Risk factors for ventriculoperitoneal shunting in children with posterior fossa tumor
Joint Authors
al-Jabbur, Raid M.
al-Umari, Ahmad K.
Musharbash, Awni F.
Source
Journal of the Royal Medical Services
Issue
Vol. 24, Issue 1 (31 Mar. 2017), pp.45-49, 5 p.
Publisher
The Royal Medical Services Jordan Armed Forces
Publication Date
2017-03-31
Country of Publication
Jordan
No. of Pages
5
Main Subjects
Abstract EN
Objectives : to investigate the Predictors of the need of post-operative VP- shunting, in pediatric patients who underwent primary surgical resection for posterior fossa tumors, without pre-operative VP-shunt, were investigated.
Methods : all the 52 pediatric patients who presented to King Hussein Cancer Center in the last 12 years with a diagnosis of posterior fossa tumor, and who did not have a VP shunt inserted prior to undergoing their primary surgical resection in our institution, were included in the study.
Patients were divided retrospectively into those who ended up with VP-shunt insertion and those who did not need a VP-shunt insertion, and then factors such as age, sex, duration of pre-operative symptoms, size of primary tumor, presence of preoperative spinal metastasis, extent of surgical resection, post-operative ICP readings, presence of post-operative spinal metastasis and the development postoperative infection and leak were investigated and compared between the two groups.
Results : 24 patients needed a VP- shunt to be inserted in the post-operative period.
The extent of tumor excision and age below 3 years were the only significant predictors of post-operative need for VP-shunt insertion among the factors that were included in this study.
Conclusion: age of the patient less than 3 years was a significant factor in the need for shunt placement.The average age of the patients who needed a VP- shunt in our set of patients is 6.2 years compared to 7.3 years in patients who did not need a VP- shunt, The extent of tumor excision was also important factor in predicting the need for post-operative shunt insertion.
Other factors were not significant in this study even infection which increases the basal adhesion.
American Psychological Association (APA)
al-Jabbur, Raid M.& al-Umari, Ahmad K.& Musharbash, Awni F.. 2017. Risk factors for ventriculoperitoneal shunting in children with posterior fossa tumor. Journal of the Royal Medical Services،Vol. 24, no. 1, pp.45-49.
https://search.emarefa.net/detail/BIM-773488
Modern Language Association (MLA)
al-Jabbur, Raid M.…[et al.]. Risk factors for ventriculoperitoneal shunting in children with posterior fossa tumor. Journal of the Royal Medical Services Vol. 24, no. 1 (Mar. 2017), pp.45-49.
https://search.emarefa.net/detail/BIM-773488
American Medical Association (AMA)
al-Jabbur, Raid M.& al-Umari, Ahmad K.& Musharbash, Awni F.. Risk factors for ventriculoperitoneal shunting in children with posterior fossa tumor. Journal of the Royal Medical Services. 2017. Vol. 24, no. 1, pp.45-49.
https://search.emarefa.net/detail/BIM-773488
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 49
Record ID
BIM-773488