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15 Intraventricular Approaches

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Endoscopic and Keyhole Cranial Base Surgery

Abstract

Intraventricular neuroendoscopy has become an important tool in the armamentarium of the neurosurgeon dealing with complex lesions within the ventricular system. Endoscopic approaches are useful for obtaining tissue samples for histopathological analysis, diverting CSF in complex hydrocephalus, and for the complete excision of ventricular tumors. Knowledge of intraventricular anatomy is crucial to minimize complications and plan surgical approaches effectively. The use of ancillary technology like stereotactic frameless neuronavigation can increase accuracy and minimize complications. Although larger ventricles are easier to navigate, normal or small ventricles are not a contraindication for an endoscopic approach.

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References

  1. Yaşargil MG, Abdulrauf SI. Surgery of intraventricular tumors. Neurosurgery. 2008;62(6 Suppl 3):1029–40. –discussion1040–1.

    PubMed  Google Scholar 

  2. Anderson RC, Ghatan S, Feldstein NA. Surgical approaches to tumors of the lateral ventricle. Neurosurg Clin N Am. 2003;14(4):509–25.

    Article  Google Scholar 

  3. Lozier AP, Bruce JN. Surgical approaches to posterior third ventricular tumors. Neurosurg Clin N Am. 2003;14(4):527–45.

    Article  Google Scholar 

  4. Decq P, Schroeder HWS, Fritsch M, Cappabianca P. A history of ventricular neuroendoscopy. WNEU. Elsevier Inc. 2013;79(S):S14.e1–6.

    Google Scholar 

  5. Abbott R. History of neuroendoscopy. Neurosurg Clin N Am. 2004;15(1):1–7.

    Article  Google Scholar 

  6. Schmitt PJ, Jane JA. A lesson in history: the evolution of endoscopic third ventriculostomy. Neurosurg Focus. 2012;33(2):E11.

    Article  Google Scholar 

  7. Cappabianca P, Cinalli G, Gangemi M, Brunori A, Cavallo LM, de Divitiis E, et al. Application of neuroendoscopy to intraventricular lesions. Neurosurgery. 2008;62(Suppl 2(Supplement 2)):575–97. –discussion:597–8.

    Article  Google Scholar 

  8. Souweidane MM. Endoscopic management of pediatric brain tumors. Neurosurg Focus. 2005;18(6A):E1.

    Article  Google Scholar 

  9. Souweidane MM, Luther N. Endoscopic resection of solid intraventricular brain tumors. J Neurosurg. 2006;105(2):271–8.

    Article  Google Scholar 

  10. Badie B, Brooks N, Souweidane MM. Endoscopic and minimally invasive microsurgical approaches for treating brain tumor patients. J Neuro-Oncol. 2004;69(1-3):209–19.

    Article  Google Scholar 

  11. Luther N, Edgar MA, Dunkel IJ, Souweidane MM. Correlation of endoscopic biopsy with tumor marker status in primary intracranial germ cell tumors. J Neuro-Oncol. 2006;79(1):45–50.

    Article  Google Scholar 

  12. Santos MM, Souweidane MM. Purely endoscopic resection of a choroid plexus papilloma of the third ventricle: case report. J Neurosurg Pediatr. 2015;16(1):54–7.

    Article  Google Scholar 

  13. Margetis K, Souweidane MM. Endoscopic treatment of intraventricular cystic tumors. WNEU. Elsevier Inc. 2013;79(S):S19.e1–S19.e11.

    Google Scholar 

  14. Margetis K, Christos PJ, Souweidane M. Endoscopic resection of incidental colloid cysts. J Neurosurg. 2014;120(6):1259–67.

    Article  Google Scholar 

  15. Cinalli G. Endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurg Rev. 2004;28:1–34.

    Google Scholar 

  16. Lewis AI, Keiper GL, Crone KR. Endoscopic treatment of loculated hydrocephalus. J Neurosurg. 1995;82(5):780–5.

    Article  CAS  Google Scholar 

  17. Fritsch MJ, Mehdorn M. Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age. Pediatr Neurosurg. 2002;36(4):183–8.

    Article  Google Scholar 

  18. Nowosławska E, Polis L, Kaniewska D, Mikołajczyk W, Krawczyk J, Szymanski W, et al. Effectiveness of neuroendoscopic procedures in the treatment of complex compartmentalized hydrocephalus in children. Childs Nerv Syst. 2003;19(9):659–65.

    Article  Google Scholar 

  19. Greenfield JP, Souweidane MM. Endoscopic management of intracranial cysts. Neurosurg Focus. 2005;19(6):E7.

    Article  Google Scholar 

  20. Lekovic GP, Gonzalez LF, Feiz-Erfan I, Rekate HL. Endoscopic resection of hypothalamic hamartoma using a novel variable aspiration tissue resector. Neurosurgery. 2006;58(1 Suppl):ONS166–9. –discussionONS166–9.

    PubMed  Google Scholar 

  21. Morgenstern PF, Osbun N, Schwartz TH, Greenfield JP, Tsiouris AJ, Souweidane MM. Pineal region tumors: an optimal approach for simultaneous endoscopic third ventriculostomy and biopsy. Neurosurg Focus. 2011;30(4):E3.

    Article  Google Scholar 

  22. Rhoton AL. The lateral and third ventricles. Neurosurgery. 2002;51(4 Suppl):S207–71.

    PubMed  Google Scholar 

  23. Kucukyuruk B, Richardson RM, Wen HT, Fernandez-Miranda JC, Rhoton AL. Microsurgical anatomy of the temporal lobe and its implications on temporal lobe epilepsy surgery. Epilepsy Res Treat. 2012;2012(5):1–17.

    Google Scholar 

  24. Souweidane MM. Endoscopic surgery for Intraventricular brain tumors in patients without hydrocephalus. Operat Neurosurg. 2005;57:312–8.

    Article  Google Scholar 

  25. Yamamoto M, Oka K, Takasugi S, Hachisuka S, Miyake E, Tomonaga M. Flexible neuroendoscopy for percutaneous treatment of Intraventricular lesions in the absence of hydrocephalus. © Georg Thieme Verlag Stuttgart, New York. Minim Invasive Neurosurg. 1997;40(4):139–43.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. New York Presbyterian, Department of Neurological Surgery, Weill-Cornell Medical College, New York, NY, USA

    Rafael Uribe-Cardenas

  2. Department of Neurological Surgery, New York-Presbyterian/Weill Cornell Medical Center, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, USA

    Mark M. Souweidane

Authors
  1. Rafael Uribe-Cardenas
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  2. Mark M. Souweidane
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Corresponding author

Correspondence to Mark M. Souweidane .

Editor information

Editors and Affiliations

  1. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    James J. Evans

  2. Pituitary and Cranial Base Surgery, Department of Neurosurgery, Albany Medical Center, Albany, NY, USA

    Tyler J. Kenning

  3. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    Christopher Farrell

  4. Skull Base, Pituitary and Cerebrovascular Surgery Department of Neurosurgery, Cleveland Clinic, Cleveland, OH, USA

    Varun R. Kshettry

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Uribe-Cardenas, R., Souweidane, M.M. (2019). 15 Intraventricular Approaches. In: Evans, J., Kenning, T., Farrell, C., Kshettry, V. (eds) Endoscopic and Keyhole Cranial Base Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-64379-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-64379-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64378-6

  • Online ISBN: 978-3-319-64379-3

  • eBook Packages: MedicineMedicine (R0)

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