Klimo Paul, Goumnerova Liliana C
Department of Neurosurgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Neurosurg. 2006 Oct;105(4 Suppl):271-4. doi: 10.3171/ped.2006.105.4.271.
The authors retrospectively reviewed the charts of all patients harboring brainstem tumors treated at their institution, excluding those with tectal gliomas, who underwent an endoscopic third ventriculocisternostomy.
Endoscopic third ventriculocisternostomy was performed in 13 patients with tumors involving the brainstem: nine patients with diffuse pontine gliomas, two with posterior fossa ependymomas, one with a cervicomedullary tumor, and one with a pontine primitive neuroectodermal tumor. No technical difficulties attributable to the location of the tumors or surgery-related complications were encountered. Immediate symptomatic relief of hydrocephalus was achieved in all patients, and there was an associated decrease in steroid and analgesic agent requirements. Only one patient eventually required a shunt.
Endoscopic third ventriculocisternostomy can be used in the terminal treatment of patients with brainstem tumors, yielding good results without significant surgical morbidity.
作者回顾性分析了在其机构接受治疗的所有脑干肿瘤患者的病历，排除了接受内镜下第三脑室造瘘术的顶盖胶质瘤患者。
对13例脑干肿瘤患者实施了内镜下第三脑室造瘘术：9例弥漫性脑桥胶质瘤患者、2例后颅窝室管膜瘤患者、1例颈髓肿瘤患者和1例脑桥原始神经外胚层肿瘤患者。未遇到因肿瘤位置导致的技术困难或手术相关并发症。所有患者的脑积水症状均立即得到缓解，同时类固醇和镇痛药的需求也有所减少。只有1例患者最终需要分流。
内镜下第三脑室造瘘术可用于脑干肿瘤患者的终末期治疗，效果良好且手术并发症少。
