Submit Manuscript | http://medcraveonline.com offers to the neurosurgeons the opportunity to make precisely the diagnosis, and guide their surgical approaches. Meticulous and rational planning enable complete removal of these usually benign tumors, offering permanent cure and long term survival. This paper will discuss clinical, radiological findings, and surgical management of this pathological entity, through 2 cases of IVM managed in our neurosurgery department.
First caseA 17 years old female, presented with increasing intracranial pressure syndrome, severe headache, vomiting, and papillary oedema grade1. The patient was without any sensory or motor deficit. The CT and MRI shows a huge intraventricular lesion located in the occipital Horne of the right lateral ventricle ( Figure 1). The patient underwent a ventricular shunting, and the tumor was excised in a second time. The removal was complete using a temporo parietal approach, and the post operative status was stable, with improvement of the headache. The histological exam indicates a fibroblastic meningioma (Figure 2).
Second caseA 15 years old girl, consulting for severe headache, with vomiting, and diplopia. The physical examination shows no motor or sensory deficit, and right 6 th nerve pulsy, with papillary oedema grade 2. CT and MRI show a very large intraventricular tumor, located at the right lateral ventricle (Figure 3 & 4). The patient underwent ventricular shunting, and the tumor was removed in a second time. The excision was total using a temporo parietal approach, and the post operative status was simple, with improvement of the headache. The histological exam indicates a fibroblastic meningioma too.
AbstractIntraventricular meningiomas IVM, make up 0,5-3% of all intracranial meningiomas, and represent one of the most challenging tumors in neurosurgery. Being initially asymptomatic usually attains a large size before detection. we review through 2 cases of IVM managed in our neurosurgery department, the clinical, radiological and evolutionary features of these lesions.
