Tumo urs of the Third Cerebral Ventricle
Authors:
J. Šteňo 1; J. Šteňová 2; I. Bízik 1
Authors‘ workplace:
Neurochirurgická klinika LF UK a FNsP, Bratislava, 2Anatomický ústav LF UK, Bratislava
1
Published in:
Cesk Slov Neurol N 2009; 72/105(4): 302-316
Category:
Minimonography
Overview
The nerve structures which make up the walls of the third cerebral ventricle provide for important functi ons, in particular maintaining home ostasis, memory mechanisms and visu al functi ons. Their gradu al impairment by tumo ur can be compensated for various time periods. When the tumo ur clinically manifests, it may alre ady be of significant extend, or it can ca use an extensive obstructive hydrocephalus. Surgical manipulati on of impaired nerve structures while accessing the tumo ur as well as during its resecti on may seri o usly worsen the pati ent’s conditi on. Therefore, in the past surgery focused in particular on bi opsy and the restorati on of cerebrospinal fluid circulati on. The improvement in imaging di agnostics and microsurgical techniques has enabled us to re ach almost any part of the brain witho ut any permanent post‑surgical deficit. As a result, not only the tumoro us tissue but also its relati onship to the surro unding structures is suffici ently detected. The surge on can identify the optimal extent of tumo ur resecti on and remove, under favo urable anatomical conditi ons, the tumo ur radically witho ut exposing the pati ent to any risks. Within o ur pati ent gro up, this was possible in two‑thirds of the pati ents. However, it depends on the tumo ur locati on and histological nature.
Key words:
third ventricle – hypothalamus – brain tumour – surgical treatment
Sources
1. Bruce DA. Complicati ons of third ventricle surgery. Pedi atr Ne urosurg 1991; 17(6): 325– 330.
2. Konovalov AN, Gorelyshev SK. Surgical tre atment of anteri or third ventricle tumo urs. Acta Ne urochir (Wi en) 1992; 118(1– 2): 33– 39.
3. Leje une JP, Le Gars D, Haddad E. Tume urs du tro isi eme ventricule: analyse d’unu séri e de 262 CAS. Ne urochirurgi e 2000; 46(3): 211– 238.
4. Suh DY, Mapstone T. Pedi atric supratentori al intraventricular tumors. Ne urosurg Focus 2001; 10(6): E4.
5. Page RB. Functi onal anatomy of the human hypothalamus. In: Apuzzo MLJ (ed). Surgery of the third ventricle. 2nd ed. Baltimore: Willi ams and Wilkins 1988: 233– 251.
6. Ledényí J. Pitevné cvičeni a z topografickej anatómi e. Martin: MS 1936.
7. Steno J. Microsurgical appro ach to parasellar regi on. Acta Ne urochir (Wi en) 1979; 28 (Suppl 2): 426– 429.
8. Mráz P, Šteňová J. Systema nervosum (Nervová sústava). In: Mráz P, Belej K, Beňuška J, Holomáňová A, Macková M, Šteňová J (eds). Anatómi a ľudského tela II. Bratislava: Slovak Academic Press 2006.
9. Felten DL, Józefowicz RF. Netter’s atlas of human ne urosci ence. Icon Le arning Systems. Teterboro: LLC 2003.
10. Wong‑Rilley MTT. Ne urosci ence secrets. Philadelphi a: Hanley and Belfus, Inc. 2000.
11. Rhoton AL jr. Crani al anatomy and surgical appro aches. Scha umburg (III): Lipincott Willi ams and Wilkins 2003.
12. Borovanský L. So ustavná anatomi e člověka. 4th ed. Praha: Avicenum 1973.
13. Carmel PW. Tumo urs of the third ventricle. Acta Ne urochir (Wi en) 1985; 75(1– 4): 136– 146.
14. Wo ici echowsky C, Vogel S, Lehmann R, Sa udt J. Transcallosal removal of lesi ons affecting the third ventricle: an anatomic and clinical study. Ne urosurgery 1995; 36(1): 117– 122.
