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

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.