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Telovelar Approach for Fourth-Ventricular Epidermoid Cyst: Anatomical Respect, Functional Recovery, and Long-Term
Cosmin Pantu1,2, Alexandru Breazu1,2, Stefan Oprea1,2
1Department of Anatomy, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Diagnostics (Basel, Switzerland)
|January 10, 2026
Summary
Fourth-ventricular epidermoid cysts, rare brain tumors, require careful surgical removal. Anatomically guided maximal safe resection can achieve decompression and improve neurological function with minimal risk.
Area of Science:
- Neurosurgery
- Neuropathology
- Radiology
Background:
- Fourth-ventricular epidermoid cysts are rare intracranial tumors, comprising less than 1% of primary brain tumors.
- Their slow growth and proximity to critical structures like the brainstem and major blood vessels necessitate cautious surgical management.
- Complete cyst removal is often challenging due to adherence to sensitive neural structures, requiring a balance between resection extent and functional preservation.
