Abstract
BackgroundLateral ventricular lesions associated with hydrocephalus are considered a challenge to neurosurgeons. Hydrocephalus after surgery of such lesions and its pathogenesis and how to deal with it is a big question facing neurosurgeons.ObjectivesIn this study, we tried to discuss the pathogenesis and different forms of presentation of hydrocephalus in lateral ventricular lesions and how to deal with it.MethodsEleven patients with lateral ventricular lesions associated with hydrocephalus either preoperative or postoperative presenting to our hospital were managed by excision of the lesion. A prospective study was done for these cases including their clinical data, radiological data, the presence, or absence of hydrocephalus either preoperative or postoperative and how we managed it.ResultsThis study included 11 cases. The mean patient age at surgery was 25 years old. Nine cases were presented with radiological signs of hydrocephalus preoperatively. Two cases developed new onset hydrocephalus after lesion excision. Six cases ended with permanent CSF diversion.ConclusionManagement of cases with lateral ventricular lesions does not stand on only excision of the lesion. Hydrocephalus should be kept into consideration perioperatively. We should try to avoid events that could lead to ventriculitis. Prolonged follow-up of the patients postoperative is very important as hydrocephalus may develop later after surgery.
Highlights
Lesions of lateral ventricle are a challenge to neurosurgeons for their deep location, vascularity, or nearby vital neural structures, and these lesions have incidence of association with hydrocephalus, either preoperatively, postoperatively, or both [1, 2]
We considered all the radiological data including preoperative images, presence or absence of preoperative hydrocephalus, postoperative complications such as intraventricular hemorrhage, and presence or absence of signs of increased intracranial pressure in postoperative images like ventriculomegaly or subdural collection
This study series included 11 cases with lateral ventricular lesions associated with hydrocephalus, either preoperative or postoperative
Summary
Lesions of lateral ventricle are a challenge to neurosurgeons for their deep location, vascularity, or nearby vital neural structures, and these lesions have incidence of association with hydrocephalus, either preoperatively, postoperatively, or both [1, 2]. As majority of these lesions are slowly growing low-grade pathologies, usually, these patients present with manifestations of increased intracranial pressure due to hydrocephalus [1, 2]. Lateral ventricular lesions associated with hydrocephalus are considered a challenge to neurosurgeons. Hydrocephalus after surgery of such lesions and its pathogenesis and how to deal with it is a big question facing neurosurgeons
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