Shunt-dependent hydrocephalus in patients with primary intraventricular tumours – authors' own research
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Oddział Neurochirurgii, Wojewódzki Szpital Specjalistyczny nr 2, Jastrzębie-Zdrój
Katedra i Zakład Fizjologii, Wydział Lekarski w Katowicach, Śląski Uniwersytet Medyczny w Katowicach
Corresponding author
Paweł Chodakowski   

Al. Jana Pawła II 7, 44-330 Jastrzębie-Zdrój, Katedra i Zakład Fizjologii, Wydział Lekarski w Katowicach, Śląski Uniwersytet Medyczny w Katowicach, ul. Medyków 18, 40-752 Katowice
Ann. Acad. Med. Siles. 2017;71:32-37
Intraventricular tumours constitute 1.5–3% of all brain tumours. These tumours are a very heterogeneous group. There are many histologic types, various symptomatology and different surgical approaches. One of the possible complications is hydrocephalus, sometimes demanding shunt implantation. The authors estimated the relationship between shunt-dependent hydrocephalus and tumour location, the extension of resection, occurrence of preoperative hydrocephalus and the use of an external ventricular shunt.

Material and methods::
A retrospective analysis of 31 cases with primary intraventricular tumours operated on in the Neurosurgical Department of the State Hospital in Jastrzebie-Zdroj between 2002 and 2013 was conducted. The age of the patients ranged between 17 and 75 years. This group constituted 2.3% of all patients with brain tumours.

14 tumours (45.2%) were located in the 4th ventricle, 9 (35%) in the 3rd ventricle, 8 (25.8%) in lateral ventricles. The histopathological diagnostics revealed: 6 cases of ependymoma WHO II (19.4%), 4 cases of subepen-dymoma (12.9%), 3 cases of choroid plexus carcinoma, 2 coloid cysts (6.5%), 2 cases of malignant ependymoma WHO III/IV (6.5%) and 10 other diagnoses. Total resection was performed in 81% of tumours. Preoperative hydrocephalus appeared in 35% of cases. A perioperative external ventricular shunt was applied in 42% of patients. Shunt-dependent hydrocephalus appeared after 12.9% of operations (4 patients). Statistical analysis revealed a significant relationship between the existence of shunt-dependent hydrocephalus and tumour location (p = 0.041).

The extent of resection, the occurrence of preoperative hydrocephalus and the use of an external ventricular shunt do not change the risk of the development of postoperative hydrocephalus. Only the location of the tu-mour has a statistically significant influence on the occurrence of shunt-dependent hydrocephalus.

