Primary third ventricular tumor in an 18-year-old man

2015 ◽  
Vol 35 (6) ◽  
pp. 599-602
Author(s):  
Tianping Yu ◽  
Mengni Zhang ◽  
Qiao Zhou ◽  
Jing Gong ◽  
Ling Nie ◽  
...  
2010 ◽  
Vol 6 (6) ◽  
pp. 579-582 ◽  
Author(s):  
Joshua J. Wind ◽  
Randy S. Bell ◽  
William O. Bank ◽  
John S. Myseros

The authors present the case of a 3-month-old boy with a third ventricular tumor consistent with a choroid plexus papilloma. This child presented with macrocephaly, irritability, inability to roll over, and vomiting. He was found to have an enlarged head circumference, a full and tense fontanel, splayed sutures, and forced downward gaze. Imaging revealed severe ventriculomegaly and a brightly enhancing third ventricular lesion consistent with papilloma. Treatment planning included placement of a ventriculoperitoneal shunt to treat hydrocephalus and to allow the child to grow prior to resection. Due to the vascular nature of these tumors and the age of this child, the tumor was embolized with a plan for eventual resection; however, embolization resulted in involution and total regression of the tumor. There is no residual disease at last follow-up of 16 months. In this specific scenario of a choroid plexus papilloma in an infant, when operative intervention may be technically difficult and associated with significant morbidity, embolization with close observation may be a valid treatment option. If used, the patient would need to be closely followed for evidence of residual or recurrent disease, which would require operative intervention.


2018 ◽  
Vol 79 (S 03) ◽  
pp. S251-S251
Author(s):  
Tomohiro Inoue ◽  
Hideaki Ono ◽  
Akira Tamura ◽  
Isamu Saito

AbstractWe present a 37-year-old male case of cystic suprasellar huge craniopharyngioma, who presented with significant memory disturbance due to obstructive hydrocephalus. Combined interhemispheric and pterional approach was chosen to resect huge suprasellar tumor. Interhemispheric trans-lamina terminalis approach was quite effective to resect third ventricular tumor, while pterional approach was useful to dissect tumor out of basilar perforators and stalk.The link to the video can be found at: https://youtu.be/BoYIPa96kdo.


Neurosurgery ◽  
1983 ◽  
Vol 13 (6) ◽  
pp. 699???702 ◽  
Author(s):  
B Bose ◽  
B Northrup ◽  
J Osterholm

2016 ◽  
Vol 37 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Kirti Gupta ◽  
Madhivanan Karthigeyan ◽  
Narendra Kumar ◽  
Pravin Salunke

Neurosurgery ◽  
1983 ◽  
Vol 13 (6) ◽  
pp. 699-702 ◽  
Author(s):  
Bikash Bose ◽  
Bruce Northrup ◽  
Jewell Osterholm

Abstract Giant aneurysm of the basilar artery presenting as a 3rd ventricular tumor is an unusual phenomenon. We are reporting a case in which a patient with a giant aneurysm of the basilar artery presented with symptoms of headaches and gait disturbance secondary to obstructive hydrocephalus. Although giant aneurysms presenting as mass lesions have been reported, the computed axial tomographic findings in our case were unique. Giant aneurysms of the basilar artery may be considered in the differential diagnosis of 3rd ventricular tumors.


2018 ◽  
Vol 79 (S 03) ◽  
pp. S281-S282
Author(s):  
Ihsan Dogan ◽  
Melih Ucer ◽  
Mustafa Başkaya

AbstractSuprasellar tumors in particular tumors located in the retrochiasmatic area and anterior third ventricle are challenging cases in terms of optimal surgical exposure. Several approaches have been described including transsylvian, translamina terminalis, endoscopic endonasal, and anterior interhemispheric. Each approach has advantages and disadvantages. In this video, we present a case of retrochiasmatic anterior third ventricular tumor that was operated via anterior interhemispheric transcallosal transforaminal approach. The patient is a 42-year-old female who presented with sudden onset of severe headache and depressed level of consciousness. Computed tomography (CT) scan of the head showed a hemorrhage in the third ventricle and suprasellar cisterns. CT angiogram and magnetic resonance imaging (MRI) confirmed diagnosis of hemorrhagic mass lesion in the third ventricle. Upon further questioning of her family, we found out that she was having excessive urination and short-term memory problems for last 2 weeks. First, ventriculostomy was placed for obstructive hydrocephalus. She then underwent surgical resection via anterior interhemispheric transcallosal transforaminal approach. Foramen of Monro was enlarged by performing transchoroidal dissection. Using transforaminal route, tumor was resected. Due to the narrow surgical corridor and high vascularity of the tumor, decision was made to come back at a second stage. Using same surgical approach, in the second stage, gross total resection was performed. Postoperative MRI confirmed gross total resection. Histopathology was chordoid glioma of the third ventricle. She made excellent recovery with persistent diabetes insipidus. Currently, she is completing radiation therapy. In this video, we demonstrate techniques and pitfalls of anterior interhemispheric transcallosal approach to anterior third ventricular tumor.The link to the video can be found at: https://youtu.be/CI5c6Zup8sY.


2011 ◽  
Vol 27 (3) ◽  
pp. 409 ◽  
Author(s):  
GirijaP Rath ◽  
SuryaK Dube ◽  
Nidhi Gupta ◽  
Charu Mahajan ◽  
Sandeep Sharma

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