Endoscopic Neurosurgery and Endoscope-assisted Microneurosurgery For The Treatment of Space Occupying Lesions of The Septum Pellucidum
Journal Title: Journal of Neurological Sciences-Turkish - Year 2008, Vol 25, Issue 2
Abstract
The application of endoscopes in neurosurgery has improved the succesfull and atraumatic operative treatment of deep-seated intraventricular lesions. Moreover, endoscope-assisted microsurgery provided a high rate of efficiency in terms of removal of these lesions. We evaluated the role of endoscopic neurosurgery and endoscope-assisted microsurgery in the management of septum pellucidum lesions. Endoscopic surgery was used to treat four patients with symptomatic cysts of the septum pellucidum. All four patients underwent endoscopic cyst fenestration with a rigid endoscope. In two patients frameless neuronavigation was accomplished with the optical tracking system (Radionics, Burlington, USA). Additionally, four more patients with septum pellucidum tumours (two pilocytic astrocytomas, one subependymoma and one neurocytoma) were operated using the endoscope-assisted technique to remove them. In one of the four patients neuronavigation was used for guidance. All symptoms related to pressure effect of the septum pellucidum cysts to the neighbouring brain structures resolved after surgery. Regarding the tumours, complete excision was achieved in all patients and there were no postoperative complications. Endoscopic neurosurgery and endoscope-assisted microneurosurgery provide sufficient treatment of septum pellucidum space occupying lesions. Additionally, frameless neuronavigation is a usefull tool in planning and realizing the approach and improving intraoperative orientation.
Authors and Affiliations
Moshos FRATZOGLOU, Vasileios PANAGIOTOPOULOS, Americo SANTOS, Pete GRUNERT
Keywords
Related Articles
- EP ID EP96701
- DOI -
- Views 92
- Downloads 0
İntra - Ekstrakranyal Meningiom
İntrakranyal meningiomların ekstrakranyal genişleme göstermesi oldukça nadir görülür. Gelişmiş radyolojik tanı yöntemleri ile intrakranyal meningiomların tanısı erken konulduğu için bu olguların sayısı azalmıştır. Cerrah...
Parkinson Hastalığında Motor Semptomların Başlama Tarafı ile Kognitif Disfonksiyon Arasındaki İlişki
Bilimsel zemin : Parkinson Hastalığı (PH) tek taraflı motor semptomlarla başlayan nörodejeneratif bir hastalıktır. Klinik süreç boyunca hastalarda kognitif fonksiyonlar bozulabilir ve demans gelişebilir. Ancak başlangıç...
Development of Intramedullary Spinal Tuberculoma Three Years After The Cease of Effective Antituberculosis Therapy: A Case Report
Central nervous system tuberculosis manifests as meningitis, tuberculoma or spinal tuberculosis. Although the paradoxically development of tuberculomas during therapy is well known, the late occurance of symptomatic tube...
Thorakal Epidural Kavernöz Hemangioma: Olgu Sunumu
Kavernöz hemangiomalar, craniospinal sinir sisteminin nadir görülen benin vasküler malformasyonlarıdır. Epidural spinal kavernöz hemangiomalar, intraserebral ve vertebral sistemin diger lokalize kavernöz hemangiomalarınd...
Primary Progressive Aphasia (A Case Report)
Primary progressive aphasia (PPA), was first defined by Mesulam in 1982 as a ''slowly progressive language dysfunction without generalized dementia''. PPA is a neurodegenerative syndrome usually presented with anomia and...