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Third ventricular schwannoma with hydrocephalus.

Meng Li1, Jianxin Kong1, Jinlong Sun1

  • 1Department of Neurosurgery, Qianfoshan Hospital, Shandong University, Jinan, China.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|March 24, 2015
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Summary

We present a rare case of intraventricular schwannoma in the third ventricle, successfully treated with neuroendoscopic surgery. This finding contributes to understanding rare brain tumors and their origins.

Keywords:
HydrocephalusIntraventricular tumourNeuroendoscopySchwannoma

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Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Developmental Neuroscience

Background:

  • Intraventricular schwannomas are exceptionally rare central nervous system tumors.
  • Fewer than 20 cases have been documented, with only two involving the third ventricle.

Observation:

  • A 23-year-old male presented with a posterior third ventricular mass causing obstructive hydrocephalus.
  • Neuroendoscopic surgery enabled clear visualization, complete tumor removal, and simultaneous endoscopic third ventriculostomy.

Findings:

  • Histological and immunohistochemical analyses confirmed the diagnosis of intraventricular schwannoma.
  • The patient experienced a favorable outcome with no neurological deficits one year post-surgery.

Implications:

  • This case highlights the feasibility of minimally invasive endoscopic management for intraventricular tumors.
  • The tumor's location supports the theory of origin from ectopic neural crest cells during embryogenesis.