scholarly journals Intraventricular Tumor: An Analysis of 18 Cases

2015 ◽  
Vol 31 (2) ◽  
pp. 94-101
Author(s):  
Shamsul Alam ◽  
AN Wakil Uddin ◽  
Mashiur Rahman Majumder ◽  
Md Motasimul Hasan ◽  
Anis Ahmed
Keyword(s):  
Anterior Part ◽  
Third Ventricle ◽  
Posterior Part ◽  
Foramen Of Monro ◽  
Straight Line ◽  
Intraventricular Tumors ◽  
Piecemeal Resection ◽  
Neurovascular Structures ◽  
Tumor Debulking ◽  
Transcortical Approach

Objective: To describe the transcallosal and transcortical approach to deal with intraventricular tumors. Methods: Details of the transcallosal and transcortical approach to intraventricular tumors of the lateral and third ventricles were presented. Results: Intraventricular tumors are ideal indications for microscopic neurosurgery. They often cause cerebrospinal fluid (CSF) pathway obstruction, resulting in ventricular dilatation. The general principle of removal of intraventricular tumors was interruption of the blood supply to the tumor and subsequent tumor debulking. In general, a piecemeal resection was performed; however, in some tumors such as meningioma, it was possible to detach the lesion from the surrounding brain tissue and remove it in toto. When the tumor found in the anterior part of the third ventricle, the craniotomy was done at the coronal suture. When the tumor was located in the posterior part, the entry craniotomy was selected more anteriorly in order to pass the foramen of Monro in a straight line. Conclusion: Intraventricular tumors and related CSF pathway obstructions can be safely and effectively treated with micro neurosurgical techniques, either by transcallosal or transcortical approach. The aim should be the total extraction of the tumor with minimum damage and the chosen operative corridor should optimize tumor access and the protection of vulnerable neurovascular structures. Lateral ventricle tumors can be removed via transcortical approach when having hydrocephalus which provides a wider and more direct approach to the tumor than the transcallosal one. It allows the surgeon to achieve good functional outcome and maximum excision of the tumor. Transcallosal is an excellent midline exposure with preserving the callosomerginal and pericallosal arteriesto the midline tumor of lateral and 3rd ventricles. Bangladesh Journal of Neuroscience 2015; Vol. 31 (2): 94-101

scholarly journals Intraventricular Tumor: An Analysis of 18 Cases

2016 ◽  
Vol 13 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Shamsul Alam ◽  
Abu NW Uddin ◽  
Mashiur R Majumder ◽  
Md M Hasan ◽  
Anis Ahmed
Keyword(s):  
Anterior Part ◽  
Third Ventricle ◽  
Posterior Part ◽  
Foramen Of Monro ◽  
Intraventricular Tumors ◽  
Piecemeal Resection ◽  
Neurovascular Structures ◽  
Tumor Debulking ◽  
Neurosurgical Techniques ◽  
Transcortical Approach

The main objective of this article is to describe transcallosal and transcortical approach to deal with intraventricular tumors.Details of the transcallosal and transcortical approach to intraventricular tumors of the lateral and third ventricles were presented.Intraventricular tumors are ideal indications for microscopic neurosurgery. They often cause cerebrospinal fluid (CSF) pathway obstruction, resulting in ventricular dilatation. The general principle of removal of intraventricular tumors is interruption of the blood supply to the tumor and subsequent tumor debulking. In general, a piecemeal resection was performed; however, in some tumors such as meningioma, it was possible to detach the lesion from the surrounding brain tissue and remove it in toto. When the tumor arised in the anterior part of the third ventricle, the craniotomy was made at the coronal suture. When the tumor is located in the posterior part, the entry craniotomy was selected more anteriorly in order to pass the foramen of Monro in a straight line.Intraventricular tumors and related CSF pathway obstructions can be safely and effectively treated with micro neurosurgical techniques, either by transcallosal or transcortical approach. The aim should be the total extraction of the tumor with minimum damage and the chosen operative corridor should optimize tumor access and the protection of vulnerable neurovascular structures. Lateral ventricle tumors can be removed via transcortical approach when having hydrocephalus which provides a wider and more direct approach to the tumor than the transcallosal one. It allows the surgeon to achieve good functional outcome and maximum excision of the tumor. Transcallosal is an excellent midline exposure with preserving the callosomerginal and pericallosal arteriesto the midline tumor of lateral and 3rd ventricles.Nepal Journal of Neuroscience 13:23-29, 2016

