Department of Neurosurgery, Stroke Center, Center for Neuropsychiatry, China Medical University Hospital, No. 2, Yu-Der Road, Taichung 404, Taiwan.
J Clin Neurosci. 2010 Nov;17(11):1417-20. doi: 10.1016/j.jocn.2010.03.020. Epub 2010 Jul 23.
Central neurocytoma is a rare benign intraventricular tumor which occurs in young adults. Craniotomy with tumor removal is associated with relatively high rates of morbidity and mortality. To improve the efficiency of endoscopic surgery for removal of this tumor, we used a polypropylene tube combined with a working channel endoscope. From January 2006 to October 2008, three patients with intraventricular central neurocytoma with acute hydrocephalus were treated by endoscopic surgery in our hospital. The tumor was almost totally removed. At 6-month follow-up no recurrence was found. One patient required a permanent ventriculoperitoneal shunt due to hydrocephalus during follow-up. We report that a working channel endoscope combined with a polypropylene endoscopic sheath facilitates the removal of intraventricular central neurocytoma. Endoscopic neurosurgery is a safe method for removing a central neurocytoma with low risk of permanent neurological deficits.
中枢神经细胞瘤是一种罕见的良性脑室肿瘤，好发于年轻人。开颅肿瘤切除术相关的发病率和死亡率相对较高。为了提高内镜手术切除该肿瘤的效率，我们使用了一种聚丙烯管联合工作通道内镜。自 2006 年 1 月至 2008 年 10 月，我院采用内镜手术治疗了 3 例伴有急性脑积水的脑室中枢神经细胞瘤患者。肿瘤几乎完全切除。6 个月随访时未见复发。1 例患者因随访期间脑积水需要永久性脑室-腹腔分流术。我们报告使用工作通道内镜联合聚丙烯内镜鞘有利于脑室中枢神经细胞瘤的切除。内镜神经外科是一种安全的方法，可用于切除中枢神经细胞瘤，且永久性神经功能缺损的风险较低。
