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Surgical treatment of multilevel disorders of cerebrospinal fluid dynamics on the example of a clinical case

https://doi.org/10.63769/1683-3295-2025-27-4-66-73

Abstract

Acoustic neuroma is a benign tumor of the shelf of vestibulocochlear nerve. More often, the disease is diagnosed on working age. Tumors are subject surgical treatment or stereotaxic radiosurgery both have approximately the same efficiency. Principal conditions for radiosurgery are absence of the cysts and brainstem compression, hydrocephalus and tonsils herniation. Hydrocephalus and tonsils herniation are subject to surgical treatment be shunt-surgery and decompression craniovertebral junction before radiological treatment. Combination small acoustic neuroma and non-tumor caused hydrocephalus is allowed to use mini-invasive surgery. The article presents successful endoscopic surgery of the patient with multiple cerebrospinal fluid obstruction before stereotaxic radiosurgery of acoustic neuroma.

About the Authors

K. V. Shevchenko
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Россия

Kirill Victorovich Shevchenko

16 4th Tverskaya-Yamskaya St., Moscow 125047



V. N. Shimansky
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Россия

16 4th Tverskaya-Yamskaya St., Moscow 125047



S. V. Tanyashin
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Россия

16 4th Tverskaya-Yamskaya St., Moscow 125047



D. A. Odamanov
Otradnoye Clinical Hospital № 1, MEDSI Group of Companies
Россия

Bld. 1, Vld. 2 Otradnoye, Krasnogorsk, Moscow Region 143442



I. O. Kugushev
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Россия

16 4th Tverskaya-Yamskaya St., Moscow 125047



References

1. Abel N.A. Handbook of neurosurgery. 7th edn. New York: Thieme Medical Publishers, 2010. 1337 p.

2. Shimansky V.N., Tanyashin S.V., Shevchenko K.V., Odamanov D.A. Surgical treatment of acoustic neuromas (vestibular schwannomas). Zhurnal Voprosy neirochirurgii im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2017;81(3):66–76. (In Russ). DOI: 10.17116/neiro201781366-76

3. Sughrue M., Yang I., Aranda D. et al. Beyond audiofacial morbidity after vestibular schwannoma surgery. J Neurosurg 2011;114(2): 367–74. DOI: 10.3171/2009.10.JNS091203

4. Koos W., Lang J., Matula C. et al. Color atlas of microneurosurgery of acoustic neurinomas. Stuttgart, New York: Thieme, 2002.

5. Samii M., Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): hearing function in 1000 tumor resections. Neurosurgery 1997;40(2):248–60. DOI: 10.1097/00006123-199702000-00005

6. Samii M., Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them. Neurosurgery 1997;40(1):11–21. DOI: 10.1097/00006123-199701000-00002

7. Gardner W.J., Spitler D.K., Whitten C. Increased intracranial pressure caused by increased protein content in the cerebrospinal fluid; an explanation of papilledema in certain cases of small intracranial and intraspinal tumors, and in the Guillain–Barre syndrome. N Engl J Med 1954;250(2):932–6. DOI: 10.1056/NEJM195406032502202

8. Jeon C.J., Kong D.S., Nam D.H. et al. Communicating hydrocephalus associated with surgery or radiosurgery for vestibular schwannoma. J Clin Neurosci 2010;17(7):862–4. DOI: 1016/j.jocn.2009.12.004

9. Steenerson R.L., Payne N. Hydrocephalus in the patient with acoustic neuroma. Otolaryngol Head Neck Surg 1992;107(1):35–9. DOI: 10.1177/019459989210700106

10. Nakahara M., Imahori T., Sasayama T. et al. Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: a case report. Radiol Case Rep 2020;15(7):1023–8. DOI: 10.1016/j.radcr.2020.04.063

11. Taniguchi M., Nakai T., Kohta M. et al. Communicating hydrocephalus associated with small-to-medium-sized vestibular schwannomas: clinical significance of the tumor apparent diffusion coefficient map. World Neurosurg 2016;94:261–7. DOI: 10.1016/j.wneu.2016.07.012

12. Frischer J.M., Gruber E., Schöffmann V. et al. Long-term outcome after Gamma Knife radiosurgery for acoustic neuroma of all Koos grades: a single-center study. J Neurosurg 2018;130(2):388–97. DOI: 10.3171/2017.8.JNS171281

13. Al Hinai Q., Zeitouni A., Sirhan D. et al. Communicating hydrocephalus and vestibular schwannomas: etiology, treatment, and long-term follow-up. J Neurol Surg B Skull Base 2013;74(2):68–74. DOI: 10.1055/s-0033-1333621