Microsurgery of the Third Ventricle: Part 1

Neurosurgery ◽  
1981 ◽  
Vol 8 (3) ◽  
pp. 334-356 ◽  
Author(s):  
Isao Yamamoto ◽  
Albert L. Rhoton ◽  
David A. Peace
Keyword(s):  
Lateral Ventricle ◽  
Anterior Part ◽  
Third Ventricle ◽  
Posterior Part ◽  
Posterior Wall ◽  
Pineal Region ◽  
Circle Of Willis ◽  
Cerebral Vein ◽  
Foramen Of Monro ◽  
3Rd Ventricle

Abstract The 3rd ventricle is one of the most surgically inaccessible areas in the brain. It is impossible to reach its cavity without incising some neural structures. Twenty-five cadaveric brains were examined in detail to evaluate the surgically important relationships of the walls of the 3rd ventricle. The routes through which the 3rd ventricle can be reached are: (a) from above, through the foramen of Monro and the roof after entering the lateral ventricle through the corpus callosum or the cerebral cortex; (b) from anterior, through the lamina terminalis; (c) from below, through the floor if it has been stretched by tumor; and (d) from posterior, through the pineal region or from the posterior part of the lateral ventricle through the crus of the fornix. The posterior part of the circle of Willis and the basilar artery are intimately related to the floor, the anterior part of the circle of Willis and the anterior cerebral and anterior communicating arteries are related to the anterior wall, and the posterior cerebral artery supplies the posterior wall. The deep cerebral venous system is intimately related to the 3rd ventricle; the internal cerebral vein is related to the roof, and the basal vein is related to the floor. The junction of these veins with the great vein forms a formidable obstacle to the operative approach to the pineal gland and the posterior part of the 3rd ventricle.

Anatomical Study of the Arachnoid Envelope Over the Pineal Region

2011 ◽  
Vol 68 (suppl_1) ◽  
pp. ons7-ons15 ◽  
Author(s):  
Qi Song-tao ◽  
Zhang Xi-an ◽  
Fan Jun ◽  
Huang Guang-long ◽  
Pan Jun ◽  
...  
Keyword(s):  
Anterior Part ◽  
Posterior Part ◽  
Anatomical Study ◽  
Pineal Region ◽  
Growth Patterns ◽  
Cerebral Veins ◽  
Vein Of Galen ◽  
Arachnoid Membrane ◽  
Pineal Tumors ◽  
Neurovascular Structures

Abstract BACKGROUND: The distribution of the arachnoid membrane and its relationship with the neurovascular structures in the pineal region are still not fully understood. OBJECTIVE: Because the arachnoid membrane has an intimate relationship with the neurovascular structures in the pineal region and it will always be encountered surgically, we attempted to clarify the formation and distribution of the arachnoid envelope over the pineal region (AEPG). METHODS: The formation and distribution of the AEPG and its relationship with the neurovascular structures in the pineal region were examined by anatomic dissection in 20 adult cadaveric formalin-fixed heads. RESULTS: The supratentorial and infratentorial outer arachnoid membranes converged at the tentorial apex and then embraced and ran forward along the vein of Galen to form the AEPG. The AEPG could be divided into 2 parts. Typically, the posterior part of the AEPG enveloped the vein of Galen and the terminal segments of its tributaries, and the anterior part of the AEPG enveloped the suprapineal recess, the pineal gland, and the distal segment of the internal cerebral veins. The compartment demarcated by the AEPG did not communicate with the adjacent subarachnoid cisterns or space. CONCLUSION: Previous knowledge about the AEPG, as well as the superior boundary and the contents of the quadrigeminal cistern, needs to be revised. The arrangement and individual variation of AEPG are important for a better understanding of the various growth patterns of the pineal tumors and the relationship between the tumor and the neurovascular structures in the pineal region.

