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. 2023 May 23;10:1198837. doi: 10.3389/fsurg.2023.1198837

Table 2.

Surgical, radiographic and clinical outcome variables of n = 52 patients patients recieving supratentorial cerebrospinal fluid diversion using image-guided trigonal ventriculostomy during retrosigmoid craniotomy for cerebellopontine angle tumors.

Surgical outcomes Total (n = 52, 100%)
Single attempt for successful ventriculostomy 49 (94%)
Two attempts for successful ventriculostomy 3 (6%)
Successful CSF-diversion and pulsatile dura prior durotomy without signs of cerebellar contusion, swelling or herniation through the dural incision 51 (98%)
Postoperative hydrocephalus
Due to impaired resorption 4 (8%)
Due to 4th ventricle compression 6 (11%)
Due to upward transtentorial herniation 2 (4%)
Permanent CSF-diversion after surgery 5 (11%)
Days to shunting [mean, (min-max), median] 91, [3–246], 30
Radiographic outcomes
Catheter tip location and grade
Grade 1: Ipsilateral trigonum, occipital horn or lateral ventricle 35 (67%)
Grade 2: Contralateral trigonum, occipital horn or lateral ventricle / interhemispheric fissure 15 (28%)
Grade 3: Intraparenchymal or basal ganglia 2 (4%)
Supratentorial hemorrhagic complications
Ventriculostomy-related hemorrhage 6 (11%)
Intracerebral hemorrhage 2 (4%)
Intraventricular hemorrhage 2 (4%)
Midline shift 1 (2%)
Ventriculostomy-related revision surgery 0 (0%)
Parenchymal lesion in magnetic resonance imaging
One visible catheter tract 41 (79%)
Two visible catheter tracts 3 (6%)
No visible ventriculostomy tract 8 (15%)
Cortical scarring related to ventriculostomy 15 (29%)
Signs of local infarction 1 (2%)
PCA/SCA infarction 0 (0%)
Radiological signs of upward trans-tentorial herniation 0 (0%)
Clinical outcomes
Seizures related to supratentorial ventriculostomy-related hemorrhage 0 (0%)
Ventriculostomy-related homonymous hemianopsia 0 (0%)
Ventriculostomy-related focal neurological deficit 0 (0%)
Ventriculostomy-related infection 0 (0%)

MRI, magnetic resonance imaging; CSF, cerebrospinal fluid; PCA, posterior cerebral artery; SCA, superior cerebellar artery.