Skip to main content

Intracranial Tumors: Treatment with Endoscopic Neurosurgery

  • Chapter
  • First Online:
Tumors of the Central Nervous System, Volume 12

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 12))

Abstract

Neuroendoscopy is presently a routine procedure in most neurosurgical services. It was originally developed to deal with obstructive hydrocephalus, but modern technical advancements have made possible to face also other neurological diseases including brain tumors. Presently, small endoscopes with exquisite detail visualization, high resolution screens, 3D cameras, dedicated ultrasonic aspirators and laser beams offer therapeutic options which could be just dreamed a few years ago. The friendly interface with image-guided systems further improves the technique. Nowadays, the golden standard treatment of ventricular tumors includes biopsy under endoscopic control and (if necessary) treatment of the associated hydrocephalus during the same procedure. Endoscopic biopsy may be followed (if indicated) by traditional microsurgery, but it may also remain the only surgical procedure needed since several midline tumors either do not require surgical excision or may be managed by radiosurgery, chemotherapy, and/or radiation-therapy. Another endoscopic option is the fenestration/aspiration of cystic space occupying lesions. This technique may result very useful in selected cases of craniopharyngioma, metastases, abscesses and cystic tumors in general. This treatment aims to the endoscopic cyst shrinkage followed by radiosurgery or other adjunctive therapies. Moreover, there are particular expansive lesions which may be even endoscopically excised. This is especially the case of 3rd ventricle colloid cysts, for which endoscopy has become the first choice treatment in a lot of neurosurgical units. Finally, most CSF-cysts (arachnoid, choroid, ependymal, post-surgical, post-hemorrhagic) may be endoscopically treated thus avoiding open surgery or cysto-peritoneal shunting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Barajas MA, Ramírez Guzmán G, Rodríguez Vázquez C, Toledo Buenrostro V, Velásquez Santana H, del Robles RV, Cuevas Solórzano A, Rodríguez Hernández G (2002) Multimodal management of craniopharyngiomas: neuroendoscopy, microsurgery, and radiosurgery. J Neurosurg 97(5 Suppl):607–609

    PubMed  Google Scholar 

  • Boogaarts HD, Decq P, Grotenhuis JA, Le Guerinel C, Nseir R, Jarraya B, Djindjian M, Beems T (2011) Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: a series of 90 cases. Neurosurgery 68:179–187

    Article  PubMed  Google Scholar 

  • Depreitere B, Dasi N, Rutka J, Dirks P, Drake J (2007) Endoscopic biopsy for intraventricular tumors in children. J Neurosurg 106(5 Suppl Pediatrics):340–346

    PubMed  Google Scholar 

  • Fukushima T (1978) Endoscopic biopsy of intraventricular tumors with the use of a ventriculofiberscope. Neurosurgery 2:110–113

    Article  CAS  PubMed  Google Scholar 

  • Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F (2011) Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr 8:158–164

    Article  PubMed  Google Scholar 

  • Greenlee JDW, Teo C, Ghahreman A, Kwok B (2008) Purely endoscopic resection of colloid cysts. Neurosurgery 62(ONS Suppl 1):ONS51–ONS56

    Article  Google Scholar 

  • Hadjipanayis CG, Kondziolka D, Gardner P, Niranjan A, Dagam S, Flickinger JC, Lunsford LD (2002) Stereotactic radiosurgery for pilocytic astrocytomas when multimodal therapy is necessary. J Neurosurg 97:56–64

    Article  PubMed  Google Scholar 

  • Hellwig D, Bauer BL, Schulte M, Gatscher S, Riegel T, Bertalanffy H (2003) Neuroendoscopic treatment for colloid cysts of the third ventricle: the experience of a decade. Neurosurgery 52:525–533

    Article  PubMed  Google Scholar 

  • Joki T, Oi S, Babapour B, Kaito N, Ohashi K, Ebara M, Kato M, Abe T (2002) Neuroendoscopic placement of Ommaya reservoir into a cystic craniopharyngioma. Childs Nerv Syst 18:629–633

    Article  PubMed  Google Scholar 

  • Levine NB, Miller MN, Crone KR (2007) Endoscopic resection of colloid cysts: indications, technique, and results during a 13-year period. Minim Invasive Neurosurg 50:313–317

    Article  CAS  PubMed  Google Scholar 

  • Longatti P, Godano U, Gangemi M, Delitala A, Morace E, Genitori L, Alafaci C, Benvenuti L, Brunori A, Cereda C, Cipri S, Fiorindi A, Giordano F, Mascari C, Oppido PA, Perin A, Tripodi M (2006a) Cooperative study by the Italian neuroendoscopy group on the treatment of 61 colloid cysts. Childs Nerv Syst 22:1263–1267

    Article  CAS  PubMed  Google Scholar 

  • Longatti P, Perin A, Ettorre F, Fiorindi A, Baratto V (2006b) Endoscopic treatment of brain abscesses. Childs Nerv Syst 22:1447–1450

