Anterior endoscopic transcortical approach to a pineal region cavernous hemangioma.

Neurosurg Focus Video

Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

Published: July 2021

AI Article Synopsis

  • * The surgical procedure utilized a frontal linear incision and an endoscopic transcortical approach to perform a third ventriculostomy, addressing both hydrocephalus and the lesion simultaneously.
  • * The pathology report confirmed the lesion as a cavernous hemangioma, and a video detailing the procedure is available online.

Article Abstract

A 57-year-old female presented with headache and dizziness for 3 months. Preoperative MRI revealed a lesion located at the pineal region and back side of the third ventricle, accompanied by hydrocephalus. The infratentorial supracerebellar approach may cause visuomotor, acousticomotor, and hearing disturbances. With the patient in a supine position, the authors used a frontal linear incision that was 3 cm anterior to the coronal suture and 2 cm away from the midline and an anterior endoscopic transcortical approach, which could achieve endoscopic third ventriculostomy, alleviating and preventing hydrocephalus due to postoperative adhesion and resection of the lesion at the same time. The pathological diagnosis was cavernous hemangioma. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID215.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549988PMC
http://dx.doi.org/10.3171/2021.4.FOCVID215DOI Listing

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