Mohsen Javadpour1, Conor Mallucci. 1. Department of Neurosurgery, Walton Centre for Neurology and Neurosurgery, Lower lane, Fazakerley, Liverpool, L9 7LJ, UK.
Abstract
OBJECTIVES: The objective was to determine the role of neuroendoscopy in the management of tectal plate gliomas. METHODS: Clinical and radiological data of children and adults who underwent neuroendoscopy were reviewed. Successful outcome was defined as shunt-freedom and resolution of symptoms and signs of raised intracranial pressure. RESULTS: Between 1 April 1998 and 31 March 2003, 11 patients (6 males and 5 females) underwent endoscopic third ventriculostomy (ETV) for the management of hydrocephalus secondary to a tectal plate glioma. This comprises 4% of 258 patients who have undergone neuroendoscopic procedures in our unit. The median age at the time of surgery was 19 (range 9-59) years. In 4 patients endoscopic biopsy of the tumour was performed at the same time. During a median follow-up period of 31 months (range 2-45), 4 patients underwent a second ETV, of whom 2 subsequently required insertion of ventriculoperitoneal (VP) shunts. Nine patients (82%) remain shunt-independent. Of the 4 tumours that were biopsied, a histological diagnosis of low-grade astrocytoma was made with certainty in only 2 cases. All tumours remained unchanged on follow-up MR imaging. CONCLUSIONS: Endoscopic third ventriculostomy can result in excellent control of hydrocephalus in patients with tectal plate gliomas. Tectal gliomas appear to be very slow growing tumours that can be managed conservatively in adults as well as children. Longer follow-up in larger studies is required.
OBJECTIVES: The objective was to determine the role of neuroendoscopy in the management of tectal plate gliomas. METHODS: Clinical and radiological data of children and adults who underwent neuroendoscopy were reviewed. Successful outcome was defined as shunt-freedom and resolution of symptoms and signs of raised intracranial pressure. RESULTS: Between 1 April 1998 and 31 March 2003, 11 patients (6 males and 5 females) underwent endoscopic third ventriculostomy (ETV) for the management of hydrocephalus secondary to a tectal plate glioma. This comprises 4% of 258 patients who have undergone neuroendoscopic procedures in our unit. The median age at the time of surgery was 19 (range 9-59) years. In 4 patients endoscopic biopsy of the tumour was performed at the same time. During a median follow-up period of 31 months (range 2-45), 4 patients underwent a second ETV, of whom 2 subsequently required insertion of ventriculoperitoneal (VP) shunts. Nine patients (82%) remain shunt-independent. Of the 4 tumours that were biopsied, a histological diagnosis of low-grade astrocytoma was made with certainty in only 2 cases. All tumours remained unchanged on follow-up MR imaging. CONCLUSIONS: Endoscopic third ventriculostomy can result in excellent control of hydrocephalus in patients with tectal plate gliomas. Tectal gliomas appear to be very slow growing tumours that can be managed conservatively in adults as well as children. Longer follow-up in larger studies is required.
Authors: D C Bowers; C Georgiades; L J Aronson; B S Carson; J D Weingart; M D Wharam; E R Melhem; P C Burger; K J Cohen Journal: Pediatr Neurosurg Date: 2000-01 Impact factor: 1.162
Authors: G Cinalli; C Sainte-Rose; P Chumas; M Zerah; F Brunelle; G Lot; A Pierre-Kahn; D Renier Journal: J Neurosurg Date: 1999-03 Impact factor: 5.115
Authors: W P Vandertop; H J Hoffman; J M Drake; R P Humphreys; J T Rutka; D C Amstrong; L E Becker Journal: Neurosurgery Date: 1992-08 Impact factor: 4.654
Authors: John C Wellons; R Shane Tubbs; Jason T Banks; Brenda Grabb; Jeffrey P Blount; W Jerry Oakes; Paul A Grabb Journal: Neurosurgery Date: 2002-07 Impact factor: 4.654
Authors: Fabio Frisoli; Michael Kakareka; Kristina A Cole; Angela J Waanders; Phillip B Storm; Shih-Shan Lang Journal: Childs Nerv Syst Date: 2019-03-20 Impact factor: 1.475
Authors: Donncha F O'Brien; Andrea Seghedoni; David R Collins; Caroline Hayhurst; Conor L Mallucci Journal: Childs Nerv Syst Date: 2006-09-19 Impact factor: 1.475
Authors: Jose F Dominguez; Smit Shah; Boyi Li; Eric Feldstein; Michael G Kim; Michael E Tobias Journal: Childs Nerv Syst Date: 2021-01-13 Impact factor: 1.475
Authors: Abhaya V Kulkarni; Benjamin C Warf; James M Drake; Conor L Mallucci; Spyros Sgouros; Shlomi Constantini Journal: Childs Nerv Syst Date: 2010-06-16 Impact factor: 1.475
Authors: Anthony Zandian; Matthew Haffner; James Johnson; Curtis J Rozzelle; R Shane Tubbs; Marios Loukas Journal: Childs Nerv Syst Date: 2013-12-28 Impact factor: 1.475
Authors: Anthony P Y Liu; Julie H Harreld; Lisa M Jacola; Madelyn Gero; Sahaja Acharya; Yahya Ghazwani; Shengjie Wu; Xiaoyu Li; Paul Klimo; Amar Gajjar; Jason Chiang; Ibrahim Qaddoumi Journal: Acta Neuropathol Commun Date: 2018-09-25 Impact factor: 7.801