scholarly journals Lesions at the Foramen of Monro Causing Obstructive Hydrocephalus

2021 ◽  
Author(s):  
Ashish Chugh ◽  
Sarang Gotecha ◽  
Prashant Punia ◽  
Neelesh Kanaskar
Keyword(s):  
Choroid Plexus ◽  
Intraventricular Hemorrhage ◽  
Anterior Part ◽  
Obstructive Hydrocephalus ◽  
Third Ventricle ◽  
Colloid Cyst ◽  
Subependymal Giant Cell Astrocytoma ◽  
Foramen Of Monro ◽  
The Third ◽  
Giant Cell Astrocytoma

The foramen of Monro has also been referred to by the name of interventricular foramen. The structures comprising this foramen are the anterior part of the thalamus, the fornix and the choroid plexus. Vital structures surround the foramen, the damage to which can be catastrophic leading to disability either temporary or permanent. In the literature it has been shown that tumors occurring in the area of interventricular foramen are rare and usually cause hydrocephalus. The operative approach depends upon the location of the tumor which can be either in the lateral or the third ventricle. Various pathologies which can lead to foramen of Monro obstruction and obstructive hydrocephalus include colloid cyst, craniopharyngioma, subependymal giant cell astrocytoma [SEGA], Neurocysticercosis, tuberculous meningitis, pituitary macroadenoma, neurocytoma, ventriculitis, multiseptate hydrocephalus, intraventricular hemorrhage, functionally isolated ventricles, choroid plexus tumors, subependymomas and idiopathic foramen of monro stenosis. In this chapter, we will discuss the various lesions at the level of foramen of Monro causing obstructive hydrocephalus and the management and associated complications of these lesions based on their type, clinical picture and their appearance on imaging.

scholarly journals Acute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge

2016 ◽  
Vol 41 (5) ◽  
pp. E9 ◽  
Author(s):  
Pietro Spennato ◽  
Carmela Chiaramonte ◽  
Domenico Cicala ◽  
Vittoria Donofrio ◽  
Manlio Barbarisi ◽  
...  
Keyword(s):  
Choroid Plexus ◽  
Endoscopic Surgery ◽  
External Ventricular Drain ◽  
Third Ventricle ◽  
Posterior Part ◽  
Case Series ◽  
Complete Removal ◽  
Radiological Diagnosis ◽  
Foramen Of Monro ◽  
Triventricular Hydrocephalus

OBJECTIVE Intraventricular choroid plexus cysts are unusual causes of acute hydrocephalus in children. Radiological diagnosis of intraventricular choroid plexus cysts is difficult because they have very thin walls and fluid contents similar to CSF and can go undetected on routine CT studies. METHODS This study reports the authors' experience with 5 patients affected by intraventricular cysts originating from the choroid plexus. All patients experienced acute presentation with rapid neurological deterioration, sometimes associated with hypothalamic dysfunction, and required urgent surgery. In 2 cases the symptoms were intermittent, with spontaneous remission and sudden clinical deteriorations, reflecting an intermittent obstruction of the CSF pathway. RESULTS Radiological diagnosis was difficult in these cases because a nonenhanced CT scan revealed only triventricular hydrocephalus, with slight lateral ventricle asymmetry in all cases. MRI with driven-equilibrium sequences and CT ventriculography (in 1 case) allowed the authors to accurately diagnose the intraventricular cysts that typically occupied the posterior part of the third ventricle, occluding the aqueduct and at least 1 foramen of Monro. The patients were managed by urgent implantation of an external ventricular drain in 1 case (followed by endoscopic surgery, after completing a diagnostic workup) and by urgent endoscopic surgery in 4 cases. Endoscopic surgery allowed the shrinkage and near-complete removal of the cysts in all cases. Use of neuronavigation and a laser were indispensable. All procedures were uneventful, resulting in restoration of normal neurological conditions. Long-term follow-up (> 2 years) was available for 2 patients, and no complications or recurrences occurred. CONCLUSIONS This case series emphasizes the necessity of an accurate and precise identification of the possible causes of triventricular hydrocephalus. Endoscopic surgery can be considered the ideal treatment of choroid plexus cysts in children.

