented with progressive headaches, vomits and somnolence. Young children with severe preoperative hydrocephalus and a midline tumor should be considered at risk when preoperative treatment decisions are made. *de Oliveira RS and Ballestero MFM contributed equally to this manuscriptRicardo Santos de OliveiraMatheus Fernando Manzolli BallesteroBrazilian Society for Pediatric Neurosurgeryarticleposterior fossatumorendoscopicendoscopic third ventriculostomyPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 1(January-April), Pp 56-56 (2020)
institution DOAJ
collection DOAJ
language EN
topic posterior fossa
tumor
endoscopic
endoscopic third ventriculostomy
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle posterior fossa
tumor
endoscopic
endoscopic third ventriculostomy
Pediatrics
RJ1-570
Surgery
RD1-811
Ricardo Santos de Oliveira
Matheus Fernando Manzolli Ballestero
Endoscopic third ventriculostomy in posterior fossa tumor
description Posterior fossa (PF) tumors are among the most frequent primary neoplasms in children. Proximity to the fourth ventricle, and therefore cerebrospinal fluid (CSF) pathways, predisposes children with PF tumors to the development of obstructive hydrocephalus. Some patients with PF tumors require a permanent CSF diversion procedure prior to or after tumor removal. However, management of hydrocephalus in children with resectable PF tumors is still controversial. In order to minimize the use of permanent shunts and to avoid associated complications, some investigators have advocated routine preoperative application of endoscopic third ventriculostomy (ETV) only in selected patients. We showed a clinical video case who experienced a preoperatively ETV before the surgical resection of their posterior fossa tumor. The patient is a 5 year-old boy presented with progressive headaches, vomits and somnolence. Young children with severe preoperative hydrocephalus and a midline tumor should be considered at risk when preoperative treatment decisions are made. *de Oliveira RS and Ballestero MFM contributed equally to this manuscript
format article
author Ricardo Santos de Oliveira
Matheus Fernando Manzolli Ballestero
author_facet Ricardo Santos de Oliveira
Matheus Fernando Manzolli Ballestero
author_sort Ricardo Santos de Oliveira
title Endoscopic third ventriculostomy in posterior fossa tumor
title_short Endoscopic third ventriculostomy in posterior fossa tumor
title_full Endoscopic third ventriculostomy in posterior fossa tumor
title_fullStr Endoscopic third ventriculostomy in posterior fossa tumor
title_full_unstemmed Endoscopic third ventriculostomy in posterior fossa tumor
title_sort endoscopic third ventriculostomy in posterior fossa tumor
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2020
url https://doaj.org/article/7a68b3a7b1014c6282375f33e77afb0f
work_keys_str_mv AT ricardosantosdeoliveira endoscopicthirdventriculostomyinposteriorfossatumor
AT matheusfernandomanzolliballestero endoscopicthirdventriculostomyinposteriorfossatumor
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