Kim Chae-Yong, Hwang Kihwan, Jung Hee-Won
Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea.
Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Neurosurgery, Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
Handb Clin Neurol. 2020;170:175-184. doi: 10.1016/B978-0-12-822198-3.00039-2.
Intraventricular meningiomas are rare tumors that are generally located in the trigone of the lateral ventricle. This area is deep inside the cerebral hemisphere, adjacent to important eloquent cortical areas. Hence, it is difficult to achieve total tumor resection without any complications or new neurologic morbidity. To improve surgical outcome, selection of proper surgical approach is important; however, the use of modern neurosurgical techniques may be equally, if not more, consequential. Recently, radiosurgery has been gaining some attention as an alternative treatment modality. This chapter reviews some of the clinical characteristics and technical considerations for surgical modalities in treating intraventricular meningiomas. In addition, brief introduction of radiosurgery is presented.
脑室内脑膜瘤是一种罕见的肿瘤，通常位于侧脑室三角区。该区域位于大脑半球深部，毗邻重要的功能明确的皮质区域。因此，要实现肿瘤全切且不发生任何并发症或新的神经功能缺损是很困难的。为改善手术效果，选择合适的手术入路很重要；然而，现代神经外科技术的应用可能同样重要，甚至更为关键。近来，放射外科作为一种替代治疗方式已受到一些关注。本章回顾了治疗脑室内脑膜瘤的一些临床特征及手术方式的技术要点。此外，还简要介绍了放射外科。
