Atypical presentation of delayed communicating hydrocephalus after supratentorial glioma resection with opening of the ventricles

Harry J C J Bulstrode, Ammar Natalwala, Paul L Grundy

Research output: Contribution to journalComment/debatepeer-review

Abstract

We report four cases of communicating hydrocephalus, requiring shunt placement, in the subset of patients whose ventricles were breached at the time of glioma resection (a total 97 cases over 3 years). The hydrocephalus in these cases presented without ventricular dilatation on computed tomography (CT) scanning, and in 3 cases without headache. Failure to progress, visual deterioration or cerebrospinal fluid (CSF) leak in the post-operative patient after tumour resection with ventricular opening should alert clinicians to the possibility of hydrocephalus, despite the absence of headache or ventriculomegaly, and lumbar puncture should be performed without delay.

Original languageEnglish
Pages (from-to)222-6
Number of pages5
JournalBritish Journal of Neurosurgery
Volume26
Issue number2
DOIs
Publication statusPublished - Apr 2012

Keywords

  • Adult
  • Astrocytoma
  • Brain Neoplasms
  • Cerebral Ventricles
  • Female
  • Glioblastoma
  • Glioma
  • Headache Disorders
  • Humans
  • Hydrocephalus
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Postoperative Complications
  • Tomography, X-Ray Computed
  • Ventriculoperitoneal Shunt
  • Vision Disorders
  • Young Adult

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