15. Yaşargil MG. Microne urosurgery. Vol IVA. Stuttgart and New York: Ge org Thi eme Verlag 1994.
16. Villani R, Papagno C, Tomei G, Grimoldi N, Spagnoli D, Bello L. Transcallosal appro ach to tumors of the third ventricle. Surgical results and ne uropsychological evalu ati on. J Ne urosurg Sci 1997; 41(1): 41– 50.
17. Apuzzo ML, Levy ML, Tung H. Surgical strategi es and technical methodologi es in optimal management of crani opharyngi oma and masses affecting the third ventricular chamber. Acta Ne urochir (Wi en) 1991; 53 (Suppl): 77– 88.
18. Šteňo J, Nádvorník P. Nádory chi azmy a hypotalamu z ne urochirurgického hľadiska. Rozhl Chir 1982; 61: 73– 80.
19. Korni enko VN, Pronin IN. Di agnostic ne uroradi ology. Berlin Heidelberg: Springer- Verlag 2009.
20. Barnett DW, Olson JJ, Thomas WG, Hunter SB. Low- grade astrocytomas arising from the pine al gland. Surg Ne urol 1995; 43(1): 70– 76.
21. Bruce JN, Stein BM. Surgical management of pine al regi on tumors. Acta Ne urochir (Wi en) 1995; 134(3– 4): 130– 135.
22. Bruce JN, Stein BM. Commentary to Barnett DW, Olson JJ. Low-grade astrocytomas arising from the pineal glad. Surg Neurol 1995; 43(1): 70-76.
23. Steno J. Microsurgical topography of crani opharyngi omas. Acta Ne urochir (Wi en) 1985; 35 (Suppl): 94– 100.
24. Steno J. The relati onships of crani opharyngi omas to the third ventricle. Plzen Lek Zborn Suppl 1980; 42: 89– 92.
25. Ciric IS, Cozzens JW. Crani opharyngi omas: Transspheno idal method of appro ach – for the virtuoso only? Clin Ne urosurg 1980; 27:169– 187.
26. Grekhov VV. Topography of crani opharyngi omas. Vopr Neirokhir 1959; 23: 12– 17.
27. Šteňo J, Maláček M, Majerčík M. Surgical experi ence with gi ant pituitary adenomas. In: Samii M (ed). Skull base surgery. Basel: Karger 1994: 402– 407.
28. Schirmer M. Symptoms of tumors of the brain stem and the third ventricle. In: Samii M (ed). Surgery in and aro und the brain stem and the third ventricle. Berlin and New York: Springer- Verlag 1986: 129– 132.
29. Le Gars D, Leje une JP, Desenclos C. Tume urs du tro isi eme ventricule: Revue de la littérature. Ne urochirurgi e 2000; 46(3): 296– 319.
30. Caldarelli M, Pezzotta S. Optic pathaway and hypothalamic tumors. In: Cho ux M, Di Rocco C, Hockley A, Walker M (eds). Pedi atric ne urosurgery. London: Churchill Livingstone 1999: 509– 529.
31. Omay SB, Baehring J, Pi epmei er J. Appro aches to lateral and third ventricular tumors. In: Schmidek HH, Roberts DW (eds). Schmidek and Sweet operative ne urosurgical techniques: indicati ons, methods, and results. 5th ed. Philadelphi a: Sa unders Elsevi er 2006: 753– 771.
32. Lapras C, Mottolese C, Jo uvet A. Pine al regi on tumors. In: Cho ux M, Di Rocco C, Hockley A, Walker M (eds). Pedi atric ne urosurgery. London: Churchill Livingstone 1999: 549– 560.
33. Steno J, Malácek M, Bízik I. Tumor- third ventricular relati onships in supradi aphragmatic crani opharyngi omas: correlati on of morphological, magnetic resonance imaging, and operative findings. Ne urosurgery 2004; 54(5): 1051– 1060.
34. Horn EM, Feiz- Erfan I, Bristol RE, Lekovic GP, Goslar PW, Smith KA et al. Tre atment opti ons for third ventricular collo id cysts: Comparison of open microsurgical versus endoscopic resecti on. Ne urosurgery 2007; 60(4): 613– 620.
