Namer I J, Pamir M N, Benli K, Bertan V, Ruacan S
Neurochirurgie. 1984;30(6):401-5.
It's rare for CPP to fill the III ventricule. Up to date, 24 cases surgically removed have been reported. In this report, we present a 1,5 year old boy who administered because of severe cachexia and reactive coma. Ct scan revealed dilatation in lateral ventricles and a mass totally filling the III ventricle. The mass has been totally excised through foramen Monro by right frontoparietal craniotomy and transcortical transventricular surgical approach. While a post-operative recovery was being observed, the patient died in the 30 the day because of bronchopneumonia. The treatment of III ventricle CPP as all the other CPP, must be total resection. For this reason, preoperative CT scan carries a great value about giving information of the nature of the tumor.
颅咽管瘤(CPP)充满第三脑室的情况较为罕见。截至目前,已报道24例经手术切除的病例。在本报告中,我们介绍了一名1.5岁的男孩,因严重消瘦和反应性昏迷入院。CT扫描显示侧脑室扩张,有一个肿块完全填满第三脑室。通过右额顶开颅术和经皮质经脑室手术入路,经Monro孔将肿块完全切除。在观察术后恢复情况时,患者在第30天因支气管肺炎死亡。与所有其他颅咽管瘤一样,第三脑室颅咽管瘤的治疗必须彻底切除。因此,术前CT扫描对于提供肿瘤性质的信息具有重要价值。