지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 455 - 462 (8page)
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초록· 키워드
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Background and Purpose Managing hydrocephalus in patients with vestibular schwannoma (VS) is controversial. We evaluated the clinical factors associated with hydrocephalus. Methods Between 2000 and 2019, 562 patients with VS were treated at our institute. We applied endoscopic third ventriculostomy (ETV), external ventricular drainage (EVD), and ventriculoperitoneal (VP) shunts to patients with hydrocephalus. The relationships of patient, tumor, and surgical variables with the hydrocephalus outcome were assessed. Results Preoperative hydrocephalus (Evans ratio ≥0.3) was present in 128 patients. Six patients who received a preresectional VP shunt were excluded after analyzing the hydrocephalus outcome. Seven of the remaining 122 patients had severe hydrocephalus (Evans ratio ≥0.4). Primary tumor resection, VP shunting, ETV, and EVD were performed in 60, 6, 57, and 5 patients, respectively. The hydrocephalus treatment failure rate was highest in the EVD group. Persistent hydrocephalus was present in five (8%) and seven (12%) patients in the primary resection and ETV groups, respectively. Multivariate analysis revealed that severe hydrocephalus, the cystic tumor, and the extent of resection (subtotal resection or partial resection) were associated with hydrocephalus treatment failure. Conclusions Larger ventricles and a higher cystic portion are predictive of persistent hydrocephalus. We recommend attempting near-total tumor resection in patients with VS.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Tanaka Y / 2003 / Clinical and neuroimaging characteristics of hydrocephalus associated with vestibular schwannoma / J Neurosurg 98:1188~1193
Fukuda M / 2007 / Etiopathological factors related to hydrocephalus associated with vestibular schwannoma / Neurosurgery 61:1186~1193
Briggs RJ / 1993 / Management of hydrocephalus resulting from acoustic neuromas / Otolaryngol Head Neck Surg 109:1020~1024
Gerganov VM / 2011 / Hydrocephalus associated with vestibular schwannomas : management options and factors predicting the outcome / J Neurosurg 114:1209~1215
Morelli D / 2005 / Persistent hydrocephalus after early surgical management of posterior fossa tumors in children : is routine preoperative endoscopic third ventriculostomy justified? / J Neurosurg 103:247~252
Fukuda M / 2007 / Etiopathological factors related to hydrocephalus associated with vestibular schwannoma / Neurosurgery 61:1186~1193
Briggs RJ / 1993 / Management of hydrocephalus resulting from acoustic neuromas / Otolaryngol Head Neck Surg 109:1020~1024
Gerganov VM / 2011 / Hydrocephalus associated with vestibular schwannomas : management options and factors predicting the outcome / J Neurosurg 114:1209~1215
Morelli D / 2005 / Persistent hydrocephalus after early surgical management of posterior fossa tumors in children : is routine preoperative endoscopic third ventriculostomy justified? / J Neurosurg 103:247~252
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