Abstract
Resection or biopsy of intraventricular brain tumors using an endoscope has become common, but the limitations of these procedures are not clear. Manipulation to access a tumor that arises from the blind angle of the rigid endoscope, such as the anterior part of the aqueduct, is limited. We report here that we successfully resected a recurrent medulloblastoma in the anterior part of the aqueduct using only a flexible endoscope. This method appears to be suitable for poorly vascularized and suctionable tumors that arise in the blind angle of a rigid endoscope.
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Gaab MR, Schroeder HW (1998) Neuroendoscopic approach to intraventricular lesions. J Neurosurg 88:496–505
Goga C, Türe U (2014) The anterior transcallosal approach to a cerebral aqueduct tumor: a 3-dimensional operative video. Neurosurgery 10(Suppl 3):492 discussion 492
Lapras C, Bognar L, Turjman F, Villanyi E, Mottolese C, Fischer C, Jouvet A, Guyotat J (1994) Tectal plate gliomas. Part I: Microsurgery of the tectal plate gliomas. Acta Neurochir 126:76–83
Tomasello F, Conti A, Cardali S, La Torre D, Angileri FF (2015) Telovelar approach to fourth ventricle tumors: highlights and limitations. World Neurosurg 83:1141–1147
Charalampaki P, Filippi R, Welschehold S, Conrad J, Perneczky A (2008) Tumors of the lateral and third ventricle: removal under endoscope-assisted keyhole conditions. Neurosurgery 62:1049–1058
Ferrer E, Santamarta D, Garcia-Fructuoso G, Caral L, Rumià J (1997) Neuroendoscopic management of pineal region tumours. Acta Neurochir 139:12–20 discussion 20-11
Zhu XL, Gao R, Wong GK, Wong HT, Ng RY, Yu Y, Wong RK, Poon WS (2013) Single burr hole rigid endoscopic third ventriculostomy and endoscopic tumor biopsy: what is the safe displacement range for the foramen of Monro? Asian J Surg 36:74–82
Feletti A, Marton E, Bendini M, Zanatta L, Valori L, Dei Tos AP, Di Paola F, Longatti P, Rossi S (2014) Anaplastic ependymoma of the third ventricle. Brain Tumor Pathol 31:274–281
Ortega-Porcayo LA, Perdomo-Pantoja A, Palacios-Ortíz IJ, Cohen SC, González-Mosqueda JP, Gómez-Amador JL (2017) Endoscopic management of a cavernous malformation on the floor of third ventricle and aqueduct of Sylvius: technical case report and review of the literature. Surg Neurol Int 8:237
Longatti P, Fiorindi A, Perin A, Martinuzzi A (2007) Endoscopic anatomy of the cerebral aqueduct. Neurosurgery 61:1–5 discussion 5-6
Feletti A, Marton E, Fiorindi A, Longatti P (2013) Neuroendoscopic aspiration of tumors in the posterior third ventricle and aqueduct lumen: a technical update. Acta Neurochir 155:1467–1473
Ishikawa T, Takeuchi K, Tsukamoto N, Kawabata T, Wakabayashi T (2018) A novel dissection method using a flexible neuroendoscope for resection of tumors around the aqueduct of Sylvius. World Neurosurg 110:391–396
Souweidane MM, Luther N (2006) Endoscopic resection of solid intraventricular brain tumors. J Neurosurg 105:271–278
Schroeder HW, Gaab MR (1999) Endoscopic aqueductoplasty: technique and results. Neurosurgery 45:508–515 discussion 515-508
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Ueno, K., Nonaka, M., Isozaki, H. et al. Resection of a recurrent medulloblastoma in the anterior middle part of the aqueduct with a flexible endoscope: a case report. Childs Nerv Syst 37, 665–669 (2021). https://doi.org/10.1007/s00381-020-04799-w
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DOI: https://doi.org/10.1007/s00381-020-04799-w