Microsurgical treatment of the third ventricular lesions

VernacularTitle:第三脑室病变的显微外科治疗
Author: Wei-Zheng SONG ¹ ; Chuang-Xi LIU ; Qing MAO ; Guo-Qiang HAN ; Fang-You GAO ; Yun-Biao XIONG ; Jun WANG
Author Information

1. 贵州省人民医院
Keywords: The third ventricle; Microsurgery; Surgical approach
From: Chinese Journal of Neuromedicine 2010;09(7):727-729
CountryChina
Language:Chinese
Abstract: Objective To study the surgical treatment and effects of the lesions in the third ventricle. Methods The data of 15 patients with third ventricular lesion, accepted surgical treatment were retrospectively analyzed. The lesions were removed through transcallosal approach in 11 patients, frontal trans-cortical approach in 2 and trans-terminalis approach in 2,respectively. Postoperative radiotherapy was performed in 5 and chemotherapy in 2. VP shunt was performed in 1. Results The lesions were total-resected in 8 (53.3%), subtotal-resected in 5 (33.3%) and partial-resected in 2 (13.3%) with 1 postoperative death. The hydrocephalus were resolved in all cases. With a follow-up of 3 to 12 months, all the 14 patients recovered without obvious neurological deficits. Conclusion Proper microsurgical approach and perfect surgical skills are the keys to high resection and good prognosis. And postoperative radiotherapy or chemotherapy may be helpful in improving the outcome