Souweidane M.M. Endoscopic surgery for intraventricular brain tumors in patients without hyrocephalus. Neurosurgery 2008; 62(6 Suppl. 3): 1042–1048.
Bergsneider M., Miller C., Vespa P.M., Hu X. Surgical managenent of adult hydrocephalus. Neurosurgery 2008; 62(Suppl. 2): 643–659.
Cappabianca P., Cinalli G., Gangemi M., Brunori A., Cavallo L.M., de Divitiis E., Decq P., Delitala A., Di Rocco F., Frazee J., Godano U., Grotenhuis A., Longatti P., Mascari C., Nishihara T., Oi S., Rekate H., Schroeder H.W., Souweidane M.M., Spennato P., Tamburrini G., Teo C., Warf B., Zymberg S.T. Application of neuroendoscopy to intraventricular lesions. Neurosurgery 2008; 62(Suppl. 2): 575–598.
Morelli D., Pirotte B., Lubansu A. Detemmerman D., Aeby A., Fricx C., Berré J., David P., Brotchi J. Persistent hydrocephalus after early surgical management of posterior fossa tumors in children: is routine preoperative endoscopic third ventriculostomy justified? J. Neurosurg 2005; 103(3 Suppl): 247–252.
Roberts R.O., Lynch C.F., Jones M.P., Hart M.N. Medulloblastoma: a population-based study of 532 cases. J. Neuropathol. Exp. Neurol. 1991; 50(2): 134–144.
Maniker A.H., Vaynman A.Y., Karimi R.J., Sabit A.O., Holland B. Hemorrhagic complications of external ventricular drainage. Neurosurgery 2006; 59(4 Suppl. 2): ONS419–ONS424.
Lyke K.E., Obasanjo O.O., Williams M.A., O'Brien M., Chotani R., Perl T.M. Ventriculitis complicating use of intraventricular catheters in adult neurosurgical patients. Clin. Infect. Dis. 2001; 33(12): 2028–2033.
Pirouzmand F., Tator Ch.H., Rutka J. Management of hydrocephalus associated with vestibular schwannoma and other cerebellopontine angle tumors. Neurosurgery 2001; 48(6): 1246–1253.
Kombogiorgas D., Sgouros S., Walsh A.R., Hockley A.D., Stevens M., Grundy R., Peet A., English M., Spooner D. Outcome of children with posterior fossa medulloblastoma: a single institution experience over the decade 1994–2003. Childs. Nerv. Syst. 2007; 23(4): 399–405.
Luther N., Stettler W.L. Jr, Dunkel I.J., Christos P.J., Wellons J.C., Souweidane M.M. Subarachnoid dissemination of intraventricular tumors following simultaneous endoscopic biopsy and third ventriculostomy. J. Neurosurg. Pediatr. 2010; 5(1): 61–67.
Yasargil M.G., Abdulrauf S.I. Surgery of intraventricular tumors. Neurosugery 2008; 62(6 Suppl. 3): 1029–1040.
Charalampaki P., Fillipi R., Welschehold S., Conrad J., Perneczky A. Tumors of the lateral ventricle: removal under endoscope-assisted keyhole conditions. Neurosurgery 2008; 62(6 Suppl. 3): 1049–1058.
Unger F., Walch C., Haselsberger K., Papaefthymiou G., Trummer M., Eustacchio S., Pendl G. Radiosurgery for vestibular schwannomas: A minimally invasive alternative to microsurgery. Acta. Neurochir. (Wien) 1999; 141(12): 1281–1286.
The management of neurosurgical patients with postoperative bacterial or aseptic meningitis or external ventricular drain-associated ventriculitis. Infection in Neurosurgery Working Party of the British Society for Anti-microbial Chemotherapy. Br. J. Neurosurg. 2000; 14(1): 7–12.
Koeller K.K., Sandberg G.D. From the archives of the AFIP. Cerebral intraventricular neoplasms: radiologic-pathologic correlation. Radiographics 2002; 22(6): 1473–1505.
Fenchel M., Beschorner R., Naegele T., Korn A., Ernemann U., Horger M. Primarily solid intraventricular brain tumors. Eur. J. Radiol. 2012; 81(4): e688–e696.
Shogan P., Banks K.P., Brown S. AJR teaching file: Intraventricular mass. AJS Am. J. Roentgenol. 2007; 189(6 Suppl.): S55–S57.
de Castro F.D., Reis F., Guerra J.G. Intraventricular mass lesions at magnetic resonance imaging: iconographic essay – part 1. Radiol. Bras. 2014; 47(3): 176–181.
de Castro F.D., Reis F., Guerra J.G. Intraventricular mass lesions at magnetic resonance imaging: iconographic essay – part 2. Radiol. Bras. 2014; 47(4): 245–250.
Gunawat P.V., Patil S.S., Karmarkar V.S., Deopujari C.E. Intraventricular hemorrhage – unusual presentation of central neurocytoma. Neurol. India 2014; 62(6): 691–693.
Vitanovics D., Áfra D., Nagy G., Hanzely Z., Turányi E., Banczerowski P. Symptomatic subependymomas of the ventricles. Review of twenty consecutive cases. Ideggyogy Sz. 2014; 67(11–12): 415–419.
Balko M.G., Schultz D.L. Sudden death due to a central neurocytoma. Am. J. Forensic Med. Pathol. 1999; 20(2): 180–183.
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