14. Shevchenko K.V., Shimansky V.N., Tanyashin S.V. et al. Adult idiopathic hydrocephalus: current state of the problem. Sibirskoe meditsinskoye obozreniye = Siberian Medical Review 2021;(1): 20–33. (In Russ.). DOI: 10.20333/2500136-2021-1-20-33

15. Mizrahi C.J., Cohen J.E., Gomori J.M. et al. Idiopathic bilateral occlusion of the foramen of Monro: an unusual entity with varied clinical presentations. J Clin Neurosci 2016;34:140–4. DOI: 10.1016/j.jocn.2016.05.015

16. Cinalli G., Spennato P., Nastro A. et al. Hydrocephalus in aqueductal stenosis. Childs Nerv Syst 2011;27(10):1621–42. DOI: 10.1007/s00381-011-1546-2

17. Brunelle F. Modern imaging of hydrocephalus. In: Pediatric hydrocephalus. Ed. by G. Cinalli, Ch. Sainte-Rose, W.J. Maixner et al. Springer-Verlag Italia, 2005. Pp. 79–93.

18. Bai J., Yu Q., Sun X. et al. Hydrocephalus due to idiopathic fourth ventricle outflow obstruction. J Craniofac Surg 2019;30(5):397–400. DOI: 10.1097/SCS.0000000000005314

19. Panero I., García-Pérez D., Lagares A. Positive outcome of endoscopic third ventriculostomy in fouth ventricular outlet obstruction. World Neurosurg 2019;132:135–7. DOI: 10.1016/j.wneu.2019.08.164

20. Shimoda Y., Murakami K., Narita N., Tominaga T. Fourth ventricle outlet obstruction with expanding space on the surface of cerebellum. World Neurosurg 2017;100:711.e1–e5. DOI: 10.1016/j.wneu.2017.01.088

21. Gerganov V.M., Pirayesh A., Nouri M. et al. Hydrocephalus associated with vestibular schwannomas: management options and factors predicting the outcome. J Neurosurg 2011;114(5): 1209–15. DOI: 10.3171/2010.10.JNS1029

22. Tanaka Y., Kobayashi S., H ongo K. et al. Clinical and neuroimaging characteristics of hydrocephalus associated with vestibular schwannoma. J Neurosurg 2003;98(6):1188–93. DOI: 10.3171/jns.2003.98.6.1188

23. Shimansky V.N., Karnaukhov V.V., Galkin M.V. et al. Treatment of petroclival meningiomas: current state of the problem. Zhurnal Voprosy neirokhirurgii im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2019;83(6):78–89. (In Russ.). DOI: 10.17116/neiro20198306178

24. Karnaukhov V.V., Galkin M.V., Sultanov R.A. et al. Сystocysternal stenting implementation in combined treatment of a giant petroclival meningioma. Rossiyskiy neyrokhirurgicheskiy zhurnal im. prof. A.L. Polenova = The Russian Neurosurgical Journal n. a. prof. A.L. Polenov 2022;14(1–1):132–6. (In Russ.).

25. Shapiro R., Galloway S.J., Shapiro M.D. Minimal asymmetry of the brain: a normal variant. Am J Roentgenol 1986;147(4):753–6. DOI: 10.2214/ajr.147.4.753

26. Ishi Y., Asaoka K., Kobayashi H. et al. Idiopathic fourth ventricle outlet obstruction successfully treated by endoscopic third ventriculostomy: a case report. Springer Plus 2015;30(4):565. DOI: 10.1186/s40064-015-1368-x

27. Karachi C., Le Guérinel C., Brugières P. et al. Hydrocephalus due to idiopathic stenosis of the foramina of Magendie and Luschka. Report of three cases. J Neurosurg 2003;98(4):897–902. DOI: 10.3171/jns.2003.98.4.0897

28. Longatti P., Fiorindi A., Martinuzzi A., Feletti A. Primary obstruction of the fourth ventricle outlets: neuroendoscopiс approach and anatomic description. Neurosurgery 2009;65(6):1078–85; discussion 1085–6. DOI: 10.1227/01.NEU.0000360133.29217.44

29. Mohanty A., Biswas A., Satish S., Vollmer D.G. Efficacy of endoscopic third ventriculostomy in fourth ventricular outlet obstruction. Neurosurgery 2008;63(5):905–13; discussion 913–4. DOI: 10.1227/01.NEU.0000333262.38548.E1


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For citations:


Shevchenko K.V., Shimansky V.N., Tanyashin S.V., Odamanov D.A., Kugushev I.O. Surgical treatment of multilevel disorders of cerebrospinal fluid dynamics on the example of a clinical case. Russian journal of neurosurgery. 2025;27(4):66-73. (In Russ.) https://doi.org/10.63769/1683-3295-2025-27-4-66-73

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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