Sase Taigen, Kono Takao, Uchida Masashi, Yoshida Yasuyuki, Takasuna Hiroshi, Tanaka Yuichiro
Department of Neurosurgery, St. Marianna University School of Medicine.
No Shinkei Geka. 2020 Jun;48(6):505-508. doi: 10.11477/mf.1436204219.
We report a case of a patient with large intraventricular tumor treated with craniotomy assisted by a neuroendoscope. A 25-year-old man, who had headache and nausea for several months, was transferred to our hospital with the diagnosis of an intraventricular tumor. Because of intracranial hypertension and hydrocephalus, we first performed a biopsy and bilateral intraventricular drainage using a neuroendoscope. Since the pathological finding indicated central neurocytoma, we secondarily attempted tumor removal. The main location of the tumor was the left lateral ventricle, protruding into the third ventricle and contralateral lateral ventricle. The operation was performed mainly under microscopic visualization through left-sided craniotomy, and the total excision was accomplished using a neuroendoscope through the right lateral ventricle. In order to accomplish the optimal removal of an intraventricular tumor, endoscope-assisted microsurgery should be considered a surgical strategy.
我们报告一例经神经内镜辅助开颅手术治疗的脑室内巨大肿瘤患者。一名25岁男性，数月来一直头痛、恶心，因诊断为脑室内肿瘤转入我院。由于颅内高压和脑积水，我们首先使用神经内镜进行了活检和双侧脑室内引流。由于病理结果显示为中枢神经细胞瘤，我们继而尝试切除肿瘤。肿瘤主要位于左侧脑室，突入第三脑室和对侧脑室。手术主要通过左侧开颅在显微镜直视下进行，通过右侧脑室使用神经内镜完成肿瘤全切。为了实现脑室内肿瘤的最佳切除，应考虑将内镜辅助显微手术作为一种手术策略。
