ArticlePloS one2020
Risk factors for hydrocephalus following fourth ventricle tumor surgery: A retrospective analysis of 121 patients.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Development and external validation of a machine learning model for predicting postoperative hydrocephalus in 1,073 posterior fossa tumor patients.Neurosurgical review · 2026Article
- Quantitative anatomy of the fourth ventricle floor: a cadaveric morphometric study.Irish journal of medical science · 2026Article
- Predictors of pre-resection hydrocephalus in posterior cranial fossa tumors: development of a predictive scoring model.Neurosurgical review · 2025Article
- Shunt dependency in supratentorial intraventricular tumors depends on the extent of tumor resection.Acta neurochirurgica · 2023Article
- The semi-sitting position in patients with indwelling CSF shunts: perioperative management and avoidance of complications.Acta neurochirurgica · 2023Article
- Bacterial meningitis in children with an abnormal craniocerebral structure.Frontiers in pediatrics · 2023Article
- Predictive factors for persistent postoperative hydrocephalus in children undergoing surgical resection of periventricular tumors.Frontiers in neurology · 2023Article
- Article
- Risk factors for postresection shunting in children with suprasellar tumor: a retrospective analysis of 124 patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Management of Posterior Fossa Tumors in Adults Based on the Predictors of Postoperative Hydrocephalus.Frontiers in surgery · 2022Article
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Authors and funding
9 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimMost patients who present with a fourth ventricle tumor have concurrent hydrocephalus, and some demonstrate persistent hydrocephalus after tumor resection. There is still no consensus on the management of hydrocephalus in patients with fourth ventricle tumor after surgery. The purpose of this study was to identify the factors that predispose to postoperative hydrocephalus and the need for a postoperative cerebrospinal fluid (CSF) diversion procedure. MATERIALS AND
methodsWe performed a retrospective analysis of patients who underwent surgery of the fourth ventricle tumor between January 2013 and December 2018 at the Department of Neurosurgery in West China Hospital of Sichuan University. The characteristics of patients and the tumor location, tumor size, tumor histology, and preventive external ventricular drainage (EVD) that were potentially correlated with CSF circulation were evaluated in univariate and multivariate analysis.
resultsA total of 121 patients were enrolled in our study; 16 (12.9%) patients underwent postoperative CSF drainage. Univariate analysis revealed that superior extension (p = 0.004), preoperative hydrocephalus (p<0.001), and subtotal resection (p<0.001) were significantly associated with postoperative hydrocephalus. Multivariate analysis revealed that superior extension (p = 0.013; OR = 44.761; 95% CI 2.235-896.310) and subtotal resection (p = 0.005; OR = 0.087; 95% CI 0.016-0.473) were independent risk factors for postoperative hydrocephalus after resection of fourth ventricle tumor.
conclusionSuperior tumor extension (into the aqueduct) and failed total resection of tumor were identified as independent risk factors for postoperative hydrocephalus in patients with fourth ventricle tumor.
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