IntroductionBrain tumors are of the most devastating forms of human disorders, particularly when they arise in the posterior fossa. The proximity of these lesions to the brainstem and fourth ventricle explains the common presentation of these patients. Obstructive hydrocephalus is described in about 80% of the cases, it can lead to herniation and death if left untreated [1][2][3][4][5][6][7].The best way to handle obstructive hydrocephalus secondary to posterior fossa tumor is still subject to debate. Approaches include preoperative insertion of a cerebrospinal fluid shunt or external ventricular drainage followed by surgical resection of the tumor [1,2,4,[6][7][8][9]. Others recommend treatment with corticosteroids and direct approach to the posterior fossa pathology, when possible [10][11][12][13][14][15][16][17].Endoscopy capitulates on improved visualization and permits effective surgical therapy of lesions in the nadirs of the brain with minimal collateral interruption of eloquent parenchyma. It is currently established popularity emulates the diversity of increasing applications, which are also reflective of integral challenges. Based on recent reports [6,7,13,18,19]. Neuroendoscopic treatment of hydrocephalus (endoscopic third ventriculostomy) is the most recent approach for management. In our center, we adopted the policy of performing a preoperative endoscopic third ventriculostomy (ETV) in cases of symptomatic hydrocephalus.
Methods
AbstractBackground: Brain neuroendoscopy has been introduced to our neurosurgical department since January 2000. Neuroendoscope was used to treat hydrocephalus secondary to posterior fossa tumours. In this study we expand on our previously published data to reassess and present our experience over the last sixteen years.