Management of Hydrocephalus in Posterior Fossa Tumors in Children. An Experience of 30 Cases at Govt: Lady Reading Hospital Department of Neurosurgery, Peshawar

Treatment of hydrocephalus in posterior fossa tumors in children is debatable issue especially in developing countries like Pakistan where the patients present very late. It depends upon the clinical presentations of patients and duration of hydrocephalus. In this regard hospital records of all children with posterior fossa tumors treated in our center during 2005-2008 were reviewed. Patient’s demographic and diagnostic data were analyzed. Chai square test was applied to compare the frequencies of post operative complications in various groups. In our series of 30 patients, 15 were male and 15 were female with equal male to female ratio 1:1. Ten patients with hydrocephalus were treated with External ventricular drain (EVD) per-operative while fifteen patients were treated with pre-operative VP shunt. Five patients did not have any treatment for hydrocephalus. It was proved that in our setup, pre-operative shunting is the best way of management of hydrocephalus in posterior fossa tumors