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Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point
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Published on: June 28, 2024

Third ventricular meningioma--case report.

Daisuke Wajima1, Junichi Iida, Noriyuki Nishi

  • 1Department of Neurosurgery, Nara Medical University School of Medicine, Kashihara, Nara, Japan. wajima@naramed-u.ac.jp

Neurologia Medico-Chirurgica
|January 29, 2011
PubMed
Summary
This summary is machine-generated.

A benign meningioma obstructing the third ventricle was successfully removed via a transchoroidal approach. Complete tumor resection was achieved, leading to the patient

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Area of Science:

  • Neurosurgery
  • Neuropathology

Background:

  • Third ventricle tumors are rare and challenging surgical targets.
  • Meningiomas can occur in the third ventricle, necessitating careful surgical planning.

Observation:

  • A 63-year-old male presented with headache due to a gadolinium-enhancing mass occluding the third ventricle.
  • Magnetic resonance imaging (MRI) revealed the lesion's location and obstructive nature.

Findings:

  • Surgical removal was performed using a right frontal transcortical-transventricular approach via the transchoroidal route.
  • Intraoperative and histological diagnosis confirmed a meningothelial meningioma.
  • Total tumor resection (Simpson grade 1) was achieved without neurological deficits.

Implications:

  • Complete resection of benign third ventricle meningiomas is crucial for favorable outcomes.
  • Effective surgical strategy and accurate preoperative differential diagnosis are vital for managing these complex tumors.