Purely neuroendoscopic resection of intraventricular tumors with an endoscopic ultrasonic aspirator

Neurosurgical Review
G Ibáñez-BotellaMiguel Ángel Arráez

Abstract

Surgery for intraventricular tumors remains a controversial and evolving field, with endoscopic resection becoming more popular. We present a series of nine consecutive cases of purely endoscopic resection of intraventricular tumors with the aid of an ultrasonic aspirator specific for neuroendoscopy. Nine patients (five men, four women) aged 18-74 years (mean 43.7) underwent surgery. The most common symptom was headache. In all cases, magnetic resonance imaging showed single supratentorial intraventricular lesions (five lateral ventricle, four third ventricle). The average maximum diameter was 20.5 mm (range 11-42). Associated hydrocephalus was found in eight cases at diagnosis. Five patients underwent complete macroscopic resection. Three underwent subtotal resection and one underwent partial resection (two thirds of the tumor). The mean endoscopic procedure time was 70 min (37-209). The eight patients with associated hydrocephalus also underwent endoscopic septostomy to improve cerebral spinal fluid circulation, with one patient additionally requiring endoscopic third ventriculostomy and another requiring Monro foraminoplasty. One patient required ventriculoperitoneal shunting. The mean post-operative follow-up was 15.1 month...Continue Reading

References

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Aug 24, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Alberto DelitalaFrancesco Chiappetta
Nov 4, 2008·Journal of Neurosurgery·Joachim OertelMichael Robert Gaab
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Mar 31, 2015·Journal of Neurosurgery·Jonathan Roth, Shlomi Constantini
Jan 14, 2017·Journal of Neurosurgery. Pediatrics·Giuseppe CinalliPietro Spennato

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Citations

Nov 3, 2020·Neuro-oncology Practice·Christian Malte BoßelmannGhazaleh Tabatabai
May 17, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Atul GoelSaswat Dandpat

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