Virtual endoscopy assisted pure ventriculoscopic resection of cavernomas occluding foramen of Monroe: Technical note and literature review
Yang J, Zhao Y, Xu X, Wang Q, Li F, Zhang J, Chen X (2021)
Publication Type: Journal article
Publication year: 2021
Journal
Book Volume: 94
Pages Range: 226-232
DOI: 10.1016/j.jocn.2021.10.030
Abstract
Objective: Cavernomas at Foramen of Monroe (FoM) are rare cases among the intracranial cavernomas. Pure ventriculoscopic removal of cavernoma at FoM through a single burr hole is challenging and rarely reported. Methods: We herein introduced the virtual endoscopy (VE) assisted ventriculoscopic resection to treat the cavernomas at FoM. Two cases diagnosed with cavernomas at FoM, a 31-year-old male patient (case 1) and a 26-year-old male patient (case 2), were included. Both of them suffered from headache, nausea and vomiting. The pre-operative MRI revealed masses at the FoM. We reconstructed the VE on a free and open-source platform (3D Slicer) for the pre-surgical evaluation. And then ventriculoscopic operation through a single burr hole was made to remove the cavernomas at FoM. Results: The VE displayed a 14×19×16 mm lesion in case 1 and an 18×20×29 mm lesion in case 2 and both cases revealed some attachment between the lesions and the periventricular tissue. The ventriculoscopic operations indicated by VE were performed to achieve total resection of the cavernomas without neurological deficit. Conclusions: Although the neuroendoscopic treatment to cavernoma at FoM through a single burr hole was rarely reported among the previous literatures, it was a quite effective and useful method in our cases. And the application of VE before ventriculoscopic operation could help to provide a three-dimensional and panorama view of the intraventricular lesions.
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APA:
Yang, J., Zhao, Y., Xu, X., Wang, Q., Li, F., Zhang, J., & Chen, X. (2021). Virtual endoscopy assisted pure ventriculoscopic resection of cavernomas occluding foramen of Monroe: Technical note and literature review. Journal of Clinical Neuroscience, 94, 226-232. https://doi.org/10.1016/j.jocn.2021.10.030
MLA:
Yang, Jia, et al. "Virtual endoscopy assisted pure ventriculoscopic resection of cavernomas occluding foramen of Monroe: Technical note and literature review." Journal of Clinical Neuroscience 94 (2021): 226-232.
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