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01-02-2020 | Original Article

The effect of tumor removal via craniotomies on preoperative hydrocephalus in adult patients with intracranial tumors

Authors: Sayied Abdol Mohieb Hosainey, Benjamin Lassen, John K. Hald, Eirik Helseth, Torstein R. Meling

Published in: Neurosurgical Review | Issue 1/2020

Abstract

The efficacy of tumor removal via craniotomies on preoperative hydrocephalus (HC) in adult patients with intracranial tumors is largely unknown. Therefore, we sought to evaluate the effect of tumor resection in patients with preoperative HC and identify the incidence and risk factors for postoperative VP shunt dependency. All craniotomies for intracranial tumors at Oslo University Hospital in patients ≥ 18 years old during a 10-year period (2004–2013) were reviewed. Patients with radiologically confirmed HC requiring surgery and subsequent development of shunt dependency were identified by cross-linking our prospectively collected tumor database to surgical procedure codes for hydrocephalus treatment (AAF). Patients with preexisting ventriculoperitoneal (VP) shunts (N = 41) were excluded. From 4774 craniotomies performed on 4204 patients, a total of 373 patients (7.8%) with HC preoperatively were identified. Median age was 54.4 years (range 18.1–83.9 years). None were lost to follow-up. Of these, 10.5% (39/373) required permanent CSF shunting due to persisting postoperative HC. The risk of becoming VP shunt dependent in patients with preexisting HC was 7.0% (26/373) within 30 days and 8.9% (33/373) within 90 days. Only secondary (repeat) surgery was a significant risk factor for VP shunt dependency. In this large, contemporary, single-institution consecutive series, 10.5% of intracranial tumor patients with preoperative HC became shunt-dependent post-craniotomy, yielding a surgical cure rate for HC of 89.5%. To the best of our knowledge, this is the first and largest study regarding postoperative shunt dependency after craniotomies for intracranial tumors, and can serve as benchmark for future studies.

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Title: The effect of tumor removal via craniotomies on preoperative hydrocephalus in adult patients with intracranial tumors
Authors: Sayied Abdol Mohieb Hosainey
Benjamin Lassen
John K. Hald
Eirik Helseth
Torstein R. Meling
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Published in: Neurosurgical Review / Issue 1/2020
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-018-1021-6

At a glance: The STEP trials

Springer Medicine

The effect of tumor removal via craniotomies on preoperative hydrocephalus in adult patients with intracranial tumors

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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