Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report
Endoscopic third ventriculostomy (ETV) is a major treatment procedure for obstructive hydrocephalus in children and adults. However, previous studies to predict the outcome of ETV, such as ETV success score, were primarily based on pediatric populations; hence, the effectiveness of ETV in elderly po...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923001512 |
| _version_ | 1797259931883143168 |
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| author | Satoshi Kawajiri Makoto Isozaki Takahiro Yamauchi Yu Tsukinowa Hidetaka Arishima Kenichiro Kikuta |
| author_facet | Satoshi Kawajiri Makoto Isozaki Takahiro Yamauchi Yu Tsukinowa Hidetaka Arishima Kenichiro Kikuta |
| author_sort | Satoshi Kawajiri |
| collection | DOAJ |
| description | Endoscopic third ventriculostomy (ETV) is a major treatment procedure for obstructive hydrocephalus in children and adults. However, previous studies to predict the outcome of ETV, such as ETV success score, were primarily based on pediatric populations; hence, the effectiveness of ETV in elderly populations remains unclear. Here, we report the case of an 80-year-old woman with cognitive impairment and gait disturbance due to obstructive hydrocephalus caused by a pineal region meningioma. Considering that the radical resection was risky for this patient, simultaneous endoscopic tumor biopsy and ETV was performed. Based on the histopathological findings, the patient was diagnosed with meningioma. Cognition improved and gait disturbances diminished gradually 2 months after the operation. Surgical treatments for the elderly patients should not compromise activity of daily living (ADL). Our findings might help the management of elderly patients with obstructive hydrocephalus, especially in aging societies. |
| first_indexed | 2024-03-09T15:36:00Z |
| format | Article |
| id | doaj.art-69163b56f40c4e54ae7fc861f7d1b5bd |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T23:17:16Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-69163b56f40c4e54ae7fc861f7d1b5bd2024-03-17T07:54:00ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101868Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case reportSatoshi Kawajiri0Makoto Isozaki1Takahiro Yamauchi2Yu Tsukinowa3Hidetaka Arishima4Kenichiro Kikuta5Corresponding author at: Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Matsuoka Shimoaizuki 23-3, Yoshida-gun, Eiheiji-cho, Fukui 910-1193, Japan.; Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanDepartment of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanDepartment of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanDepartment of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanDepartment of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanDepartment of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, JapanEndoscopic third ventriculostomy (ETV) is a major treatment procedure for obstructive hydrocephalus in children and adults. However, previous studies to predict the outcome of ETV, such as ETV success score, were primarily based on pediatric populations; hence, the effectiveness of ETV in elderly populations remains unclear. Here, we report the case of an 80-year-old woman with cognitive impairment and gait disturbance due to obstructive hydrocephalus caused by a pineal region meningioma. Considering that the radical resection was risky for this patient, simultaneous endoscopic tumor biopsy and ETV was performed. Based on the histopathological findings, the patient was diagnosed with meningioma. Cognition improved and gait disturbances diminished gradually 2 months after the operation. Surgical treatments for the elderly patients should not compromise activity of daily living (ADL). Our findings might help the management of elderly patients with obstructive hydrocephalus, especially in aging societies.http://www.sciencedirect.com/science/article/pii/S2214751923001512Endoscopic third ventriculostomyHydrocephalusPineal region meningiomaElderly patientNeuroendoscopy |
| spellingShingle | Satoshi Kawajiri Makoto Isozaki Takahiro Yamauchi Yu Tsukinowa Hidetaka Arishima Kenichiro Kikuta Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report Interdisciplinary Neurosurgery Endoscopic third ventriculostomy Hydrocephalus Pineal region meningioma Elderly patient Neuroendoscopy |
| title | Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report |
| title_full | Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report |
| title_fullStr | Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report |
| title_full_unstemmed | Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report |
| title_short | Usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient: A case report |
| title_sort | usefulness of endoscopic third ventriculostomy for hydrocephalus from pineal lesion meningioma in an elderly patient a case report |
| topic | Endoscopic third ventriculostomy Hydrocephalus Pineal region meningioma Elderly patient Neuroendoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923001512 |
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