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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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Published in: | Journal of clinical neuroscience 2006-11, Vol.13 (9), p.963-965 |
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creator | Cultrera, F. Guiducci, G. Nasi, M.T. Paioli, G. Frattarelli, M. |
description | 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. |
doi_str_mv | 10.1016/j.jocn.2005.09.011 |
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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. 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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.</description><subject>Adult</subject><subject>Brain Stem Neoplasms - complications</subject><subject>Brain Stem Neoplasms - pathology</subject><subject>Brain Stem Neoplasms - surgery</subject><subject>Cerebral Aqueduct - pathology</subject><subject>Cerebral Aqueduct - physiopathology</subject><subject>Decompression, Surgical - methods</subject><subject>Endoscopy - methods</subject><subject>Ganglioglioma - complications</subject><subject>Ganglioglioma - pathology</subject><subject>Ganglioglioma - surgery</subject><subject>Humans</subject><subject>Hydrocephalus</subject><subject>Hydrocephalus - pathology</subject><subject>Hydrocephalus - physiopathology</subject><subject>Hydrocephalus - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Neuroendoscopy</subject><subject>Shunt</subject><subject>Surgery</subject><subject>Tectal tumours</subject><subject>Tectum Mesencephali - pathology</subject><subject>Tectum Mesencephali - physiopathology</subject><subject>Tectum Mesencephali - surgery</subject><subject>Third Ventricle - pathology</subject><subject>Third Ventricle - physiopathology</subject><subject>Third Ventricle - surgery</subject><subject>Treatment Outcome</subject><subject>Ventriculostomy - instrumentation</subject><subject>Ventriculostomy - methods</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp9kMFq3DAURUVoSSZpfyCLolV3dvUs2ZZKNyWkaSHQTboWsvQ80WBbU0lOmL-PhhnorgvxNuce0CHkFlgNDLovu3oX7FI3jLU1UzUDuCAbaHlTNV3L35ENU11ftbKTV-Q6pR1jTAnOLskVdAoEh25DlqfXUKVstkhzRJNnXDINIzU0o81moluzbCcfjm82X-n94kKyYe8tzc8-OvpSBtHbdQoph_lAxzBN4RUdHQ40rXHrbZFETMXmw_KBvB_NlPDj-d6QPz_un-5-Vo-_H37dfX-sLG9FrqwDITgHENA7O7p2aPthsINCJaXC0QwIoleiFYASJbBO9Ib3fDRCDojAb8jnk3cfw98VU9azTxanySwY1qQ7CQCqkQVsTqCNIaWIo95HP5t40MD0sbLe6WNlfaysmdKlchl9OtvXYUb3b3LOWoBvJwDLH188Rp2sx8Wi87GE0C74__nfAPc-kME</recordid><startdate>20061101</startdate><enddate>20061101</enddate><creator>Cultrera, F.</creator><creator>Guiducci, G.</creator><creator>Nasi, M.T.</creator><creator>Paioli, G.</creator><creator>Frattarelli, M.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20061101</creationdate><title>Two-stage treatment of a tectal ganglioglioma: Endoscopic third ventriculostomy followed by surgical resection</title><author>Cultrera, F. ; 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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 |
title | Two-stage treatment of a tectal ganglioglioma: Endoscopic third ventriculostomy followed by surgical resection |
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