Intracranial intraventricular tumors: long-term surgical outcome of 25 patients

Sayyahmelli, Sima; Baran, Oğuz; Uğurlar, Doğa; Kemerdere, Rahşan; Antar, Veysel; Tanrıverdi, Taner

doi:10.3906/sag-1509-119

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…In line with other studies, headache was the most common symptom in our population. [5,20,21] However, visual deficit occurred in 65%, which is higher than that reported by other studies (17-32%), [2,7,22], which together with the long duration of symptoms (median 11 months) may reveal that our patients seek medical help at an advanced stage of the disease, resulting from the evident shortcomings in diagnostic resource capacity and the patient's lack of economic resources. Hence, many patients will not undergo diagnostic workups at a rather late stage of the disease.…”

Section: Discussionmentioning

confidence: 75%

“…[3,4] Signs and symptoms commonly occur secondary to obstruction of the normal cerebrospinal fluid (CSF) flow and expansion of the intraventricular mass. [2,3,5,6,7] According to published series and reviews, age and location emerge as pivotal factors in unraveling the mysteries surrounding the diagnosis of IVT. [1,3,8,9,10] In the pediatric population, common brain tumors include medulloblastomas, pilocytic astrocytomas, ependymomas, and choroid plexus papillomas.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Outcome of Intraventricular Tumors; A Retrospective Single Center Study in Addis Ababa, Ethiopia

Bogale Megerssa,

Mahesparan

2024

SVOANE

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Background: Intraventricular tumors (IVT) are rare clinical entities; surgical resection remains challenging for neurosurgeons. Knowledge about the surgical outcome of these tumors in resource-limited settings is scarce. The study aims to do quality control of surgical management of IVT in a single neurosurgical center in Ethiopia. Methods: This study employed a hospital-based retrospective review of 40 patients who underwent surgical treatment for intraventricular tumors (IVT) at Tikur Anbesa Specialized Hospital between January 2015 and December 2020. Descriptive statistics used to evaluate the clinical presentation, imaging, histology, surgical approach, complications, mortality, overall survival and risk factors for poor outcome. Results: The median age was 19 years (range: 1-52 years). Headache was the most common presenting symptom (95%), followed by visual disturbance (65%). Supratentorial tumors accounted for 52.5% of cases, with medulloblastomas being the most frequent subtype (n=11). The overall complication rate was 52.5%, with hydrocephalus (40%) and infections (25%) being the most common postoperative complications. The 30-day operative mortality rate was 27.5%. Risk factors for complications and mortality included infratentorial tumor location, subtotal resection, EVD insertion, and longer ICU stay. Postoperative hydrocephalus independently predicted operative mortality. Conclusion: This study reveals higher complication and mortality rates for Intraventricular tumor (IVT) surgeries, especially for infratentorial tumors. Limited resources and experience contribute to these concerning outcomes. Postoperative hydrocephalus is identified as an independent risk factor for 30-day mortality. The findings highlight the challenges of managing IVT surgically in resource-limited settings, emphasizing the need for serious consideration and proper management to achieve better outcomes.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Surgical Outcome of Intraventricular Tumors; A Retrospective Single Center Study in Addis Ababa, Ethiopia

Bogale Megerssa,

Mahesparan

2024

SVOANE

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“…14 The most common presentation, generally occurs after the tumor grows signi cantly, includes signs of hydrocephalus and increased intracranial pressure, as the neoplasm can obstruct CSF movement and may require further intervention via a VP shunt. 15 A majority of the case reports describe the location of the tumor to be in the lateral ventricle or the body of the corpus collosum. The reports do not describe any CSF dissemination where the tumor metastasizes to the spine via CSF.…”

Section: Discussionmentioning

confidence: 99%

Lateral Intraventricular Glioblastoma Multiforme – Case Report

Patel

Ayer

2022

Preprint

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Background: Although glioblastoma multiforme is the most common malignant primary brain tumor, it rarely presents in the intraventricular region(s) of the brain. Case presentation: We report a unique case of intraventricular glioblastoma multiforme in a 62-year-old Hispanic female, distinguished by her lack of substantial tumor recurrence. Conclusions: Our report suggests the importance of understanding management and treatment of intraventricular glioblastoma multiforme in neurosurgical patients. In addition, our study emphasizes the importance of treating intraventricular glioblastoma multiforme in patients, as survival rates and post-operative quality of life can results in improved function.

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“…The lateral ventricle, is a paired C-shaped structure located deep within the cerebral hemispheres ( 1 , 2 ). Lateral ventricular tumors, accounting for less than 1% of intracranial neoplasms, mostly exhibit slow growth ( 3 , 4 ). Early diagnosis and complete resection of these tumors hold the potential for clinical cure.…”

Section: Introductionmentioning

confidence: 99%

Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery

Yan,

Mao,

Yao

et al. 2023

Front. Oncol.

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ObjectiveThe objective of this study was to investigate the clinical experience and therapeutic efficiency of Endoport-assisted neuroendoscopic surgery for resection of lateral ventricular tumors. The key points and application value of this surgical technique were additionally discussed.MethodsA retrospective analysis was conducted on the clinical and follow-up data of 16 patients who underwent endoport-assisted neuroendoscopic surgery for lateral ventricular tumors at the Department of Neurosurgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, between January 2018 and September 2020. The surgical procedures, complications and outcomes were analyzed.ResultsThe study included a total of 16 patients (5 males and 11 females) with lateral ventricular tumors, with a mean age of 43.2 years (18-70 years old). The tumors were distributed as follows: 5 cases involved the body of the lateral ventricle, 3 involved the frontal horn and body, 3 involved the occipital horn, 2 involved the trigone, 2 involved the frontal horn, and 1 case involved the occipital horn and body. Perioperative complications were analyzed, revealing 1 case of intraoperative acute epidural hematoma intraoperative and 2 cases of postoperative obstructive hydrocephalus. All complications were promptly managed. Postoperative MRI revealed that 14 cases (88%) achieved total resection, while 2 cases (12%) achieved subtotal resection. During the follow-up of 6-38 months, no recurrence was observed. The patient diagnosed with glioblastoma died 16 months after surgery (GOS=1), while the remaining patients have successfully resumed to normal daily life with a GOS score of 5.ConclusionIn conclusion, endoport-assisted neuroendoscopic surgery proved to be a minimally invasive and effective technique for resecting lateral ventricular tumors, with acceptable complications. It effectively utilizes the benefits of close observation, comprehensive exposure, and reduced tissue damage. Therefore, endoport-assisted neuroendoscopic surgery is suitable for the resection of lateral ventricular tumors.

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Intracranial intraventricular tumors: long-term surgical outcome of 25 patients

Cited by 5 publications

References 12 publications

Surgical Outcome of Intraventricular Tumors; A Retrospective Single Center Study in Addis Ababa, Ethiopia

Surgical Outcome of Intraventricular Tumors; A Retrospective Single Center Study in Addis Ababa, Ethiopia

Lateral Intraventricular Glioblastoma Multiforme – Case Report

Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery

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