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Communicating Hydrocephalus Following Treatment of Cerebellopontine Angle Tumors
DC Field | Value | Language |
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dc.contributor.author | Kim, Junhyung | - |
dc.contributor.author | Woo, Byungjun | - |
dc.contributor.author | Ji, Soyoung | - |
dc.contributor.author | Hwang, Kihwan | - |
dc.contributor.author | Kim, Young Hoon | - |
dc.contributor.author | Han, Jung Ho | - |
dc.contributor.author | Kim, Chae-Yong | - |
dc.date.accessioned | 2022-11-23T00:44:45Z | - |
dc.date.available | 2022-11-23T00:44:45Z | - |
dc.date.created | 2022-10-13 | - |
dc.date.issued | 2022-09 | - |
dc.identifier.citation | World Neurosurgery, Vol.165, pp.e505-e511 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://hdl.handle.net/10371/187225 | - |
dc.description.abstract | © 2022 Elsevier Inc.Objective: This study aimed to clarify the risk of communicating hydrocephalus in cerebellopontine angle tumors, focusing on distinct tumor types and treatment modalities, i.e., tumor resection and stereotactic radiosurgery (SRS). Methods: This study was a retrospective single-center cohort study. The cumulative incidences of symptomatic communicating hydrocephalus in schwannoma and meningioma patients were evaluated. A multivariate Cox model was used to assess the hazard ratios for the risk factors and odds ratios of distinct treatment subgroups. Results: A total of 405 cases, including 286 schwannomas and 119 meningiomas, were retrospectively reviewed. The risk of hydrocephalus was significantly higher in schwannomas than that in meningiomas (hazard ratio, 4.70 [95% confidence interval, 1.78–12.4, P = 0.002]). Patients with schwannomas who received SRS without tumor resection showed a significantly higher incidence than meningioma cases: 10.6% versus 1.4% (P = 0.037). We identified specific subgroups that were prone to increase the risk of hydrocephalus when treated with SRS alone. The result showed that patients with vestibular schwannoma of Koos grade III had a greater benefit from tumor resection than from SRS in preventing hydrocephalus (odds ratio, 0.089 [95% confidence interval, 0.011–0.743, P = 0.025]). Conclusions: Symptomatic communicating hydrocephalus is more frequent in schwannoma than that in meningiomas. Primary treatment with tumor resection lowers the risk of hydrocephalus in specific subgroups of vestibular schwannoma. | - |
dc.language | 영어 | - |
dc.publisher | Elsevier BV | - |
dc.title | Communicating Hydrocephalus Following Treatment of Cerebellopontine Angle Tumors | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.wneu.2022.06.088 | - |
dc.citation.journaltitle | World Neurosurgery | - |
dc.identifier.scopusid | 2-s2.0-85134610739 | - |
dc.citation.endpage | e511 | - |
dc.citation.startpage | e505 | - |
dc.citation.volume | 165 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Kim, Chae-Yong | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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