Intraventricular vascular malformations mimicking tumors: Case reports and review of the literature

Song, Weizheng; Mao, Biming; Hu, Bifu; Liu, Yan‐Hui; Sun, Hong; Mao, Qing

doi:10.1016/j.jns.2007.08.045

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Most IVCs manifest as obstructed hydrocephalus. Convulsions are the second most common symptom [ 8 ]. Other symptoms reported are headaches, memory deficit, pituitary dysfunction, nausea, vomiting, cranial nerve deficit and focal mass effect causing neurologic deficits [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Nigri¹,

Viana²,

Ferreira-Pinto³

et al. 2018

Case Rep Neurol

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Microsurgery remains the gold standard treatment for intraventricular lesions, but it is not without limitations. The cerebral ventricles approach is considered a challenge for neurosurgeons because of their deep location and their intimate association with critical areas of the brain. It has been shown that direct endoscopic view is superior to magnetic resonance imaging (MRI) in identifying intraventricular structures and lesions. Also, during neuroendoscopy, there is no cerebrospinal fluid leak causing brain collapse as seen in microsurgery. Different surgical strategies should be shared and may improve and facilitate intraventricular lesions resection. Herein, a case of a successful microsurgical cavernoma resection with prior ventriculoscopy is described. A 28-year-old woman was admitted with intense holocranial headache. A mild stiff neck was observed. MRI showed a 3-cm lesion with heterogeneous signal intensity and no contrast enhancement suggestive of cavernoma. Initially, a ventriculoscopy was done to inspect the lesion and the surrounding ventricular structures. After that, a conversion technique from endoscopy to microsurgery was performed. The initial corticectomy was extended and the endoscope pathway was followed into the ventricular cavity. Then, the cavernoma was completely removed by microsurgical technique. No complications were observed. Control MRI showed total tumour removal. The patient remained asymptomatic with no recurrence after 1 year. This case illustrates a successful prior endoscopic approach followed by microsurgery as an alternative to a direct microsurgical approach for intraventricular cavernoma. A previous direct endoscopic view of the lesion and its relation with intraventricular structures may ensure a safe and complete resection by microsurgery.

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Section: Discussionmentioning

confidence: 99%

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Nigri¹,

Viana²,

Ferreira-Pinto³

et al. 2018

Case Rep Neurol

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“…Mostly germinomas and glial tumors 19) Germinomas; iso-to hyperintense compared to the gray matter on T 1 WIs and T 2 WIs, with avid and homogenous enhancement 19) Glial tumors; thick enhancements on T 1 WIs with periventricular hyperintensity on FLAIR 19) Metastatic tumor Nonspecific, periventricular enhancement, regular or nodular lesion 19) Intraventricular hemorrhage "Blood-CSF" level with clotted hemorrhage 20) MRI signal intensities are similar to those of intraparenchymal hemorrhage 20) Intraventricular vascular malformation Mostly cavernous malformations, arteriovenous malformations and venous malformations; obviously enhanced 21) DWI: diffusion-weighted images. T…”

Section: ：732mentioning

confidence: 99%

Pathognomonic magnetic resonance imaging (MRI) finding of fluid-fluid level in pyogenic ventriculitis: two case reports

Hatakeyama¹,

Kanazawa²,

Ishihara³

et al. 2014

Rinsho Shinkeigaku

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“…There were only two cases with an aqueductal lesion causing hydrocephalus have been reported (Song et al, 2008).…”

Section: Intraventricular Arteriovenous Malformations (Avms)mentioning

confidence: 99%

“…CT may be better than angiography in detecting angiographically occult intraventricular AVM (Song et al, 2008). AVM characteristically have high signal attenuation on CT scans and can be enhanced intensely (Fig.3).…”

Section: Ct Scanmentioning

confidence: 99%

See 1 more Smart Citation

Intraventricular Cerebrovascular Pathologies of Hydrocephalus and Managements

Şanlı¹,

Kertmen²,

Gürer³

2012

Hydrocephalus

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Intraventricular vascular malformations mimicking tumors: Case reports and review of the literature

Cited by 7 publications

References 28 publications

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Pathognomonic magnetic resonance imaging (MRI) finding of fluid-fluid level in pyogenic ventriculitis: two case reports

Intraventricular Cerebrovascular Pathologies of Hydrocephalus and Managements

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