Meningioma of the third ventricle

Castillo, Reynaldo G.; Geise, August W.

doi:10.1016/0090-3019(85)90268-x

Cited by 10 publications

(10 citation statements)

References 15 publications

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“…The lateral ventricle is the first site of implantation of these tumors, than the third and the fourth ventricles'. Lateral ventricular tumors predominate on the left side, with more than 90% occurring in the region of the trigone [3,[6][7][8]. The principal clinical presentation of the IVM, is the raising intracranial pressure [3,4], concording with our 2 cases.…”

Section: Discussionsupporting

confidence: 70%

Intraventricular Meningiomas, A Rare Location for a Common Tumor: About 2 Cases

En-Nhaili¹,

Chellaoui²,

Ibahiouine³

et al. 2017

IJRRT

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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.

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Section: Discussionsupporting

confidence: 70%

Intraventricular Meningiomas, A Rare Location for a Common Tumor: About 2 Cases

En-Nhaili¹,

Chellaoui²,

Ibahiouine³

et al. 2017

IJRRT

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“…Total removal of third ventricle meningiomas can be achieved through the interhemispheric transcallosal, interhemispheric trans-lamina terminalis, or transcortical-transventricular approaches. [1][2][3]11,13,15,17,18) The transcorticaltransventricular approach requires cortical incision to reach the lateral ventricle. This approach is best used for lesions with a significant intraventricular component within the third ventricle and associated enlarged lateral ventricles.…”

Section: Discussionmentioning

confidence: 99%

Third Ventricular Meningioma -Case Report-

Wajima

Iida²,

Nishi³

2011

Neurol. Med. Chir.(Tokyo)

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A 63-year-old man presented with headache. Magnetic resonance imaging showed a mass lesion homogeneously enhanced with gadolinium, which occluded the route from the third ventricle to the aqueduct. The patient underwent surgery for removal of the tumor via the right frontal transcorticaltransventricular approach to the third ventricle via the transchoroidal route. Intraoperative diagnosis was meningioma. Total removal of the tumor was achieved in piecemeal fashion (Simpson grade 1). The histological diagnosis was meningothelial meningioma. The patient was discharged without neurological deficits. Third ventricle is a rare and difficult site to remove tumor totally. However, total removal was needed in this case of benign meningioma, so the operative strategy and the differential diagnosis before operation is considered to be very important.

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“…Most of these tumors are located much more frequently in the anterior . However, meningiomas are more commonly found posteriorly 6,9,14,17,18 . Tumor location, age of the patient and imaging characteristics can help the differential diagnosis 20 .…”

Section: Discussionmentioning

confidence: 99%

“…Those meningiomas arising in the third ventricle are rare, approximately 0,15% of all meningiomas 3,6,18 , and are usually located posteriorly in the pineal region 6,14,17 . Less commonly, third ventricle meningiomas arise in the anterior part of the third ventricle 6,15 . We report two cases with large and giant meningiomas originating in the anterior part of the third ventricle and discuss the differential diagnosis and treatment options of this rare tumor.…”

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confidence: 99%

“…The majority of intraventricular meningiomas are found in the trigone of the lateral ventricle, predominantly on the left side 4 . Those meningiomas arising in the third ventricle are rare, approximately 0,15% of all meningiomas 3,6,18 , and are usually located posteriorly in the pineal region 6,14,17 . Less commonly, third ventricle meningiomas arise in the anterior part of the third ventricle 6,15 .…”

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Anterior third ventricle meningiomas. Report of two cases

2008

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SummaryThird ventricle meningiomas are rare, representing approximately 0,15% of all meningiomas. The majority of third ventricular meningiomas are located posteriorly in the pineal region. Less commonly, they arise in the anterior part of the third ventricle. We report the cases of two patients with large and giant meningiomas originating in the anterior part of the third ventricle. KEY WORDS: Meningioma. Intraventricular tumor. Third ventricle Meningiomas del tercer ventrículo. Presentación de dos casos ResumenLos meningiomas del tercer ventrículo son raros. Representan, aproximadamente, el 0,15% de todos los meningiomas. La mayoría de los meningiomas del tercer ventrículo se localizan en la parte posterior, en la región pineal. Menos frecuentemente se originan en la parte anterior del tercer ventrículo. Presentamos los casos de dos pacientes con meningiomas grandes y gigantes, con origen en la parte anterior del tercer ventrículo.PALABRAS CLAVE: Meningioma. Tumor intraventricular. Tercer ventrículo.Meningiomas comprise 13-18% of all intracranial tumors; intraventricular meningiomas constitute 0,5-5,0% of all meningiomas 8,19,21,22 . The majority of intraventricular meningiomas are found in the trigone of the lateral ventricle, predominantly on the left side 4 . Those meningiomas arising in the third ventricle are rare, approximately 0,15% of all meningiomas 3,6,18 , and are usually located posteriorly in the pineal region 6,14,17 . Less commonly, third ventricle meningiomas arise in the anterior part of the third ventricle 6,15 . We report two cases with large and giant meningiomas originating in the anterior part of the third ventricle and discuss the differential diagnosis and treatment options of this rare tumor. Case 1A 25-year-old woman was admitted with a three month history of headache and almost three weeks of left sided weaknes. Neurological examination disclosed papilledema, 4/5 left hemiparesis, and left hemihypesthesia. Magnetic resonance (MR) imaging of the brain demonstrated an homogeneously enhancing midline mass within the third ventricle causing hydrocephalus (Figure 1 a,b). The tumor, which was adherent to the anterior portion of the third ventricle, was removed near totally via an interhemispheric transcallosal approach (Figure 2 a,b). Postoperative course was uneventful. Pathological examination revealed a psammomatous meningioma. Case 2A 25-year-old woman was admitted with a four month history of headache and diplopia on right lateral gaze, and one week of vomiting. Neurological examination disclosed only papilledema. MR imaging of the brain demonstrated an homogeneously enhancing third ventricular mass (Figure 3 a,b). A right sided transcortical transventricular approach to the third ventricle was performed. The tumor was near totally removed (Figure 4 a,b). Postoperative course was uneventful. Pathological examination revealed a meningothelial meningioma.

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Meningioma of the third ventricle

Cited by 10 publications

References 15 publications

Intraventricular Meningiomas, A Rare Location for a Common Tumor: About 2 Cases

Intraventricular Meningiomas, A Rare Location for a Common Tumor: About 2 Cases

Third Ventricular Meningioma -Case Report-

Anterior third ventricle meningiomas. Report of two cases

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