Department of Neurosurgery, Cerrahpaşa Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Department of Neurosurgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Turk J Med Sci. 2017 Feb 27;47(1):76-84. doi: 10.3906/sag-1509-119.
BACKGROUND/AIM: The aim of this paper is to provide the long-term surgical outcome of patients with intracranial intraventricular tumors.
Twenty-five patients operated on for intraventricular tumors between June 1999 and June 2014 are reviewed. Data from before, during, and after surgery were obtained from the patients' files and patients were followed regularly after surgery.
The group of patients comprised 15 females and 10 males with a mean age of 31.6 ± 16 years. The majority were adults and only 3 children were included. Three, 4, and 18 patients had tumors in the 4th, 3rd, and frontal horn of the lateral ventricles, respectively. All patients showed a varying degree of hydrocephalus and headache was the most common presenting symptom. Overall, central neurocytoma was the most common pathological diagnosis. Complications were found in only 4 patients and, in long-term follow-up, 3 patients had died due to the malignant nature or upgrading to a malignant tumor and the rest were alive.
Total removal of the intraventricular tumor increases survival because the majority of these tumors are benign and slow-growing. The type of surgical intervention should be chosen according to the location of the tumor in the ventricular system.
背景/目的：本文旨在提供颅内脑室内肿瘤患者的长期手术结果。
回顾了 1999 年 6 月至 2014 年 6 月期间接受脑室内肿瘤手术的 25 名患者。从患者的档案中获取了手术前后的数据，并在手术后定期对患者进行随访。
该组患者包括 15 名女性和 10 名男性，平均年龄为 31.6 ± 16 岁。大多数是成年人，仅包括 3 名儿童。4 名、4 名和 18 名患者的肿瘤分别位于侧脑室的第 4 、第 3 和额角。所有患者均表现出不同程度的脑积水，头痛是最常见的首发症状。总体而言，中枢神经细胞瘤是最常见的病理诊断。仅 4 名患者出现并发症，长期随访中，由于恶性性质或升级为恶性肿瘤，3 名患者死亡，其余患者存活。
脑室内肿瘤的完全切除可提高生存率，因为这些肿瘤大多数是良性且生长缓慢。手术干预的类型应根据肿瘤在脑室系统中的位置来选择。