Intraventricular injectable tumor model for neuroendoscopic surgery: Laboratory Study

2015 ◽  
Vol 3 (3-4) ◽  
Author(s):  
Anthony M.T. Chau ◽  
Filippo Gagliardi ◽  
Pietro Mortini ◽  
Samer K. Elbabaa ◽  
Cristian Gragnaniello
Keyword(s):  
Third Ventricle ◽  
Tumor Model ◽  
Training Model ◽  
Endoscopic Anatomy ◽  
Neuroendoscopic Surgery ◽  
Intraventricular Tumors ◽  
The One ◽  
Piecemeal Resection ◽  
Laboratory Training ◽  
Source Materials

AbstractIntraventricular tumors present difficult challenges to the neurosurgeon. Neurosurgeons have begun to explore the possibilities of the endoscope in the complete resection of solid intraventricular tumors. The learning curve is considered steep when dealing with such lesions endoscopically. The aim of this study was to develop a laboratory training model for pathological intraventricular neuroendoscopic surgery. Thirty formalin-fixated, latex-injected cadaveric heads were used. The contrast-enhancing tumor polymer, Stratathane resin ST-504 derived polymer (SRSDP), was injected into the lateral ventricle via Frazer’s point under direct endoscopic visualization and real-time fluoroscopic guidance. Neurosurgeon participants at a ventricular endoscopic course then performed an endoscopic approach to the intraventricular tumor model lesion via an ipsilateral frontal burr hole. The properties of the SRSDP mixture could be manipulated through varying concentrations of source materials in order to achieve a desired consistency and allow for piecemeal resection. Tumor could be injected into the lateral and third ventricles. The tumor model allowed participants to compare both normal and pathological endoscopic anatomy in the one specimen. Our novel injectable tumor model can assist neurosurgeons preparing themselves for the challenges associated with a piecemeal resection of a solid lesion in the lateral or third ventricle.

Fine structure of the rectal papillae of the oriental fruuit fly, Dacus dorsalis Hendel (Tephritidae, Diptera Insecta)

1990 ◽  
Vol 48 (3) ◽  
pp. 498-499
Author(s):  
Len Wen-Yung ◽  
Mei-Jung Lin
Keyword(s):  
Fine Structure ◽  
Cell Membrane ◽  
Intercellular Space ◽  
Anterior Part ◽  
Apical Cell ◽  
Posterior Part ◽  
Apical Cell Membrane ◽  
Dacus Dorsalis ◽  
Radial Cell ◽  
Circular Base

Four cone-shaped rectal papillae locate at the anterior part of the rectum in Dacus dorsalis fly. The circular base of the papilla protrudes into the haemolymph (Fig. 1,2) and the rest cone-shaped tip (Fig. 2) inserts in the rectal lumen. The base is surrounded with the cuticle (Fig. 5). The internal structure of the rectal papilla (Fig. 3) comprises of the cortex with the columnar epithelial cells and a rod-shaped medulla. Between them, there is the infundibular space and many trabeculae connect each other. Several tracheae insert into the papilla through the top of the medulla, then run into the cortical epithelium and locate in the intercellular space. The intercellular sinuses distribute in the posterior part of the rectal papilla.The cortex of the base divides into about thirty segments. Between segments there is a radial cell (Fig. 4). Under the cuticle, the apical cell membrane of the cortical epithelium is folded into a regular border of leaflets (Fig. 5).

scholarly journals The genus Gennadas (Benthesicymidae: Decapoda): morphology of copulatory characters, phylogeny and coevolution of genital structures

2017 ◽  
Vol 4 (12) ◽  
pp. 171288 ◽  
Author(s):  
Alexander L. Vereshchaka ◽  
Anastasia A. Lunina ◽  
Jørgen Olesen
Keyword(s):  
New Species ◽  
Anterior Part ◽  
Phylogenetic Analyses ◽  
Posterior Part ◽  
Key To Species ◽  
Internal Part ◽  
Species Groups ◽  
Aristaeomorpha Foliacea ◽  
External Part ◽  
Scanning Electron