35. Charalampaki P, Filippi R, Welschehold S, Perneczky A. Endoscope- assisted removal of collo id cysts of the third ventricle. Ne urosurg Rev 2006; 29(11): 72– 79.
36. Konovalov AN, Pitskhela uri DI. Infratentori al supracerebellar appro ach to the collo id cysts of the third ventricle. Ne urosurgery 2001; 49(5): 1116– 1122.
37. Yaşargil MG, Curcic M, Kis M, Si egenthaler G, Teddy PJ, Roth P. Total removal of crani opharyngi omas. J Ne urosurg 1990; 73(1): 3– 11.
38. Fahlbusch R, Honegger J, Pa ulus W, Huk W, Buchfelder M. Surgical tre atment of crani opharyngi omas. Experi ence with 168 pati ents. J Ne urosurg 1999; 90(2): 237– 250.
39. Cho ux M, Lena G. Crani opharyngi oma. In: Apuzzo MLJ (ed). Surgery of the third ventricle. 2nd ed. Baltimore: Willi ams and Wilkins 1988: 1143– 1181.
40. Konovalov AN. Technique and strategi es of direct surgical management of crani opharyngi omas. In: Apuzzo MLJ (ed). Surgery of the third ventricle. 2nd ed. Baltimore: Willi ams and Wilkins 1988: 1133– 1142.
41. Smrčka V, Smrčka M, Schröder R. Transkalózní nebo transventrikulární přístup do III. mozkové komory? Cesk Slov Ne urol N 2005; 68/ 101(3): 175– 178.
42. Apuzzo MLJ, Litofsky NS. Surgery in and aro und the anteri or third ventricle. In: Apuzzo MLJ (ed). Brain Surgery: complicati on avo idance and management. New York: Churchill Livingstone 1993: 541– 579.
43. Amar AP, Ghosh S, Apuzzo MLJ. Ventricular tumors. In: Winn HR (ed). Yo umans Ne urological Surgery. 5th ed. Philadelphi a: Sa unders 2004: 1237– 1263.
44. Oepen G, Schulz- Weiling R, Zimmermann P, Birg W, Straesser S, Gilsbach J. Long‑term effects of parti al callosal lesi ons. Preliminary report. Acta Ne urochir (Wi en) 1985; 77(1– 2): 22– 28.
45. Kasowski H, Pi epmei er JM. Transcallosal appro ach for tumors of the lateral and third ventricles. Ne urosurg Focus 2001; 10(6): E3.
46. Benes V. Advantages and disadvantages of the transcallosal appro ach to the III ventricle. Childs Nerv Syst 1990; 6(8): 437– 439.
47. Wo ici echowsky C, Vogel S, Meyer BU, Lehmann R. Ne uropsychological consequences of parti al callosotomy. J Ne urosurg Sci 1997; 41(1): 75– 80.
48. Stein BM. Operative appro aches to midline tumors. Acta Ne urochir (Wi en) 1985; 35 (Suppl): 42– 49.
49. Borit A, Richardson EP jr. The bi ological and clinical behavi o ur of pilocytic astrocytomas of the optic pathways. Brain 1982; 105(1): 161– 187.
50. Hoffman HJ, Humphreys RP, Drake JM, Rutka JT, Becker LE, Jenkin D et al. Optic pathway/ hypothalamic gli omas: A dilemma in management. Pedi atr Ne urosurg 1993; 19(4): 186– 195.
51. Alshail E, Rutka JT, Becker LE, Hoffman HJ. Optic chi asmatic- hypothalamic gli oma. Brain Pathol 1997; 7(2): 799– 806.
52. Di Rocco C, Caldarelli M, Tamburrini G, Massimi L. Surgical management of crani opharyngi omas – experi ence with a pedi atric seri es. J Pedi atr Endocrinol Metab 2006; 19 (Suppl 1): 355– 366.
53. Chytka T, Liščák R, Vladyka V, Dbalý V, Štursa P, Syruček M. Radi ochirurgická léčba krani ofarynge omu v kombinaci s ostatními stere otaktickými metodami. Cesk Slov Ne urol N 2008; 71/ 104(5): 565– 575.
Labels
Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
2009 Issue 4
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