Résumé
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
Résumé
Meningioma has an accelerated growth during pregnancy; this may become symptomatic, which may necessitate surgical treatment. We describe a 33 year old female pregnant patient who presented with deterioration in vision of the left eye during her 28[th] week of gestation, treated surgically with uneventful recovery. Vision should be saved anytime during pregnancy, especially in the second trimester when the surgery is relatively safe for both the mother and the fetus