Two-stage treatment of a tectal ganglioglioma: Endoscopic third ventriculostomy followed by surgical resection

Tumours of the quadrigeminal plate in adults are usually benign. Nevertheless, obstructive hydrocephalus due to compression of the Sylvian aqueduct is an almost invariable early finding. Whether or not direct excision is undertaken, temporary or permanent treatment of the hydrocephalus is warranted....

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Bibliographic Details
Published in:Journal of clinical neuroscience 2006-11, Vol.13 (9), p.963-965
Main Authors: Cultrera, F., Guiducci, G., Nasi, M.T., Paioli, G., Frattarelli, M.
Format: Article
Language:English
Subjects:
Adult
Brain Stem Neoplasms - complications
Brain Stem Neoplasms - pathology
Brain Stem Neoplasms - surgery
Cerebral Aqueduct - pathology
Cerebral Aqueduct - physiopathology
Decompression, Surgical - methods
Endoscopy - methods
Ganglioglioma - complications
Ganglioglioma - pathology
Ganglioglioma - surgery
Humans
Hydrocephalus
Hydrocephalus - pathology
Hydrocephalus - physiopathology
Hydrocephalus - surgery
Magnetic Resonance Imaging
Male
Neuroendoscopy
Shunt
Surgery
Tectal tumours
Tectum Mesencephali - pathology
Tectum Mesencephali - physiopathology
Tectum Mesencephali - surgery
Third Ventricle - pathology
Third Ventricle - physiopathology
Third Ventricle - surgery
Treatment Outcome
Ventriculostomy - instrumentation
Ventriculostomy - methods
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Summary:Tumours of the quadrigeminal plate in adults are usually benign. Nevertheless, obstructive hydrocephalus due to compression of the Sylvian aqueduct is an almost invariable early finding. Whether or not direct excision is undertaken, temporary or permanent treatment of the hydrocephalus is warranted. Endoscopic third ventriculostomy is an alternative to insertion of a shunt and provides both acute and long-term relief of hydrocephalus-related symptoms. We chose a two-stage approach for treating a tectal ganglioglioma in an adult: endoscopic third ventriculostomy followed by surgical excision. The advantages and disadvantages of each therapeutic strategy are discussed.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2005.09.011