    Article  CAS  PubMed  Google Scholar 

  • Luther N, Cohen A, Souweidane MM (2005) Hemorrhagic sequelae from intracranial neuroendoscopic procedures for intraventricular tumors. Neurosurg Focus 19:E9

    Article  PubMed  Google Scholar 

  • Macarthur DC, Buxton N, Punt J, Vloeberghs M, Robertson IJ (2002) The role of neuroendoscopy in the management of brain tumors. Br J Neurosurg 16:465–470

    Article  CAS  PubMed  Google Scholar 

  • Mathiesen T, Grane P, Lindgren L, Lindquist C (1997) Third ventricle colloid cysts: a consecutive 12-year series. J Neurosurg 86:5–12

    Article  CAS  PubMed  Google Scholar 

  • Miki T, Nakajima N, Akimoto J, Wada J, Haraoka J (2008) Neuroendoscopic trans-third ventricle approach for lesions of the ventral brainstem surface. Minim Invasive Neurosurg 51:313–318

    Article  CAS  PubMed  Google Scholar 

  • Nicolato A, Foroni R, Rosta L, Gerosa M, Bricolo A (2004) Multimodality stereotactic approach to the treatment of cystic craniopharyngiomas. Minim Invasive Neurosurg 47:32–40

    Article  CAS  PubMed  Google Scholar 

  • Oertel JMK, Wagner W, Mondorf Y, Baldauf J, Schroeder HDS, Gaab MR (2010) Endoscopic treatment of arachnoid cysts: a detailed account of surgical techniques and results. Neurosurgery 67:824–836

    Article  PubMed  Google Scholar 

  • Oppido PA, Fiorindi A, Benvenuti L, Cattani F, Cipri S, Gangemi M, Godano U, Longatti P, Mascari C, Morace E, Tosatto L (2011) Neuroendoscopic biopsy of ventricular tumors: a multicentric experience. Neurosurg Focus 30:E2

    Article  PubMed  Google Scholar 

  • Pan L, Wang EM, Wang BJ, Zhou LF, Zhang N, Cai PW, Da JZ (1998) Gamma knife radiosurgery for hemangioblastomas. Stereotact Funct Neurosurg 70(Suppl 1):179–186

    Article  PubMed  Google Scholar 

  • Park YS, Chang JH, Park YG, Kim DS (2011) Recurrence rates after neuroendoscopic fenestration and gamma knife surgery in comparison with subtotal resection and gamma knife surgery for the treatment of cystic craniopharyngiomas. J Neurosurg 114:1360–1368

    PubMed  Google Scholar 

  • Pople IK, Athanasiou TC, Sandeman DR, Coakham HB (2001) The role of endoscopic biopsy and third ventriculostomy in the management of pineal region tumors. Br J Neurosurg 15:305–311

    Article  CAS  PubMed  Google Scholar 

  • Puget S, Garnett M, Wray A, Grill J, Habrand JL, Bodaert N, Zerah M, Bezerra M, Renier D, Pierre-Kahn A, Sainte-Rose C (2007) Pediatric craniopharyngiomas: classification and treatment according to the degree of hypothalamic involvement. J Neurosurg 106(1 Suppl):3–12

    PubMed  Google Scholar 

  • Reda WA, Hay AA, Ganz JC (2002) A planned combined stereotactic approach for cystic intracranial tumors. Report of two cases. J Neurosurg 97(5 Suppl):610–612

    PubMed  Google Scholar 

  • Sood S, Nundkumar N, Ham SD (2011) Interhemispheric endoscopic resection of large intraventricular and thalamic tumors. Technical note. J Neurosurg Pediatr 7:596–599

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Souweidane MM, Luther N (2006) Endoscopic resection of solid intraventricular brain tumors. J Neurosurg 105:271–278

    Article  PubMed  Google Scholar 

  • Talamonti G, D’Aliberti G, Picano M, Debernardi A, Collice M (2011) Intracranial cysts containing cerebrospinal fluid-like fluid: results of endoscopic neurosurgery in a series of 64 consecutive cases. Neurosurgery 68:788–803

    Article  PubMed  Google Scholar 

  • Yadav YR, Sinha M, Neha, Parihar V (2008) Endoscopic management of brain abscesses. Neurol India 56:13–16

    Article  PubMed  Google Scholar 

  • Yamini B, Refai D, Rubin CM, Frim DM (2004) Initial endoscopic management of pineal region tumors and associated hydrocephalus: clinical series and literature review. J Neurosurg 100(5 Suppl Pediatrics):437–441

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giuseppe Talamonti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Talamonti, G., D’Aliberti, G., Debernardi, A. (2014). Intracranial Tumors: Treatment with Endoscopic Neurosurgery. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 12. Tumors of the Central Nervous System, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7217-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-94-007-7217-5_19

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7216-8

  • Online ISBN: 978-94-007-7217-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics