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Hydrocephalus and Brain Tumors

  • Jonathan Roth
  • Shlomi Constantini
Chapter

Abstract

Brain tumors may be associated with hydrocephalus by several mechanisms. Be it obstructive, absorptive, or overproduction of cerebrospinal fluid (CSF), CSF physiology may be affected by various brain tumor pathologies and locations. The association between brain tumors and hydrocephalus exists across age groups, with typical lesions presenting at different age groups.

Hydrocephalus may be the actual cause of the tumor presentation, leading to increased intracranial pressure, potentially posing with a life-threatening condition beyond the oncological aspects. Thus, in certain cases, treatment of the hydrocephalus may take priority over actual treatment of the tumor.

Treatment of tumor-associated hydrocephalus may be affected in many ways, both in the goals and the surgical technique.

In this chapter, we review the tumor-hydrocephalus interaction and the treatment implications of this condition. By no means does this chapter aim to entirely cover this topic, as this is a wide and complex topic. However, we try and stress the pathophysiological basis for this interaction and suggest the accepted methods for treatment.

Keywords

Hydrocephalus Brain tumor Shunt Resection Endoscopy Obstruction CSF production Malabsorption 

References

  1. 1.
    Cataltepe O, Liptzin D, Jolley L, Smith TW. Diffuse villous hyperplasia of the choroid plexus and its surgical management. J Neurosurg Pediatr. 2010;5:518–22.CrossRefGoogle Scholar
  2. 2.
    Cinalli G, Imperato A, Mirone G, Di Martino G, Nicosia G, Ruggiero C, et al. Initial experience with endoscopic ultrasonic aspirator in purely neuroendoscopic removal of intraventricular tumors. J Neurosurg Pediatr. 2017;19:325–32.CrossRefGoogle Scholar
  3. 3.
    Daglioglu E, Cataltepe O, Akalan N. Tectal gliomas in children: the implications for natural history and management strategy. Pediatr Neurosurg. 2003;38:223–31.CrossRefGoogle Scholar
  4. 4.
    Dewan MC, Lim J, Shannon CN, Wellons JC 3rd. The durability of endoscopic third ventriculostomy and ventriculoperitoneal shunts in children with hydrocephalus following posterior fossa tumor resection: a systematic review and time-to-failure analysis. J Neurosurg Pediatr. 2017;19:578–84.CrossRefGoogle Scholar
  5. 5.
    Dlouhy BJ, Dahdaleh NS, Greenlee JD. Emerging technology in intracranial neuroendoscopy: application of the NICO Myriad. Neurosurg Focus. 2011;30:E6.CrossRefGoogle Scholar
  6. 6.
    El-Gaidi MA, El-Nasr AH, Eissa EM. Infratentorial complications following preresection CSF diversion in children with posterior fossa tumors. J Neurosurg Pediatr. 2015;15:4–11.CrossRefGoogle Scholar
  7. 7.
    Foreman P, McClugage S 3rd, Naftel R, Griessenauer CJ, Ditty BJ, Agee BS, et al. Validation and modification of a predictive model of postresection hydrocephalus in pediatric patients with posterior fossa tumors. J Neurosurg Pediatr. 2013;12:220–6.CrossRefGoogle Scholar
  8. 8.
    Fujimura M, Onuma T, Kameyama M, Motohashi O, Kon H, Yamamoto K, et al. Hydrocephalus due to cerebrospinal fluid overproduction by bilateral choroid plexus papillomas. Childs Nerv Syst. 2004;20:485–8.PubMedGoogle Scholar
  9. 9.
    Fukuda M, Oishi M, Kawaguchi T, Watanabe M, Takao T, Tanaka R, et al. Etiopathological factors related to hydrocephalus associated with vestibular schwannoma. Neurosurgery. 2007;61:1186–92; discussion 1192–93CrossRefGoogle Scholar
  10. 10.
    Gil Z, Beni-Adani L, Siomin V, Nagar H, Dvir R, Constantini S. Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma. Childs Nerv Syst. 2001;17:395–8.CrossRefGoogle Scholar
  11. 11.
    Greenlee JD, Teo C, Ghahreman A, Kwok B. Purely endoscopic resection of colloid cysts. Neurosurgery. 2008;62:51–5; discussion 55–6PubMedGoogle Scholar
  12. 12.
    Griessenauer CJ, Rizk E, Miller JH, Hendrix P, Tubbs RS, Dias MS, et al. Pediatric tectal plate gliomas: clinical and radiological progression, MR imaging characteristics, and management of hydrocephalus. J Neurosurg Pediatr. 2014;13:13–20.CrossRefGoogle Scholar
  13. 13.
    Harter DH, Omeis I, Forman S, Braun A. Endoscopic resection of an intraventricular dysembryoplastic neuroepithelial tumor of the septum pellucidum. Pediatr Neurosurg. 2006;42:105–7.CrossRefGoogle Scholar
  14. 14.
    Hidalgo ET, Ali A, Weiner HL, Harter DH. Resection of intraventricular tumors in children by purely endoscopic means. World Neurosurg. 2016;87:372–80.CrossRefGoogle Scholar
