Summary
We report on a series of 21 infants and children with tumors of the supratentorial ventricular system, all of whom were assessed by computed tomography and underwent operation using microsurgical techniques. In 7 cases the tumor was found in the 3rd ventricle, whereas the lateral ventricles were involved in the others. Surgical access to the lateral ventricles and the anterior portion of the 3rd ventricle was gained by standard intergyral cortical incision in the precentral or postcentral regions and via the foramen of Monro. The posterior portions of the lateral ventricle of the dominant hemisphere as well as the posterior part of the 3rd ventricle were exposed with minimal risk, using the occipital midsagittal supratentorial route. Following this technique, total removal of the tumors was possible in all cases without substantial postoperative morbidity. After a follow-up period of 6 months to 9 years all patients are in good or excellent neurological condition. Tumor recurrences were not encountered, although a definitive statement cannot be made in some patients with malignant lesions.
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References
Apuzzo, M. L. J., Chikovani, O. Gott, P., et al.Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences. Neurosurgery 10 (1982), 547–554.
Dandy, W. A., Benign Tumors in the Third Ventricle of the Brain: Diagnosis and Treatment. Springfield, Ill.: Ch. C Thomas. 1933.
Cossu, M., Lubinu, F., Orunesu, G., Pau, A., Sehrbundt Viale, E., Sini, M. G., Turtas, S.: Subchoroidal approach to the third ventricle. Microsurgical anatomy. Surg. Neurol. 21 (1984), 325–331.
Eresue, J., Casenave, P., Guibert Tränier, F. etal. Contribution of radiology to tumors of the third ventricle. J. Neuroradiol.10 (1983), 345–354.
Giromini, D., Pfeiffer, J., Tzonos, T., Über zwei Fälle von Ventrikelmeningeomen im Kindesalter. Neurochirurgia 24 (1981), 144–146.
Hoffman, H. H., Transcallosal approach to pineal tumors and the hospital for sick children series of pineal region tumors. In: Diagnosis and Treatment of Pineal Region Tumors (Neuwelt, E.A., ed.). Baltimore-London: Wilhams and Wilkins. 1984.
Jooma, R., Xhird ventricle choroid plexus papillomas. Childs Brain 10 (1983), 242–250.
Kazner, E., Kretzschmar, K., Computer tomographic diagnosis of CNS tumors in childhood. In: Tumors of the Central Nervous System in Infancy and Childhood (Voth, D., et al, eds.), pp. 115–121. Berhn-Heidelberg-New York: Springer. 1982.
Kazner, E., Wende, S., Grumme, Th., Lanksch, W., Stochdorph, O., Computed Tomography in Intracranial Tumors. Berhn-Heidelberg-New York: Springer. 1982.
Kempe, L. G., Blaylock, R., Lateral trigonal intraventricular tumors. A new operative approach. Acta Neurochir. 35 (1976), 233–242.
Koos, W. T., Miller, M. H., Intracranial Tumors of Infants and Children. Stuttgart: Thieme. 1971.
Krause, F., Operative Freilegung der Vierhügel, nebst Beobachtungen über Hirndruck und Dekompression. Zbl. Chir. 53 (1926), 2812–2819.
Lapras, C., Deruty, R., Bret, Ph., Tumors of the lateral ventricles. In: Advances and Technical Standards in Neurosurgery, Vol. 11 (Krayenbühl, H., et al, eds.). Wien-New York: Springer. 1984.
Maspes, P. E., Geuna, E., Resultats du traitement chirurgical de 182 cas de tumeurs du troisième ventricule. Neurochirurgie 12 (1966), 633–636.
Masson, C. B., Complete removal of two tumors of the third ventricle with complete recovery. Arch. Surg. 38 (1934), 527–537.
Matson, D. D., Neurosurgery in Infancy and Childhood. Springfield, Ill.: Ch. C Thomas. 1969.
Pecker, J., Ferrand, B., Javalet, A., Tumeurs du troisième ventricule. Neurochirurgie 12 (1966), 7–136.
Poppen, J L., The right occipital approach to a pinealoma. J. Neurosurg. 25 (1966), 706–710.
Poppen, J. L., Marino, R., Pinealomas and tumors of the posterior portion of the third ventricle. J. Neurosurg. 28 (1968), 357–365.
Probst, F. P., Erasmie, U., Nergardh, A., Brun, A., CT- appearances of brain lesions in tuberous sclerosis and their morphological basis. Ann. Radiol. 22 (1979), 171–183.
Shulman, K., Shapiro, K., Colloid cysts of the third ventricle in infancy and childhood. In: Pediatric Neurosurgery (Section of Pediatric Neurosurgery of the American Association of Neurological Surgeons, ed.), pp. 469–474. New York-London: Grune & Stratton. 1982.
Spencer, D. D., Colhns, W. F., Surgical management of lateral intraventricular tumors. In: Operative Neurosurgical Techniques, Vol. 1 (Schmidek, H. H., Sweet, W. H., eds.), pp. 561–574. New York-London: Grune & Stratton. 1982.
Stein, B. M., The infratentorial supracerebellar approach to pineal lesions. J. Neurosurg.35 (1971), 197–202.
Tsuchida, T., Kamata, K., Kawamata, M., Okada, K., Tanaka, R., Oyake, Y., Brain tumors in tuberous sclerosis. Child’s Brain 8 (1981), 271–283.
Torkildsen, A., Should extirpation be attempted in cases of neoplasm in or near the third ventricle of the brain? Experiences with a pallative method. J. Neurosurg. 5 (1948), 249–275.
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Collmann, H., Kazner, E., Sprung, C. (1985). Supratentorial Intraventricular Tumors in Childhood. In: Koos, W.T., Pendl, G. (eds) Lesions of the Cerebral Midline. Acta Neurochirurgica Supplementum, vol 35. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8813-2_11
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DOI: https://doi.org/10.1007/978-3-7091-8813-2_11
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