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Updated: Jun 6, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

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Pediatric tectal glioma presented with acute hydrocephalus and ventriculomegaly. Two case reports

Yasin Göktürk1, Şule Göktürk1, Kağan Kamaşak1

  • 1Department of Neurosurgery, University of Health Sciences, Kayseri City Hospital, Kayseri, Turkey.

Archivos Argentinos De Pediatria
|February 6, 2024
PubMed

Insights

Tectal gliomas are slow-growing brainstem tumors often diagnosed in children. Treatment focuses on managing hydrocephalus, with endoscopic third ventriculostomy or VP-shunts being common interventions.

Area of Science:

  • Neuro-oncology
  • Pediatric Neurosurgery

Background:

  • Tectal gliomas are low-grade tumors located in the tectal region of the brainstem.
  • These tumors are frequently diagnosed in childhood and can also occur in adults.

Observation:

  • Symptoms often relate to obstructive hydrocephalus, including headache, blurred vision, double vision, nausea, and vomiting.
  • Two pediatric cases are presented: an 11-year-old boy and a 15-year-old girl with mesencephalic tectal plate tumors.

Findings:

  • Hydrocephalus is a key complication requiring intervention.
  • The 11-year-old boy was treated with a ventriculoperitoneal (VP) shunt for acute hydrocephalus.
  • Tectal gliomas are typically benign and slow-progressing, often manageable with outpatient follow-up.

Implications:

  • Endoscopic third ventriculostomy (ETV) and VP-shunts are effective treatments for hydrocephalus secondary to tectal gliomas.
  • Conservative management with clinical and radiological follow-up is often sufficient for these slow-progressing lesions.

Keywords:
gliomahydrocephalusseizurestectum mesencephali

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