Apucco M
Zh Vopr Neirokhir Im N N Burdenko. 1988 Mar-Apr(2):13-20.
The method and the advantages and shortcomings of various approaches in surgical treatment of volume structures in the third ventricle are discussed. Best visualization of its cavity is provided by the group of "superior" approaches: transcallosal and transfrontal. Various methods of direct penetration into the third ventricle are also considered: through the foramen of Morno, subchoroidal, interfornical. The results of 30 operations conducted through the interfornical approach prove its efficacy in removal of colloidal and cysticercus cysts, craniopharyngiomas, gliomas, and other new growths of the third ventricle. A transient amnestic syndrome was the only complication in the postoperative period. The neurophysiological mechanisms of its origin are discussed in detail. Stereotaxic interventions based on computed-tomographic calculations were carried out successfully in 150 patients. This method makes it possible to conduct ventriculoscopy, aspiration of cysts, biopsy of the tumor, and brachytherapy.
讨论了第三脑室容积性结构手术治疗中各种方法的优缺点。“上方”入路组（经胼胝体和经额叶）能最佳地显示第三脑室腔。还考虑了直接进入第三脑室的各种方法：经莫罗氏孔、脉络丛下、穹窿间。经穹窿间入路进行的30例手术结果证明，该入路在切除第三脑室的胶样囊肿、囊尾蚴囊肿、颅咽管瘤、胶质瘤和其他新生物方面有效。术后唯一的并发症是短暂性遗忘综合征。详细讨论了其发生的神经生理机制。基于计算机断层扫描计算的立体定向干预在150例患者中成功实施。该方法可进行脑室镜检查、囊肿抽吸、肿瘤活检和近距离放射治疗。
