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Characteristics and management of hydrocephalus in adult patients with cerebellar glioblastoma: lessons from a French nationwide series of 118 cases
- Source :
- Neurosurgical Review, Neurosurgical Review, 2021, ⟨10.1007/s10143-021-01578-2⟩
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- International audience; The characteristics of hydrocephalus associated with cerebellar glioblastoma (cGB) remain poorly known. The objectives were to describe the occurence of hydrocephalus in a French nationwide series of adult patients with cGB, to identify the characteristics associated with hydrocephalus and to analyze the outcomes associated with the different surgical strategies, in order to propose practical guidelines. Consecutive cases of adult cGB patients prospectively recorded into the French Brain Tumor Database between 2003 and 2017 were screened. Diagnosis was confirmed by a centralized neuropathological review. Among 118 patients with cGB (mean age 55.9 years), 49 patients (41.5%) presented with pre-operative hydrocephalus. Thirteen patients (11.0%) developed acute (n=7) or delayed (n=6) hydrocephalus postoperatively. Compared to patients without hydrocephalus at admission, patients with hydrocephalus were younger (52.0 years vs 58.6 years, p=0.03) and underwent more frequently tumor resection (93.9% vs 73.9%, p=0.006). A total of 40 cerebrospinal-fluid diversion procedures were performed, including 18 endoscopic third ventriculostomies, 12 ventriculoperitoneal shunts and 10 external ventricular drains. The different cerebrospinal-fluid diversion options had comparable functional results and complication rates. Among the 89 patients surgically managed for cGB without prior cerebrospinal-fluid diversion, 7 (7.9%) were long-term shunt-dependant. Hydrocephalus is frequent in patients with cGB and has to be carefully managed in order not to interfere with adjuvant oncological treatments. In case of symptomatic hydrocephalus, a cerebrospinal-fluid diversion is mandatory, especially if surgical resection is not feasible. In case of asymptomatic hydrocephalus, a cerebrospinal-fluid diversion has to be discussed only if surgical resection is not feasible.
- Subjects :
- Adult
medicine.medical_specialty
Cerebellar Glioblastoma
Cerebellar glioblastoma
Brain tumor
Infratentorial Neoplasms
Asymptomatic
Ventriculostomy
Neuro-oncology
medicine
Humans
Retrospective Studies
business.industry
Endoscopic Third Ventriculostomy
[SCCO.NEUR]Cognitive science/Neuroscience
[SCCO.NEUR] Cognitive science/Neuroscience
Endoscopic third ventriculostomy
General Medicine
Middle Aged
medicine.disease
Cerebrospinal Fluid Shunts
Ventriculoperitoneal shunt
Surgery
Hydrocephalus
External Ventricular Drain
Neurology (clinical)
Neurosurgery
medicine.symptom
Complication
business
Glioblastoma
External ventricular drain
Subjects
Details
- Language :
- English
- ISSN :
- 03445607 and 14372320
- Database :
- OpenAIRE
- Journal :
- Neurosurgical Review, Neurosurgical Review, 2021, ⟨10.1007/s10143-021-01578-2⟩
- Accession number :
- edsair.doi.dedup.....bb0677919b8757745c2b1eed3669ba7d