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Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
Published on: June 28, 2024
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Third ventricular choroid plexus papilloma: a pure neuroendoscopic approach
Preston D'Souza1, Thomas S Frank1, Aaron Mohanty1
1Department of Neurosurgery, The University of Texas Medical Branch, Galveston, Texas.
Neurosurgical Focus: Video
|April 24, 2023
Summary
Endoscopic surgery successfully removed a rare multicentric choroid plexus papilloma in a 2-month-old infant. The child remains tumor-free with no functional deficits after 3 years, showcasing the effectiveness of minimally invasive techniques.
Area of Science:
- Neuro-oncology
- Minimally Invasive Neurosurgery
- Pediatric Neurosurgery
Background:
- Intraventricular tumors present unique surgical challenges.
- Endoscopic techniques are emerging for treating these complex tumors.
- Multicentric choroid plexus papillomas are rare pediatric neoplasms.
Purpose of the Study:
- To demonstrate the feasibility and efficacy of a pure endoscopic technique for resecting a multicentric choroid plexus papilloma.
- To highlight the use of specific neuroendoscopic tools in pediatric neurosurgery.
- To report the long-term outcome of such a case.
Main Methods:
- A 2-month-old infant with two distinct intraventricular tumors (left atrial and third ventricle) was treated.
- Initial microsurgery was performed for the left atrial tumor.
- A gross-total resection of the third ventricle tumor was achieved using a GAAB neuroendoscope and NICO Myriad.
Main Results:
- Complete resection of the multicentric choroid plexus papilloma was achieved.
- The child experienced no tumor recurrence at 3-year follow-up.
- The patient exhibited normal neurodevelopmental outcomes without functional deficits.
Conclusions:
- Pure endoscopic resection is a viable and effective approach for selected intraventricular tumors in infants.
- Minimally invasive neurosurgery can lead to excellent long-term outcomes in pediatric cases.
- This technique offers a promising alternative to traditional open surgery for complex pediatric brain tumors.
