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Cavernous hemangiomas of the third ventricle: Alternative surgical routes in two cases
- Department of Neurosurgery, Deva Hospital, Gaziantep, Türkiye
- Department of Neurosurgery, Sanko University Konukoglu Hospital, Gaziantep, Türkiye
- Department of Neurosurgery, Ankara Numune Educational and Training Hospital, Ankara, Türkiye
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Abstract
Cavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal management of cavernomas.
In the present study, we present two cavernomas of the third ventricle which were completely excised via interhemispheric transcallosal transforaminal and Sylvian approaches. Radical excision should be the aim of the surgeon since reoperation for residual cavernomas is more commonly associated with complications and poor outcome.
Total excision should be the goal of the treatment due to risk of rebleeding or regrowth.
Abstract
Cavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal management of cavernomas.
In the present study, we present two cavernomas of the third ventricle which were completely excised via interhemispheric transcallosal transforaminal and Sylvian approaches. Radical excision should be the aim of the surgeon since reoperation for residual cavernomas is more commonly associated with complications and poor outcome.
Total excision should be the goal of the treatment due to risk of rebleeding or regrowth.
Keywords
Cavernous hemangioma, Third ventricle, Interhemispheric transcallosal transforaminal approach, Transsylvian approach
Title
Cavernous hemangiomas of the third ventricle: Alternative surgical routes in two cases
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
274-276
Published online
2017-10-31
Page views
399
Article views/downloads
619
DOI
10.1016/j.pjnns.2017.10.010
Bibliographic record
Neurol Neurochir Pol 2018;52(2):274-276.
Keywords
Cavernous hemangioma
Third ventricle
Interhemispheric transcallosal transforaminal approach
Transsylvian approach
Authors
Mehmet Seçer
Murat Ulutaş
Fatih Alagöz
Kadir Çınar
Özhan Merzuk Uçkun
Ergün Dağlıoğlu