FOURTH VENTRICLE EPIDERMOID TUMOUR: AN INSTITUTIONAL REVIEW
Journal Title: International Journal Of Advances In Surgery - Year 2019, Vol 3, Issue 3
Abstract
Background: Intracranial epidermoids are uncommon tumours, with an incidence of around 0.5-2 % of all intracranial tumours. Age of presentation is 3rd - 4th decade. Most common sites of involvement are the basal cisterns with Fourth ventricle involvement being rarely reported. Methods: Over a period of 9 years, a total of 13 cases of epidermoids located in the fourth ventricle were admitted in our Department of Neurosurgery. The history and clinical course was studied. Radiological diagnosis was established with CT and MRI Brain with contrast and was operated upon. Diagnosis was confirmed by histopathology. A retrospective study was carried out and results were reviewed. Results : A total of 13 cases were studied that included 10 males and 3 females. Age of presentation varied from 16 years to 55 years. Most cases presented with cerebellar signs and symptoms, mostly ataxia and incoordination. Only 2 patients had symptoms of raised intracranial pressure, that too, mild in manifestation. Subtotal resection was done in 11 patients, while total removal was possible in rest 2.Characteristic pearly appearance was found intraoperatively. Except two patients, all other faired well postoperatively. One had recurrence of symptoms later on. Conclusion: Fourth ventricle epidermoid tumours, although uncommon, have fairly good outcome, even if subtotal removal is done. If neglected, can be life threatening. Subtotal removal may result in recurrence, that can be detected by clinical assessment and MRI. Although total resection should be the goal, as growth is slow, even near total removal may suffice if tumour encases vital structures.
Authors and Affiliations
Saurav kumar, Prof. Anil Kumar
Keywords
Related Articles
- EP ID EP638708
- DOI -
- Views 61
- Downloads 0
OUTCOME ANALYSIS OF BUCCAL MUCOSA URETHROPLASTY IN A TERTIARY CARE CENTRE
Introduction: Urethral strictures are difficult to cure. Treatment options include simple dilation, optical internal urethrotomy, and a variety of urethral reconstructive techniques such as substitution urethroplasty. Th...
A COMPARATIVE STUDY OF THE EFFECTS OF SESAME OIL AND SILVER SULFADIAZINE CREAM ON WOUND HEALING OF PARTIAL THICKNESS BURN
Introduction: Burn is the world's fourth most frequent cause of trauma which has a wide variety of topical treatments for healing the wounds. We investigate healing effect of sesame oil on second-degree burn and comparin...
CO-RELATION BETWEEN PRE-OPERATIVE IMAGING FINDINGS AND PER-OPERATIVE FINDINGS IN ACUTE ABDOMEN
The term acute abdomen refers to a sudden, severe abdominal pain that is less than 24 hours in duration. It is in many cases an emergent condition requiring urgent and specific diagnosis. Several causes need surgical tre...
PORTAGE NASAL DE STAPHYLOCOCCUS AUREUS CHEZ LES PATIENTS DES UNITES PUBLIQUES DE DIALYSE DU BENIN : FREQUENCE ET SENSIBILITE A L'ANTIBIOTIQUE
Introduction : Le Staphylococcus, une Coccibactérie gram positif, fait partie de la flore humaine et est responsable de plusieurs infections en particulier chez les hémodialysés. Objectif : Etudier la fréquence et la sen...
RETINAL AND CHOROIDAL THICKNESS MEASUREMENTS BY CIRRUS, DRI, AND ANGIOVUE OPTICAL COHERENCE TOMOGRAPHY DEVICES IN HIGH MYOPIA EYES
Purpose: This study aimed to examine the central fovea and subfoveal choroidal thickness with the uses of three different brands of Optical Coherence Tomography (OCT); compare their effectiveness and reliability. Methods...