Neurosurgical Review

, Volume 6, Issue 2, pp 67–70 | Cite as

Removal of intraponto-mesencephalic spongioblastoma

  • W. Entzian
Article

Summary

Excision of a circumscribed spongioblastoma with intrapontine-intramesencephalic extension was performed via the floor of the fourth ventricle in two girls 14 and 5 years of age. The preoperative neurological deficits (severe hemiparesis, cerebellar, and sixth and seventh cranial nerve disturbances) showed slow but continuous improvement to a satisfying neurological condition, if compared with the preoperative state. The indication for this microsurgical procedure is supported by findings, that indicate the tumour to be benign:

  1. (1)

    a long history,

     
  2. (2)

    a well circumscribed tumour including a cyst, as seen on CT, and

     
  3. (3)

    a localized protrusion of the floor of the fourth ventricle on ventriculography.

     

Keywords

Spongioblastoma of the brain stem total excision report on two succesful cases 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lassiter, K. R. L., E. Alexander Jr., C. H. Davis and D. L. Kelly Jr.: Surgical treatment of brain stem gliomas. J. Neurosurg. 34 (1971) 719–725.Google Scholar
  2. 2.
    Lassmann, L. P.: Tumours of the pons and medulla oblongata. In: Hand. Clin. Neurol. 17 (1974) 693–706, ed. by Vinken, J. P. and G. W. Bruyn, North Holland Publish. Comp., Amsterdam.Google Scholar
  3. 3.
    Pendls, G. and W. Koos: Microsurgery of brainstem tumours in childhood and adolescence: A review of past experience. Advances Neurosurg. 8 (1980) 403–408.Google Scholar
  4. 4.
    Matson, D. D.: Surgery of posterior fossa tumors in childhood. Clin. Neurosurg. 15 (1968) 247–264.Google Scholar
  5. 5.
    Pool, J. L.: Gliomas in the region of the brain stem. J. Neurosurg. 29 (1968) 164–167.Google Scholar

Copyright information

© Verlag Walter de Gruyter & Co. 1983

Authors and Affiliations

  • W. Entzian
    • 1
  1. 1.Neurochirurgische UniversitätsklinikBonnFederal Republic of Germany

Personalised recommendations