Intraventricular Tumor: An Analysis of 18 Cases
The main objective of this article is to describe transcallosal and transcortical approach to deal with intraventricular tumors. Details of the transcallosal and transcortical approach to intraventricular tumors of the lateral and third ventricles were presented. Intraventricular tumors are id...
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| Format: | Article |
| Language: | English |
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NESON
2016-10-01
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| Series: | Nepal Journal of Neuroscience |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/NJN/article/view/15908 |
| _version_ | 1818159508367605760 |
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| author | Shamsul Alam Abu NW Uddin Mashiur R Majumder Md M Hasan Anis Ahmed |
| author_facet | Shamsul Alam Abu NW Uddin Mashiur R Majumder Md M Hasan Anis Ahmed |
| author_sort | Shamsul Alam |
| collection | DOAJ |
| description | The main objective of this article is to describe transcallosal and transcortical approach to deal with intraventricular tumors.
Details of the transcallosal and transcortical approach to intraventricular tumors of the lateral and third ventricles were presented.
Intraventricular tumors are ideal indications for microscopic neurosurgery. They often cause cerebrospinal fluid (CSF) pathway obstruction, resulting in ventricular dilatation. The general principle of removal of intraventricular tumors is interruption of the blood supply to the tumor and subsequent tumor debulking. In general, a piecemeal resection was performed; however, in some tumors such as meningioma, it was possible to detach the lesion from the surrounding brain tissue and remove it in toto. When the tumor arised in the anterior part of the third ventricle, the craniotomy was made at the coronal suture. When the tumor is located in the posterior part, the entry craniotomy was selected more anteriorly in order to pass the foramen of Monro in a straight line.
Intraventricular tumors and related CSF pathway obstructions can be safely and effectively treated with micro neurosurgical techniques, either by transcallosal or transcortical approach. The aim should be the total extraction of the tumor with minimum damage and the chosen operative corridor should optimize tumor access and the protection of vulnerable neurovascular structures. Lateral ventricle tumors can be removed via transcortical approach when having hydrocephalus which provides a wider and more direct approach to the tumor than the transcallosal one. It allows the surgeon to achieve good functional outcome and maximum excision of the tumor. Transcallosal is an excellent midline exposure with preserving the callosomerginal and pericallosal arteriesto the midline tumor of lateral and 3rd ventricles. |
| first_indexed | 2024-12-11T15:47:06Z |
| format | Article |
| id | doaj.art-9bd0238b527f4191934eac23131e26a4 |
| institution | Directory Open Access Journal |
| issn | 1813-1956 1813-1956 |
| language | English |
| last_indexed | 2024-12-11T15:47:06Z |
| publishDate | 2016-10-01 |
| publisher | NESON |
| record_format | Article |
| series | Nepal Journal of Neuroscience |
| spelling | doaj.art-9bd0238b527f4191934eac23131e26a42022-12-22T00:59:40ZengNESONNepal Journal of Neuroscience1813-19561813-19562016-10-011312329https://doi.org/10.3126/njn.v13i1.15908Intraventricular Tumor: An Analysis of 18 CasesShamsul Alam 0Abu NW Uddin 1Mashiur R Majumder 2Md M Hasan3Anis Ahmed 4Department of Neurosurgery BSM Medical University DhakaDepartment of Neurosurgery BSM Medical University DhakaDepartment of Neurosurgery Comilla Medical College ComillaDepartment of Neurosurgery BSM Medical University DhakaDepartment of Neurosurgery BSM Medical University DhakaThe main objective of this article is to describe transcallosal and transcortical approach to deal with intraventricular tumors. Details of the transcallosal and transcortical approach to intraventricular tumors of the lateral and third ventricles were presented. Intraventricular tumors are ideal indications for microscopic neurosurgery. They often cause cerebrospinal fluid (CSF) pathway obstruction, resulting in ventricular dilatation. The general principle of removal of intraventricular tumors is interruption of the blood supply to the tumor and subsequent tumor debulking. In general, a piecemeal resection was performed; however, in some tumors such as meningioma, it was possible to detach the lesion from the surrounding brain tissue and remove it in toto. When the tumor arised in the anterior part of the third ventricle, the craniotomy was made at the coronal suture. When the tumor is located in the posterior part, the entry craniotomy was selected more anteriorly in order to pass the foramen of Monro in a straight line. Intraventricular tumors and related CSF pathway obstructions can be safely and effectively treated with micro neurosurgical techniques, either by transcallosal or transcortical approach. The aim should be the total extraction of the tumor with minimum damage and the chosen operative corridor should optimize tumor access and the protection of vulnerable neurovascular structures. Lateral ventricle tumors can be removed via transcortical approach when having hydrocephalus which provides a wider and more direct approach to the tumor than the transcallosal one. It allows the surgeon to achieve good functional outcome and maximum excision of the tumor. Transcallosal is an excellent midline exposure with preserving the callosomerginal and pericallosal arteriesto the midline tumor of lateral and 3rd ventricles.https://www.nepjol.info/index.php/NJN/article/view/15908central neurocytomaintraventricular tumormeningioma |
| spellingShingle | Shamsul Alam Abu NW Uddin Mashiur R Majumder Md M Hasan Anis Ahmed Intraventricular Tumor: An Analysis of 18 Cases Nepal Journal of Neuroscience central neurocytoma intraventricular tumor meningioma |
| title | Intraventricular Tumor: An Analysis of 18 Cases |
| title_full | Intraventricular Tumor: An Analysis of 18 Cases |
| title_fullStr | Intraventricular Tumor: An Analysis of 18 Cases |
| title_full_unstemmed | Intraventricular Tumor: An Analysis of 18 Cases |
| title_short | Intraventricular Tumor: An Analysis of 18 Cases |
| title_sort | intraventricular tumor an analysis of 18 cases |
| topic | central neurocytoma intraventricular tumor meningioma |
| url | https://www.nepjol.info/index.php/NJN/article/view/15908 |
| work_keys_str_mv | AT shamsulalam intraventriculartumorananalysisof18cases AT abunwuddin intraventriculartumorananalysisof18cases AT mashiurrmajumder intraventriculartumorananalysisof18cases AT mdmhasan intraventriculartumorananalysisof18cases AT anisahmed intraventriculartumorananalysisof18cases |