Tumors of the Lateral Ventricles

Lapras, C; Deruty, R; Bret, P

doi:10.1007/978-3-7091-7015-1_5

Cited by 29 publications

(27 citation statements)

References 58 publications

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“…A posterior callosotomy sparing the splenium leads to lesions localized in the ventricular trigone 16' 2o, 24,31 The risk of injuring large bridging veins is small, because main veins are seldom encountered in the prefrontal area, as preoperative angiography and M R may show. Main veins were not affected even when the callosotomy was placed more posteriorly.…”

Section: Discussionmentioning

confidence: 99%

The transcallosal approach for lesions affecting the lateral and third ventricles

et al. 1991

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The study was carried out on a series of 42 patients who underwent surgery through a midline approach. Lesions were in the anterior part of the third ventricle in 32 cases, in the frontal horns in 6, in the trigone in 3, and in both lateral and third ventricles in 1 case. The third ventricle was approached through Monro's foramen in 22 cases and through an interfornicial route in 9 cases. Surgical mortality occurred in 2 cases (5%). Permanent morbidity occurred in another 2 cases (5%): it consisted of slight intellectual deterioration in one case and slight fixed pyramidal signs in the other. Transient mutism was the most frequently observed postoperative complication. Thirty-one patients were reviewed and submitted to neuropsychological tests in the late postoperative period to investigate the presence of intellectual deterioration or disturbances in the interhemispheric transfer of motor, somataesthetic and visual information. All patients showed only the presence of short-term memory disturbance. Furthermore, 12 patients tested before surgery also showed the presence of short-term memory deficits in the preoperative period. We conclude that a midline approach is the most direct and safe route to the third ventricle as well as to the frontal horns and trigone.

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Section: Discussionmentioning

confidence: 99%

The transcallosal approach for lesions affecting the lateral and third ventricles

et al. 1991

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“…Primary tumors are those arising from the structures within the ventricle, whereas secondary tumors are the larger group of tumors derived from adjacent structures and expanding into the ventricular cavity. Overall, tumors of the LV comprise between 0.8 and 1.6 % of all brain tumors [5, 6]. As many of the tumors arising in the LV are benign and slow growing, they are often not detected until they reach a considerable size that causes obstructive hydrocephalus or mass effect.…”

Section: Lateral Ventriclesmentioning

confidence: 99%

“…Headaches and visual changes, often related to hydrocephalus, are the most common presenting symptoms. Other symptoms include endocrine disturbance, motor and sensory deficits, nausea and vomiting, and cognitive impairment [5, 7–9]. …”

Section: Lateral Ventriclesmentioning

confidence: 99%

“…1). The aim of each of these approaches is to provide an adequate corridor to the tumor while preserving eloquent overlying neurovascular structures [5]. A careful review of the pathoanatomy from multiple planes on imaging studies, including MRI, MR angiography or venography, and occasionally digital subtraction angiography, is essential for selecting the appropriate surgical strategy [10–12].…”

Section: Lateral Ventriclesmentioning

confidence: 99%

“…FTA may provide better access to larger tumors than the IATcA in the frontal horn, but it has a limited exposure of the contralateral LV and may pose an increased risk of postoperative seizures [1, 5]. FTA requires transection of the cortex and therefore potentially carries a higher risk of postoperative neurologic decline, such as attention deficits, as compared to the limited callosotomy during the IATcA.…”

Section: Open Surgical Approaches To LVmentioning

confidence: 99%

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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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The role of Vertebral Augmentation Procedures in the management of vertebral compression fractures secondary to multiple myeloma

Eseonu

Panchmatia

Streetly

et al. 2022

Hematological Oncology

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Multiple myeloma (MM) is a systemic disorder characterised by proliferation of B‐lymphocytes and plasma cells in the bone marrow. The primary aims of the management of spinal lesions in MM are pain control and fracture stabilisation. Vertebral augmentation procedures (VAP) can be subdivided into percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP). BKP involves the placement of orthopaedic balloons into the fractured vertebral body, creating a void into which polymethylmethacrylate bone cement is injected. This review outlines the management of spinal lesions in patients with MM, with a focus on the comparative risks and efficacy of vertebroplasty (VP) and balloon kyphoplasty (BKP). Soft tissue masses in MM are highly radiosensitive. Bisphosphonates and newer oncological therapies have decreased the indications for palliative radiotherapy, while spinal bracing can be utilised in selected cases to provide stability. BKP and VP provide equivalent long term pain control after MM vertebral compression fractures (VCF). BKP is superior to non‐operative management and VP for restoration of vertebral body height and prevention of segmental kyphosis. Current evidence suggests a greater degree of correction of kyphotic deformity and restoration of mid vertebral height (MVH) with BKP when compared with VP. The literature supports the use of BKP even in the presence of posterior vertebral body wall (PVBW) fractures, a group previously considered a contraindication to VAP. Superior functional outcomes have been reported in patients undergoing early versus delayed BKP (<6–8 weeks). Current evidence supports a lower risk of cement extrusion with BKP than with VP, but serious complications following VAP are rare. MM spinal pathology should be managed in a multidisciplinary setting. Surgical decompression and instrumentation are rarely indicated, due to the radio‐sensitivity of soft tissue lesions in MM. BKP is a safe and effective procedure for VCF secondary to MM.

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Tumors of the Lateral Ventricles

Cited by 29 publications

References 58 publications

The transcallosal approach for lesions affecting the lateral and third ventricles

The transcallosal approach for lesions affecting the lateral and third ventricles

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

The role of Vertebral Augmentation Procedures in the management of vertebral compression fractures secondary to multiple myeloma

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