Central neurocytoma originating in third ventricle with expansion into the cerebral aqueduct and fourth ventricle: Case report and review of literature

2020 ◽  
Vol 66 (5) ◽  
pp. 391-395
Author(s):  
B.W. Ferrigno ◽  
R. Calafiore ◽  
K.J. Kilbourn ◽  
J. Martin ◽  
X. Song ◽  
...  
2018 ◽  
Vol 17 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Alberto Feletti ◽  
Riccardo Stanzani ◽  
Matteo Alicandri-Ciufelli ◽  
Giuliano Giliberto ◽  
Matteo Martinoni ◽  
...  

AbstractBACKGROUNDDuring surgery in the posterior fossa in the prone position, blood can sometimes fill the surgical field, due both to the less efficient venous drainage compared to the sitting position and the horizontally positioned surgical field itself. In some cases, blood clots can wedge into the cerebral aqueduct and the third ventricle, and potentially cause acute hydrocephalus during the postoperative course.OBJECTIVETo illustrate a technique that can be used in these cases: the use of a flexible scope introduced through the opened roof of the fourth ventricle with a freehand technique allows the navigation of the fourth ventricle, the cerebral aqueduct, and the third ventricle in order to explore the cerebrospinal fluid pathways and eventually aspirate blood clots and surgical debris.METHODSWe report on one patient affected by an ependymoma of the fourth ventricle, for whom we used a flexible neuroendoscope to explore and clear blood clots from the cerebral aqueduct and the third ventricle after the resection of the tumor in the prone position. Blood is aspirated with a syringe using the working channel of the scope as a sucker.RESULTSA large blood clot that was lying on the roof of the third ventricle was aspirated, setting the ventricle completely free. Other clots were aspirated from the right foramen of Monro and from the optic recess.CONCLUSIONWe describe this novel technique, which represents a safe and efficient way to clear the surgical field at the end of posterior fossa surgery in the prone position. The unusual endoscopic visual perspective and instrument maneuvers are easily handled with proper neuroendoscopic training.


2006 ◽  
Vol 108 (2) ◽  
pp. 199-204 ◽  
Author(s):  
R. Prieto ◽  
J.M. Pascual ◽  
J.M. Roda

2019 ◽  
Vol 123 ◽  
pp. 357-361 ◽  
Author(s):  
Angela M. Richardson ◽  
Valerie L. Armstrong ◽  
Joanna E. Gernsback ◽  
Sakir H. Gultekin ◽  
Ricardo J. Komotar

2017 ◽  
Vol 4 (4) ◽  
pp. 361-365
Author(s):  
Mehjabeen Marri ◽  
Iftikhar Ahmad ◽  
Khushnaseeb Ahmad ◽  
Zoonish Ashfaq

2018 ◽  
Vol 13 (1) ◽  
pp. 62 ◽  
Author(s):  
HusseinA Algahtani ◽  
AbdulhadiY Algahtani ◽  
AbdulhakimB Jamjoom ◽  
AlaaM Samkari ◽  
YousefI Marzuk

Neurosurgery ◽  
2002 ◽  
Vol 50 (6) ◽  
pp. 1365-1367
Author(s):  
Peng-Wei Hsu ◽  
Tsung-Che Hsieh ◽  
Chen-Nen Chang ◽  
Tzu-Kang Lin

Author(s):  
Lacey M. Carter ◽  
Benjamin Cornwell ◽  
Naina L. Gross

AbstractChoroid plexus cysts consist of abnormal folds of the choroid plexus that typically resolve prior to birth. Rarely, these cysts persist and may cause outflow obstruction of cerebrospinal fluid. We present a 5-month-old male born term who presented with lethargy, vomiting, and a bulging anterior fontanelle. Magnetic resonance imaging showed one large choroid plexus cyst had migrated from the right lateral ventricle through the third ventricle and cerebral aqueduct into the fourth ventricle causing outflow obstruction. The cyst was attached to the lateral ventricle choroid plexus by a pedicle. The cyst was endoscopically retrieved from the fourth ventricle intact and then fenestrated and coagulated along with several other smaller cysts. Histologic examination confirmed the mass was a choroid plexus cyst. The patient did well after surgery and did not require any cerebrospinal fluid diversion. Nine months after surgery, the patient continued to thrive with no neurological deficits. This case is the first we have found in the literature of a lateral ventricular choroid plexus cyst migrating into the fourth ventricle and the youngest of any migrating choroid plexus cyst. Only three other cases of a migrating choroid plexus cyst have been documented and those only migrated into the third ventricle. New imaging advances are making these cysts easier to identify, but may still be missed on routine sequences. High clinical suspicion for these cysts is necessary for correct treatment of this possible cause of hydrocephalus.


1990 ◽  
Vol 10 (4) ◽  
pp. 457-459 ◽  
Author(s):  
Rewati Raman Sharma ◽  
Mathew Jacob Chandy ◽  
Santosh D. Lad

2017 ◽  
Vol 33 (11) ◽  
pp. 2057-2060
Author(s):  
Ricardo Prat-Acín ◽  
Rocío Evangelista ◽  
Rebeca Conde ◽  
Angel Ayuso-Sacido ◽  
Inma Galeano

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