Species within Gennadas differ from each other largely only in male (petasma) and female (thelycum) copulatory characters, which were restudied in scanning electron microscopy and used as a basis for phylogenetic analyses. Twenty-six petasma characters and 49 thelycum characters were identified. All 16 recognized species of Gennadas and Aristaeomorpha foliacea (outgroup) were included as terminals. Four robust monophyletic clades were retrieved, described and diagnosed as new species groups. The thelycum characters had greater impact on tree topology and supported deeper nodes than did the petasma characters. We hypothesize that features of the thelycum evolved first followed by aspects of the petasma. Relatively more conservative characters include parts of the sternites of the thelycum and of the petasma, while the scuti and protuberances on the thelycum and the shape and subdivisions of the petasma lobes are evolutionarily plastic. We identified two groups of copulatory characters, which are likely coupled functionally and interlinked evolutionarily: (i) the external part of the petasma and the posterior part of the thelycum and (ii) the internal part of the petasma and anterior part of the thelycum. We reconstruct possible mating position during copulation for each of the new species groups presented here. We also present an updated key to genera of Benthesicymidae and key to species of Gennadas .

Interacting functions of snail, twist and huckebein during the early development of germ layers in Drosophila

Development ◽  
1994 ◽  
Vol 120 (5) ◽  
pp. 1137-1150 ◽  
Author(s):  
R. Reuter ◽  
M. Leptin
Keyword(s):  
Transcription Factors ◽  
Digestive Tract ◽  
Early Development ◽  
Target Genes ◽  
Anterior Part ◽  
Posterior Part ◽  
Germ Layers ◽  
Mesoderm Development ◽  
Ventral Furrow

Two zygotic genes, snail (sna) and twist (twi), are required for mesoderm development, which begins with the formation of the ventral furrow. Both twi and sna are expressed ventrally in the blastoderm, encode transcription factors and promote the invagination of the ventral furrow by activating or repressing appropriate target genes. However, sna and twi alone do not define the position of the ventral furrow, since they are also expressed in ventral cells that do not invaginate. We show that huckebein (hkb) sets the anterior and the posterior borders of the ventral furrow, but acts by different modes of regulation. In the posterior part of the blastoderm, hkb represses the expression of sna in the endodermal primordium (which we suggest to be adjacent to the mesodermal primordium). In the anterior part, hkb antagonizes the activation of target genes by twi and sna. Here, bicoid permits the co-expression of hkb, sna and twi, which are all required for the development of the anterior digestive tract. We suggest that mesodermal fate is determined where sna and twi but not hkb are expressed. Anteriorly hkb together with sna determines endodermal fate, and hkb together with sna and twi are required for foregut development.

scholarly journals Anterior endoscopic transcortical approach to a pineal region cavernous hemangioma

2021 ◽  
Vol 5 (1) ◽  
pp. V15
Author(s):  
Jiuhong Li ◽  
Jiaojiang He ◽  
Lunxin Liu ◽  
Liangxue Zhou
Keyword(s):  
Cavernous Hemangioma ◽  
Endoscopic Third Ventriculostomy ◽  
Third Ventricle ◽  
Pineal Region ◽  
Postoperative Adhesion ◽  
Third Ventriculostomy ◽  
Back Side ◽  
Coronal Suture ◽  
The Third ◽  
Transcortical Approach

A 57-year-old female presented with headache and dizziness for 3 months. Preoperative MRI revealed a lesion located at the pineal region and back side of the third ventricle, accompanied by hydrocephalus. The infratentorial supracerebellar approach may cause visuomotor, acousticomotor, and hearing disturbances. With the patient in a supine position, the authors used a frontal linear incision that was 3 cm anterior to the coronal suture and 2 cm away from the midline and an anterior endoscopic transcortical approach, which could achieve endoscopic third ventriculostomy, alleviating and preventing hydrocephalus due to postoperative adhesion and resection of the lesion at the same time. The pathological diagnosis was cavernous hemangioma. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID215.

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