  15. 15.
    Klimo P Jr, Thompson CJ, Baird LC, Flannery AM. Pediatric Hydrocephalus Systematic R, Evidence-Based Guidelines Task F: pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 7: antibiotic-impregnated shunt systems versus conventional shunts in children: a systematic review and meta-analysis. J Neurosurg Pediatr. 2014;14(Suppl 1):53–9.CrossRefGoogle Scholar
  16. 16.
    Lin CT, Riva-Cambrin JK. Management of posterior fossa tumors and hydrocephalus in children: a review. Childs Nerv Syst. 2015;31:1781–9.CrossRefGoogle Scholar
  17. 17.
    Mohanty A, Thompson BJ, Patterson J. Initial experience with endoscopic side cutting aspiration system in pure neuroendoscopic excision of large intraventricular tumors. World Neurosurg. 2013;80(655):e615–21.Google Scholar
  18. 18.
    Moore RJ, Scherer A, Fulkerson DH. Frontal burr hole approach for neuroendoscopic resection of craniopharyngioma with the NICO Myriad device: report of two cases. Childs Nerv Syst. 2017;33:659–64.CrossRefGoogle Scholar
  19. 19.
    Morgenstern PF, Souweidane MM. Pineal region tumors: simultaneous endoscopic third ventriculostomy and tumor biopsy. World Neurosurg. 2013;79(S18):e19–3.Google Scholar
  20. 20.
    Nair S, Gopalakrishnan CV, Menon G, Easwer HV, Abraham M. Interhemispheric transcallosal transforaminal approach and its variants to colloid cyst of third ventricle: technical issues based on a single institutional experience of 297 cases. Asian J Neurosurg. 2016;11:292–7.CrossRefGoogle Scholar
  21. 21.
    Nimjee SM, Powers CJ, McLendon RE, Grant GA, Fuchs HE. Single-stage bilateral choroid plexectomy for choroid plexus papilloma in a patient presenting with high cerebrospinal fluid output. J Neurosurg Pediatr. 2010;5:342–5.CrossRefGoogle Scholar
  22. 22.
    Oka K, Kin Y, Go Y, Ueno Y, Hirakawa K, Tomonaga M, et al. Neuroendoscopic approach to tectal tumors: a consecutive series. J Neurosurg. 1999;91:964–70.CrossRefGoogle Scholar
  23. 23.
    Riva-Cambrin J, Detsky AS, Lamberti-Pasculli M, Sargent MA, Armstrong D, Moineddin R, et al. Predicting postresection hydrocephalus in pediatric patients with posterior fossa tumors. J Neurosurg Pediatr. 2009;3:378–85.CrossRefGoogle Scholar
  24. 24.
    Rodgers SD, Bassani L, Weiner HL, Harter DH. Stereotactic endoscopic resection and surgical management of a subependymal giant cell astrocytoma: case report. J Neurosurg Pediatr. 2012;9:417–20.CrossRefGoogle Scholar
  25. 25.
    Root BK, Barrena BG, Mackenzie TA, Bauer DF. Antibiotic impregnated external ventricular drains: meta and cost analysis. World Neurosurg. 2016;86:306–15.CrossRefGoogle Scholar
  26. 26.
    Roth J, Chaichana KL, Jallo G, Mirone G, Cinalli G, Constantini S. True aqueductal tumors: a unique entity. Acta Neurochir. 2015;157:169–77.CrossRefGoogle Scholar
  27. 27.
    Roth J, Constantini S. Combined rigid and flexible endoscopy for tumors in the posterior third ventricle. J Neurosurg. 2015;122:1341–6.CrossRefGoogle Scholar
  28. 28.
    Roth J, Ram Z, Constantini S. Endoscopic considerations treating hydrocephalus caused by basal ganglia and large thalamic tumors. Surg Neurol Int. 2015;6:56.CrossRefGoogle Scholar
  29. 29.
    Roujeau T, Di Rocco F, Dufour C, Bourdeaut F, Puget S, Rose CS, et al. Shall we treat hydrocephalus associated to brain stem glioma in children? Childs Nerv Syst. 2011;27:1735–9.CrossRefGoogle Scholar
  30. 30.
    Sainte-Rose C, Cinalli G, Roux FE, Maixner R, Chumas PD, Mansour M, et al. Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. J Neurosurg. 2001;95:791–7.CrossRefGoogle Scholar
  31. 31.
    Shukla D. Transcortical transventricular endoscopic approach and Ommaya Reservoir Placement for Cystic Craniopharyngioma. Pediatr Neurosurg. 2015;50:291–4.CrossRefGoogle Scholar
  32. 32.
    Soleman J, Benvenisti H, Constantini S, Roth J. Conversion of external ventricular drainage to ventriculo-peritoneal shunt: to change or not to change the proximal catheter? Childs Nerv Syst. 2017;33:1947.CrossRefGoogle Scholar
  33. 33.
    Taniguchi M, Nakai T, Kohta M, Kimura H, Kohmura E. Communicating hydrocephalus associated with small- to medium-sized vestibular schwannomas: clinical significance of the tumor apparent diffusion coefficient map. World Neurosurg. 2016;94:261–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jonathan Roth
    • 1
  • Shlomi Constantini
    • 1
  1. 1.Dana Children’s Hospital, Tel-Aviv Medical Center, Pediatric NeurosurgeryTel AvivIsrael

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