Albright L, Reigel D H
J Neurosurg. 1977 Jan;46(1):52-5. doi: 10.3171/jns.1977.46.1.0052.
The records of children with hydrocephalus secondary to posterior fossa tumors were reviewed and the methods of treatment compared with their subsequent clinical course. Of 86 patients evaluated, 47 had no treatment for hydrocephalus prior to tumor removal., 12 had external ventricular drainage, and 27 had cerebrospinal fluid (CSF) shunts before suboccipital craniectomy. Children with CSF shunts before tumor removal had significantly better postoperative conditions than the children without shunts (p less than 0.01). Operative mortality of children without treatment of hydrocephalus before tumor surgery was 12.8%; it was 3.7% in the children with preexisting shunts. Treatment of hydrocephalus with a CSF shunt prior to suboccipital craniectomy was a safe procedure that significantly lowered the morbidity and mortality of subsequent tumor removal
回顾了后颅窝肿瘤继发脑积水儿童的记录，并将治疗方法与其随后的临床病程进行了比较。在评估的86例患者中，47例在肿瘤切除前未接受脑积水治疗，12例接受了外部脑室引流，27例在枕下颅骨切除术前进行了脑脊液（CSF）分流。肿瘤切除前进行CSF分流的儿童术后状况明显优于未分流的儿童（p小于0.01）。肿瘤手术前未治疗脑积水的儿童手术死亡率为12.8%；已有分流的儿童为3.7%。枕下颅骨切除术前用CSF分流治疗脑积水是一种安全的手术，可显著降低后续肿瘤切除的发病率和死亡率。
