Summary
Angiography followed by a ventriculovenous or ventriculoperitoneal shunt is recommended as the initial procedure for patients with hydrocephalus secondary to posterior fossa tumors. With increasing regularity, the angiogram has proven to be of sufficient localizing value to warrant surgery, and the shunt has resulted in easier operative procedures and a smoother postoperative course. If exact localization is not afforded by the angiogram, then ventriculography or pneumoencephalography can be carried out deliberately in a cooperative patient who is no longer ill from pressure and whose nutrition and general state of health has improved.
The use of modern neuroradiological techniques combined with shunting has virtually eliminated posterior fossa “exploration” with its concommitant manipulation of normal structures, unnecessary puncturing of the cerebellar hemispheres and excessive bony removals.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Elkins, C. W., and J. E. Ponseca, Ventriculovenous anastomosis in obstructive and acquired communicating hydrocephalus. J. Neurosurg.18 (1961), 139.
Abraham, J., and J. Chandy, Ventriculo-atrial shunt in the management of posterior fossa tumor. J. Neurosurg.20 (1963), 252–253.
Hekmatapanah, J., and S. Mullan, Ventriculo-caval shunt in the management of posterior fossa tumors. J. Neurosurg.26 (1967), 609–613.
Raimondi, A. J., D. Yashon, S. Matsumoto, and C. A. Reyes, Increased intracranial pressure without lateralizing signs: The midline syndrome. Neurochirurgia10 (1967), 197–209.
Taptas, J. N., A. Apostolov, and N. Kordiolo, Ventriculoatrial shunt in surgical treatment of lesions of posterior fossa. Presse Med.73 (1965), 15–16.
Huang, Y. P., and B. S. Wolf, The vein of the lateral recess of the fourth ventricle and its tributaries. Am. J. Roentgenol. Rad. Therapy and Nucl. Med.101 (1967), 1–21.
— —, Angiographic features of fourth ventricle tumors with special reference to the posterior inferior cerebellar artery. Am. J. Roentgenol. Rad. Therapy and Nucl. Med.107 (1969), 534–564.
Mani, R. L., T. H. Newton, and M. G. Glickman, The superior cerebellar artery: An anatomic and roentgenographic correlation. Radiology91 (1968), 1102–1108.
Takahashi, M., G. Wilson, and W. Hanafee, The anterior inferior cerebellar artery: Its radiographic anatomy and significance in the diagnosis of extra-axial tumors of the posterior fossa. Radiology90 (1968), 281–287.
Takahashi, M., G. Wilson, and W. Hanafee, Catheter vertebral angiography: A review of 300 examinations. J. Neurosurg.30 (1969), 722–731.
Lerner, P. I., P. F. Golden, and J. A. Jane, Salmonella infected subdural hematoma. Pediatrics 1971 (in press).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jane, J.A., Kaufman, B., Nulsen, F. et al. The role of angiography and ventriculovenous shunting in the treatment of posterior fossa tumors. Acta neurochir 28, 13–27 (1973). https://doi.org/10.1007/BF01405401
Issue Date:
DOI: https://doi.org/10.1007/BF01405401