TY - JOUR AU - Marlin, Arthur E. AB - Child’s Nerv Syst (1999) 15: 147 Springer-Verlag 1999 LETTER TO THE EDITOR Sarah J. Gaskill The second conclusion, that a compression of the supratentorial Arthur E. Marlin shunting procedure should be carried compartment with upward hernia- out in the case of nonoperable tu- tion. We agree with only the final mors, is also not an appropriate con- conclusion, which is that a shunt Posterior fossa tumors clusion. There are patients who have should be placed if markedly ele- in children: indications inoperable brain stem tumors in vated intracranial pressure persists for ventricular drainage whom adding a shunt may change after tumor removal. the life expectancy by only a week We find that the conclusions in and for VP shunting or two, and it really is not an appro- this article are inconsistent, certainly Received: 3 August 1998 priate therapy for such patients. The with our practice, and that their ap- need for a shunt needs to be evalu- plication could be detrimental in the ated on a case-by-case basis and in care of patients with posterior fossa Sir: discussion with the family. In the tumors. We were alarmed by the conclusions case of acute hydrocephalus the au- of the TI - Posterior fossa tumors in children: indications for ventricular drainage and for VP shunting JF - Child's Nervous System DO - 10.1007/s003810050356 DA - 1999-04-23 UR - https://www.deepdyve.com/lp/springer-journals/posterior-fossa-tumors-in-children-indications-for-ventricular-uPOdE5gne0 SP - 147 EP - 147 VL - 15 IS - 4 DP - DeepDyve ER -