{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:32:02Z","timestamp":1790721122863,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T00:00:00Z","timestamp":1468886400000},"content-version":"vor","delay-in-days":8266,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,12]]},"abstract":"<jats:p>Patients with large acoustic neuromas may have secondary obstructive hydrocephalus and occasionally significant neurologic deficit develops. At the House Ear Clinic, we have managed patients with hydrocephalus by translabyrinthine tumor removal without preoperative ventriculoperitoneal shunting. Forty\u2010three patients with documented hydrocephalus who underwent acoustic neuroma removal have been reviewed. Six patients had neurologic deficit resulting from raised Intracranial pressure before surgery. In each of these six cases, the deficit resolved after tumor removal without requiring shunting. Two patients had had ventriculoperitoneal shunts inserted because of neurologic deficit before referral for tumor removal. Two other patients underwent postoperative shunting for neurologic deficit \u2014 One at 2 weeks and one at 2 years. Cerebral or cerebellar herniation was not noted in any case. Cerebrospinal fluid leak occurred In five patients (11.6%) and culture\u2010positive meningitis in two patients (4.6%). We conclude that decompression by translabyrinthine tumor removal is a safe method of management for patients with hydrocephalus resulting from large acoustic tumors.<\/jats:p>","DOI":"10.1177\/019459989310900608","type":"journal-article","created":{"date-parts":[[2017,1,28]],"date-time":"2017-01-28T03:27:18Z","timestamp":1485574038000},"page":"1020-1024","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Management of hydrocephalus resulting from acoustic neuromas"],"prefix":"10.1002","volume":"109","author":[{"given":"Robert J. S.","family":"Briggs","sequence":"first","affiliation":[{"name":"House Ear Clinic and Institute Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clough","family":"Shelton","sequence":"additional","affiliation":[{"name":"House Ear Clinic and Institute Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jed A.","family":"Kwartler","sequence":"additional","affiliation":[{"name":"Ear Specialty Group Springfield New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Hitselberger","sequence":"additional","affiliation":[{"name":"Private practice in Los Angeles Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,19]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700106"},{"key":"e_1_2_1_3_1","first-page":"43","volume-title":"Acoustic tumors","author":"House WF","year":"1979"},{"key":"e_1_2_1_4_1","article-title":"Translabyrinthine removal of large (\u22654\u00a0cm) acoustic neuromas","author":"Briggs RJS","journal-title":"Neurosurgery"},{"key":"e_1_2_1_5_1","first-page":"253","volume-title":"Acoustic tumors","author":"Witten RM","year":"1979"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1986.96.8.825"},{"key":"e_1_2_1_7_1","first-page":"891","volume-title":"Magnetic resonance imaging","author":"Bradley WG","year":"1992"},{"key":"e_1_2_1_8_1","first-page":"81","article-title":"Magnetic resonance imaging in the central nervous system: Comparison to computed tomography","author":"Bradley WG","year":"1986","journal-title":"Magnetic resonance annual"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.71.4.0503"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:28:18Z","timestamp":1760966898000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,12]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1993,12]]}},"alternative-id":["10.1177\/019459989310900608"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900608","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,12]]},"assertion":[{"value":"1993-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1993-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}