Single Burr-Hole Extended Transforaminal Approach for Concurrent Endoscopic Surgery in the Third Ventricle Posterior to the Foramen of Monro and Ventriculostomy: Clinical Series and Planning Steps

Brusius, Carlos; Bianchin, Marino Muxfeldt; Mira, Juan Marcos Suarez; Frigeri, Thomas; Krüger, Marília Sfredo; Grudtner, Mauro Cesar; Lenhardt, Rene; Maschke, Svenja; Wolfsberger, Stefan

doi:10.1016/j.wneu.2021.01.067

Cited by 7 publications

(6 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this case, the confluence of the septal and the thalamostriate vein allows us to extend the foramen lateral to the choroid plexus and medial to the thalamostriate vein, in a medial subchoroid fashion, thus reaching the posterior third of the third ventricle. 5 3:41 Expanded Transforaminal Approach. With gentle and delicate maneuvers, we can dissect the tenia choroidea in a safe manner, avoiding large tractions on the vascular nerve structures and reaching the posterior part of the third ventricle.…”

Section: Transcriptmentioning

confidence: 99%

See 1 more Smart Citation

Feasibility of extended transforaminal approach (medial subchoroid) for resection of a benign aqueductal tumor in a patient with type 1 neurofibromatosis

Narro-Donate

Guil-Ibáñez

Castelló-Ruiz

et al. 2023

Neurosurgical Focus: Video

View full text Add to dashboard Cite

The extended transforaminal endoscopic approach allows visualization and manipulation of the third ventricle posterior structures in a safe and comfortable manner. The medial subchoroidal approach has been described as a feasible alternative to the classical transchoroidal approach. In this video, the authors present the case of a 14-year-old male with a history of neurofibromatosis type 1 who was referred to our department after presenting with headaches and diplopia for 2 weeks. Suspecting an aqueduct tumor, the authors performed an endoscopic surgical procedure through a single approach with third cisternostomy and resection of the tumor that produced the stenosis. The video can be found here: https://stream.cadmore.media/r10.3171/2023.1.FOCVID22155

show abstract

Section: Transcriptmentioning

confidence: 99%

Section: Transcriptmentioning

confidence: 99%

Feasibility of extended transforaminal approach (medial subchoroid) for resection of a benign aqueductal tumor in a patient with type 1 neurofibromatosis

Narro-Donate

Guil-Ibáñez

Castelló-Ruiz

et al. 2023

Neurosurgical Focus: Video

View full text Add to dashboard Cite

show abstract

“…Успішність ендоскопічного ендоназального підходу до пухлин ІІІ шлуночка порівнянна з такою радикальної резекції, але вважається, що він пов'язаний з вищим ризиком інфекційних ускладнень (менінгоенцефаліт) та гормональних порушень (нецукровий діабет тощо) [9,11]…”

Section: рис 5 мрт головного мозку до операції (а) та через 3 міс піс...unclassified

Tumors of the lateral and third ventricles of the brain. Possibilities of endoscopic transventricular surgery. Prospects and prognosis

