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European Science Review, Issue 9-10/2016

Staged surgery of deep midline tumors. Comparative analysis and literature review

DOI: https://doi.org/10.29013/ESR-16-9.10-70-73

Pages: 70 - 73

Authors: Asadullaev U. М., Kariev G. M., Mamadaliev D. M.

Abstract: This article analyzes the results of clinical observation of 255 patients with deep midline tumors accompanied by secondary obstructive hydrocephalus. Of them75 (29.41%) patients underwent endoscopic third ventriculostomy (ETV) as a first step, followed a week later by tumor resection as a second step of treatment. In 85 (33.33%) patients ETV and tumor resection was performed simultaneously, and 95 (37.25%) patients tumor resection with ventriculocisternostomy by Torkildsen’s method was done. In ETV group condition of the patients is significantly improved after adequate correction of CSF circulation. All patients complained of headaches, symptoms of raised intracranial pressure or visual disturbances and vomiting or cerebellar ataxia. Complete tumor removal was achieved in 190 cases and partial removal or biopsy in the remaining 65. ETV was successful in 177 (87.50%) cases but failed in one. Two patients experienced intraoperative transitory bradycardia. Two postoperative complications occurred (one meningitis and one CSF leak). No death related to procedures occurred. Hospital stay ranged from 9 to 21 days (mean, 12.71 days). Follow up range was 4 months to 10 months

Keywords: posterior fossa tumors, third ventricular tumors, ETV, staged surgery

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