Immediate morbidity and mortality associated with transcallosal resection of tumors of the third ventricle

Hassaneen, Wael; Suki, Dima; Salaskar, Abhijit; Levine, Nicholas B.; DeMonte, Franco; Lang, Frederick F.; McCutcheon, Ian E.; Dorai, Zeena; Feiz-Erfan, Iman; Wildrick, David M.; Sawaya, Raymond

doi:10.1016/j.jocn.2009.12.007

Cited by 23 publications

(16 citation statements)

References 32 publications

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“… 2 , 9 Furthermore, previous studies reported that preoperative seizures may occur in 3-13% of patients with intraventricular masses. 2 , 7 , 9 although we observed preoperative seizure in 17% of our cases.…”

Section: Discussioncontrasting

confidence: 57%

“…In another study that examined the clinical presentation of patients with tumors of the third ventricle, headache was noted as the chief complaint in 26 patients (68%), while memory deficits were observed in 45%, visual deficits were observed in 32%, and gait disturbances were observed in 21% of patients, respectively. 7 Milligan et al 13 reported that, among 127 patients with lesions in the lateral and third ventricles, signs and symptoms related to high ICP were noted in 85%, cognitive difficulties in 44%, weakness in 33%, seizures in 13%, and visual changes in 17%.…”

Section: Discussionmentioning

confidence: 99%

“… 11 , 12 In addition, the morbidity rate for these approaches can reach up to 70%, while mortality ranges from 0-36%. 6 , 7 , 13 In the present report, we discuss the clinical presentation, pathological diagnosis, and surgical outcome for a series of 42 consecutive patients treated for lateral and third ventricular tumors.…”

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confidence: 99%

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Tumors of the lateral and third ventricle: surgical management and outcome analysis in 42 cases

Elwatidy

Albakr

Towim

et al. 2017

NSJ

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Objectives:To discuss the clinical presentation, pathological diagnosis, and surgical outcome for a series of 42 consecutive patients treated for lateral and third ventricular tumors.Methods:This is a retrospective series study conducted between 2001 and 2015 and included 42 patients (mean age: 25 years; range: 2 months-65 years) with lateral and third ventricle tumors surgically treated at King Khaled University Hospital, Riyadh, Kingdom of Saudi Arabia. Demographic, clinical, radiological, surgical, histopathological, and follow up data were analyzed.Results:The most common symptoms at presentation included headache (69%), nausea/vomiting (38%), visual deficits (24%), and seizures (17%). Lesions were located in the lateral ventricle in 15 patients, third ventricle in 20 patients, and involved both the lateral and third ventricles in 7 patients. The most common tumor types in the overall cohort were colloid cysts (n=6) and pineal tumors (n=6). The postoperative complication rate was 36%. The most common postoperative complications were seizure and hydrocephalus (n=5 each, 12%). Surgical mortality was 5%.Conclusion:The selection of the surgical approach for intraventricular tumor resection is fundamentally dependent on the surgeon’s experience and preference. We recommend that this decision be based on the anatomic considerations that provide the best and safest access to the mass, rather than on the risk of seizure following transcortical approach.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

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Tumors of the lateral and third ventricle: surgical management and outcome analysis in 42 cases

Elwatidy

Albakr

Towim

et al. 2017

NSJ

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“…The presence of a cavum septum pellucidum is beneficial to minimize manipulation of the forniceal columns. This approach carries the risk of bilateral forniceal damage and subsequent profound memory problems [48]. The risk of bilateral forniceal damage has decreased the utilization of this approach.…”

Section: Third Ventriclementioning

confidence: 99%

Microsurgical resection of tumors of the lateral and third ventricles: operative corridors for difficult-to-reach lesions

et al. 2016

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Tumors of the lateral and third ventricles are cradled on all sides by vital vascular and eloquent neural structures. Microsurgical resection, which always requires attentive planning, plays a critical role in the contemporary management of these lesions. This article provides an overview of the open microsurgical approaches to the region highlighting key clinical perspectives.Electronic supplementary materialThe online version of this article (doi:10.1007/s11060-016-2126-9) contains supplementary material, which is available to authorized users.

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“…Increased seizure occurrence rate is related to the transcallosal interhemispheric approach, where paradoxically anatomic considerations would be conductive to that route [5]. However, a great callosal incision, coagulation of medial draining veins on routine basis and unintended pericallosal artery injury are regarded as negative aspects of transcallosal access in some reports [23,24]. In Figure 1.…”

Section: Introductionmentioning

confidence: 99%

Quantification of white matter fibre pathways disruption in frontal transcortical approach to the lateral ventricle or the interventricular foramen in diffusion tensor tractography

et al. 2014

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Immediate morbidity and mortality associated with transcallosal resection of tumors of the third ventricle

Cited by 23 publications

References 32 publications

Tumors of the lateral and third ventricle: surgical management and outcome analysis in 42 cases

Tumors of the lateral and third ventricle: surgical management and outcome analysis in 42 cases

Microsurgical resection of tumors of the lateral and third ventricles: operative corridors for difficult-to-reach lesions

Quantification of white matter fibre pathways disruption in frontal transcortical approach to the lateral ventricle or the interventricular foramen in diffusion tensor tractography

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