Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas.

Khan W. Li, Chanland Roonprapunt, Herman C. Lawson, Ira Richmond Abbott, III, Jeffrey Wisoff, Fred Epstein, George I. Jallo

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECT: Tectal gliomas are a distinct form of pediatric brainstem tumor that present in patients with symptoms related to increased intracranial pressure due to obstructive hydrocephalus. The natural history of these lesions is often uniquely indolent. Thus, initial surgical therapies are directed at treatment of hydrocephalus, usually with ventricular shunt placement. Recently, third ventriculostomy has been used in patients with tectal gliomas, both as an initial procedure and after shunt failures. In this report the authors review their experience with the treatment of hydrocephalus in patients with tectal gliomas. METHODS: The authors reviewed 31 consecutive cases of tectal gliomas and compared the success rates of ventricular shunt placement with the success rates of endoscopic third ventriculostomy (ETV). Shunt placement procedures were associated with a significant number of malfunctions, and most patients required shunt revisions. The ETV procedure was attempted both as an initial treatment and after shunt malfunction. Overall, ETV was attempted in 18 patients and was performed successfully in all cases. At the time of follow-up evaluation, 16 patients (89%) were shunt free. CONCLUSIONS: The authors found that ETV could be performed with good long-term success both as an initial treatment and after shunt failure. Overall, ETV was found to be superior to ventricular shunt placement in the management of hydrocephalus associated with tectal gliomas.

Original languageEnglish (US)
JournalNeurosurgical Focus
Volume18
Issue number6 A
StatePublished - 2005
Externally publishedYes

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Ventriculostomy
Hydrocephalus
Glioma
Brain Stem Neoplasms
Therapeutics
Intracranial Pressure
Natural History
Pediatrics

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Li, K. W., Roonprapunt, C., Lawson, H. C., Abbott, III, I. R., Wisoff, J., Epstein, F., & Jallo, G. I. (2005). Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. Neurosurgical Focus, 18(6 A).

Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. / Li, Khan W.; Roonprapunt, Chanland; Lawson, Herman C.; Abbott, III, Ira Richmond; Wisoff, Jeffrey; Epstein, Fred; Jallo, George I.

In: Neurosurgical Focus, Vol. 18, No. 6 A, 2005.

Research output: Contribution to journalArticle

Li, KW, Roonprapunt, C, Lawson, HC, Abbott, III, IR, Wisoff, J, Epstein, F & Jallo, GI 2005, 'Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas.', Neurosurgical Focus, vol. 18, no. 6 A.
Li, Khan W. ; Roonprapunt, Chanland ; Lawson, Herman C. ; Abbott, III, Ira Richmond ; Wisoff, Jeffrey ; Epstein, Fred ; Jallo, George I. / Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. In: Neurosurgical Focus. 2005 ; Vol. 18, No. 6 A.
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