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Pineal tumors in children and adolescents

Treatment by CSF shunting and radiotherapy

Eustaquio O. Abay II, Edward R. Laws Jr., Gordon L. Grado, James E. Bruckman, Glenn S. Forbes, Manuel R. Gomez, and Mark Scott

were worse after shunting; these patients were moribund, with severe hydrocephalus and disseminated disease upon admission. There was no operative mortality. None of the patients developed subdural hematoma, intracranial hemorrhage, or seizures. One patient developed a Staphylococcus epidermidis shunt infection 7 months postoperatively, and subsequently died at another institution. Six patients required shunt revision because of malfunction and one required a second revision. Of the two patients with Torkildsen shunts that required revision, one had a VP shunt