Palamar¹,

Huk²,

Teslenko³

et al. 2022

Ukr Neurosurg J

View full text Add to dashboard Cite

Tumors of the lateral and third ventricles of the brain are uncommon in the general population. Taking into account possible disability, expected duration and quality of life of the patient in the postoperative period, radical removal of these tumors, especially invasive ones, are debatable. Purpose: to determine the possibilities of endoscopic transventricular surgery for tumors of the lateral and third ventricles of the brain. Materials and methods. Between 2015 and 2021, 61 patients with lateral and third ventricle tumors were treated, 9 of which were primary and 52 were invasive.All patients had a preoperative Karnofsky Performance scale score ≥70 points. Preoperative neurological status: non-focal neurological symptoms were observed in all patients, central significant hemiparesis (up to 2 points) - in 5, cognitive-mnestic disorders - in 31, opto-chiasmatic syndrome - in 2. Obstructive hydrocephalus was diagnosed in all patients. All patients underwent full-endoscopic removal by frontal transcortical transventricular approach. Results. Total tumor resection (within healthy tissues) was performed in 34 patients, subtotal (up to 90%) – in 17, partial – in 10 patients. The postoperative condition according to Karnofsky Performance scale in all patients was ≥70 points. Hemiplegia was registered in 8 (13.1%) patients (sustained deficiency, hemiparesis (up to 3 points) - in 2 (1.22%) patients), hemianopsia - in 4 (6.5%) patients, short-term memory impairment - in 9 ( 14.75%), regression was observed 2–4 weeks after surgery. Thirty-seven (60.7%) patients died. The remaining patients (39.3%) are under observation. Median survival was 33 weeks (95% confidence interval (CI) 28–40 weeks). Postoperative survival in patients with glioblastoma was 15 weeks, median survival was 9.5 weeks (95% CI, 4–15 weeks). Of the patients with anaplastic astrocytoma, 13 (92.9%) patients died within 38 weeks after surgery, the median survival was 18 weeks (95% CI, 14.5–29.0 weeks), 1 (7.1%) patient was under observation. Patients with anaplastic oligodendroglioma had a median survival of 34.5 weeks (95% CI - 28-40 weeks), 15 (65.2%) patients died within 40 weeks, 8 (34.8%) patients are under observation. The difference between groups in survival was statistically significant (p<0.0001). Median survival in women was 34.5 weeks (95% CI, 29–40 weeks), in men, 28 weeks (95% CI, 18–39 weeks). There were 12 (42.9%) women and 12 (36.4%) men who survived for more than 60 weeks. No statistically significant difference was found between male and female survival rates (p=0.309). Conclusions. The ability of achieving the optimal resection volume of primary and invasive tumors of the third and lateral ventricles allows recommending the anterior endoscopic transcortical transventricular approach as an effective method of surgical treatment of these tumors. Radical endoscopic resection, as the first stage of combined treatment of patients with malignant tumors of the third and lateral ventricles, increases the patients’ life expectancy with a minimal risk of postoperative neurological complications, comparable to the life expectancy of patients with malignant tumors of supratentorial localization. To eliminate obstructive hydrocephalus and prevent the obstruction of CSF circulation in case of postoperative edema or continued growth in invasive tumors of the lateral and third ventricles, it is advisable to perform triventriculocisternostomy.

show abstract

“…Despite the rapid development of neurosurgery in the 21st century, surgery of invasive (secondary) tumors of the third ventricle, which are malignant in most cases, remains far from a solution [1][2][3][4][5][6][7][8][9]. Usually, the zone of primary growth of invasive third ventricular tumors is located in functionally important areas of the brain [2,[3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…The questions of the radical removal of these tumors [4,[7][8][9] remain debatable, taking into account the possible disability of patients [3][4][5][6][7]9], the expected duration and the postoperative quality of life [1,4,7,12].…”

Section: Introductionmentioning

confidence: 99%

Invasive tumours of third ventricle

Teslenko,

Palamar,

Huk

et al. 2022

roneuro

View full text Add to dashboard Cite

Despite the rapid development of neurosurgery in the 21st century, the invasive (secondary) tumours of the third ventricle have always presented a highly sophisticated challenge in terms of surgical treatment. The question of radical resection of these tumours remains debatable, considering the high risk associated with the possibility of disability, the expected duration and the postoperative quality of life. We conducted a retrospective study of patients with invasive third ventricular tumours that have been treated in our department from 2015 to 2020 reviewing pre-and postoperative clinical and radiological data for 21 cases. The treatment options in all 21 cases included an endoscopic frontal transcortical transventricular transforaminal-transchoroidal tumour removal, achieving gross total and subtotal resection in 86% of the interventions, followed by adjuvant treatment (radiation therapy in all cases, and chemotherapy – for high-grade tumours). An endoscopic third ventriculocisternostomy was performed in cases with partial tumour removal in order to improve the CSF flow. Neurological deficits included permanent hemiplegia – in 3 patients (15%), permanent hemianopia – in 2 patients (10%), transient short-term memory impairment – in 3 patients (15%) with regression in 2-4 weeks after surgery. There was no postoperative lethality. Maximal postoperative survival in our patients with high-grade tumours was 16 months; patients with low-grade tumours are still under supervision. Endoscopic frontal transcortical transventricular transforaminal-transchoroidal approach to resection of third ventricular tumours is an effective surgical modality, that maximizes the possible resection volume with minimal occurrence of postoperative complications, therefore can be recommended for the routine treatment of the aforementioned pathology.

show abstract

Single Burr-Hole Extended Transforaminal Approach for Concurrent Endoscopic Surgery in the Third Ventricle Posterior to the Foramen of Monro and Ventriculostomy: Clinical Series and Planning Steps

Cited by 7 publications

References 34 publications

Feasibility of extended transforaminal approach (medial subchoroid) for resection of a benign aqueductal tumor in a patient with type 1 neurofibromatosis

Feasibility of extended transforaminal approach (medial subchoroid) for resection of a benign aqueductal tumor in a patient with type 1 neurofibromatosis

Tumors of the lateral and third ventricles of the brain. Possibilities of endoscopic transventricular surgery. Prospects and prognosis

Invasive tumours of third ventricle

Contact Info

Product

Resources

About