Endoscopic ultrasonic aspiration as alternative to more invasive surgery in initial management of optic pathway gliomas in children

Spennato, Pietro; Rosa, Andrea De; Meccariello, Giulia; Quaglietta, Lucia; Imperato, Alessia; Scala, Maria Rosaria; Russo, Carmela; Cinalli, Giuseppe

doi:10.1007/s00381-022-05515-6

Cited by 10 publications

(23 citation statements)

References 18 publications

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“…This finally resulted in nine studies, which we included in the analysis (Fig. 2) [2,[14][15][16][17][18][19][20][21]. These studies consisted of 6 case series [2,15,[18][19][20][21] and three case reports [14,16,17].…”

Section: Resultsmentioning

confidence: 99%

“…2) [2,[14][15][16][17][18][19][20][21]. These studies consisted of 6 case series [2,15,[18][19][20][21] and three case reports [14,16,17]. A total of 40 patients were analyzed in the included studies, of whom 19 (47.5%) were children (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Of the nine studies, seven (77.8%) reported on the extent of resection [14,15,[17][18][19][20][21] (Table 1). Information about the EOR was available in 38 (95%) patients.…”

Section: Extent Of Resectionmentioning

confidence: 99%

“…No. of patients PE (%) GTR/NTR (%) Clinical outcome Ns/I/W (%) Morbidity (%) † Surgery-related mortality (%) Rec (%) FU (m) 20 8 50 ‡ 100 50/50/0 50 0 0 15.9 ± 6.3 Tirado et al 15 3 100 66.7 0/50/0 0 0 NA NA Oertel et al 2 1* 100 NA NA 0 0 NA NA Desse et al 16 1 100 NA --100 -2.9 Selvanathan et al 14 [16,17,[19][20][21]. Of the 40 tumors resected by NUA, the most frequent were colloidal cysts (17.5%), pilocytic astrocytomas (12.5%), subependymal giant cell astrocytomas (SEGA) (7.5%), subependymomas (7.5%), and craniopharyngiomas (7.5%) (Table 2).…”

Section: Referencesmentioning

confidence: 99%

“…In all included studies, the use of the NUA from Söring (Endoscopic Neurosurgical Pen, Söring GmbH, Quickborn, Germany) was described [2,[14][15][16][17][18][19][20][21]. Eight studies (88.9%) described the endoscope used and six studies (66.7%) reported their endoscopes' angulation [2,[15][16][17][18][19][20][21]. Most frequently (77.5%), the Gaab rigid endoscope (Karl Storz GmbH, Tuttlingen, Germany) was used.…”

Section: Technical Aspectsmentioning

confidence: 99%

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Resection of brain lesions with a neuroendoscopic ultrasonic aspirator — a systematic literature review

et al. 2022

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The development of minimally invasive neuroendoscopy has advanced in recent years. The introduction of the neuroendoscopic ultrasonic aspirator (NUA) increased the treatment spectrum of neuroendoscopy. This review aimed to present a systematic overview of the extent of resection, lesion characteristics, technical aspects, complications, and clinical outcomes related to using the NUA. Articles were identified by searching the PubMed/Medline, Embase, and Web of Science database through June 2022 with restriction to the last 20 years. We included case series, case reports, clinical trials, controlled clinical trials, meta-analyses, randomized controlled trials, reviews, and systematic reviews written in English. Studies reporting on endonasal approach or hematoma evacuation using the NUA were excluded. The references of the identified studies were reviewed as well. Nine full-text articles were included in the analysis, with a total of 40 patients who underwent surgery for a brain tumor using NUA. The most common underlying pathology treated by NUA was colloid cyst (17.5%), pilocytic astrocytoma (12.5%), subependymal giant cell astrocytoma (7.5%), subependymoma (7.5%), and craniopharyngioma (7.5%). Complete or near-total resection was achieved in 62.5%. The most frequently reported postoperative complication was secondary hydrocephalus (10%), meningitis/-encephalitis (7.5%), cognitive impairment (7.5%), and subdural hygroma (7.5%). In one case (2.5%), surgery-related death occurred due to a severe course of meningoencephalitis. According to the preliminary data, NUA seems to be a safe and efficient minimally invasive alternative to conventional microscopic resection of brain tumors. Further studies to investigate advantages and disadvantages of using the NUA are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Of the nine studies, seven (77.8%) reported on the extent of resection [14,15,[17][18][19][20][21] (Table 1). Information about the EOR was available in 38 (95%) patients.…”

Section: Extent Of Resectionmentioning

confidence: 99%