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Role of endoscopic third ventriculostomy in patients undergoing resection of pulvinar area lesions: Preliminary clinical results.
Liu, Shuang; Chen, Pin; Yang, Hantao; Xie, Tao; Liu, Tengfei; Li, Chen; Yang, Liangliang; Li, Zeyang; Huang, Jinlong; Gao, Yang; Xie, Qiang; Yu, Yong; Hu, Fan; Zhang, Xiaobiao.
Afiliación
  • Liu S; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Chen P; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Yang H; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Xie T; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Liu T; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Li C; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Yang L; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Li Z; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Huang J; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Gao Y; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Xie Q; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Yu Y; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Hu F; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Zhang X; Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China; Digital Medical Research Center, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Key Laboratory of Medical Image Computing and Computer-Assisted Intervention, Shanghai, China. Electronic address: xiaob
J Clin Neurosci ; 117: 61-67, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37774635
ABSTRACT

BACKGROUND:

Patients with pulvinar area lesions may develop hydrocephalus at any stage. The role of endoscopic third ventriculostomy (ETV) in this setting remains unclear.

METHOD:

We retrospectively enrolled 15 patients with a mean age of 43 years who underwent endoscopic resection of pulvinar area lesions using the supracerebellar infratentorial approach (SCITA). We compared the different modalities of hydrocephalus management and their outcomes.

RESULTS:

Nine of 15 patients (60.0%) had preoperative obstructive hydrocephalus. Five patients underwent ETV before tumor resection, and none developed postoperative hydrocephalus. Four patients underwent one-stage surgery for tumor removal, and one patient with a polymorphous low-grade neuroepithelial tumor of the young required postoperative ETV. Another patient with diffuse astrocytoma and hydrocephalus underwent concurrent lamina terminalis fenestration and endoscopic resection via the SCITA, which resulted in the resolution of hydrocephalus. The preoperative ETV group had no major postoperative complications, while the non-ETV group had three (0/5 vs. 3/4, P = 0.048). The ETV group also had a shorter intensive care unit stay; however, the difference was not significant (1.2 vs. 2.8; P = 0.188). ETV was effective in alleviating symptoms of postoperative hydrocephalus in patients with midbrain-invading tumors.

CONCLUSION:

Endoscopic surgery via the SCITA can address both tumor and hydrocephalus issues in some cases but has a higher surgical risk and postoperative hydrocephalus rate. Preoperative ETV can prevent these complications and improve postoperative outcomes.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Infratentoriales / Tercer Ventrículo / Pulvinar / Neoplasias del Tronco Encefálico / Neuroendoscopía / Hidrocefalia Idioma: En Revista: J Clin Neurosci Asunto de la revista: NEUROLOGIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Infratentoriales / Tercer Ventrículo / Pulvinar / Neoplasias del Tronco Encefálico / Neuroendoscopía / Hidrocefalia Idioma: En Revista: J Clin Neurosci Asunto de la revista: NEUROLOGIA Año: 2023 Tipo del documento: Article