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Pitskhelauri D.I.

Burdenko Neurosurgical Center

Grachev N.S.

Burdenko Neurosurgical Institute

Kudieva E.S.

Burdenko Neurosurgical Institute

Sanikidze A.Z.

Burdenko Neurosurgical Institute

Microsurgical ventriculostomy of the third ventricle with access through a burrhole in the treatment of midly located deep-seated brain tumors

Authors:

Pitskhelauri D.I., Grachev N.S., Kudieva E.S., Sanikidze A.Z.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(2): 5‑13

DOI: 10.17116/neiro2024880215

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Table of contents

MICROSURGICAL VENTRICULOSTOMY OF THE THIRD VENTRICLE WITH ACCESS THROUGH A BURRHOLE IN THE TREATMENT OF MIDLY LOCATED DEEP-SEATED BRAIN TUMORS
MICROSURGICAL VENTRICULOSTOMY OF THE THIRD VENTRICLE WITH ACCESS THROUGH A BURRHOLE IN THE TREATMENT OF MIDLY LOCATED DEEP-SEATED BRAIN TUMORS

To cite this article:

Pitskhelauri DI, Grachev NS, Kudieva ES, Sanikidze AZ. Microsurgical ventriculostomy of the third ventricle with access through a burrhole in the treatment of midly located deep-seated brain tumors. Burdenko's Journal of Neurosurgery. 2024;88(2):5‑13. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2024880215

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
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Abstract:

BACKGROUND

Currently, endoscopic third ventriculostomy and simultaneous biopsy of deep midline brain tumors are a generally accepted option in neurooncology. Nevertheless, effectiveness of this surgery and diagnostic accuracy of biopsy are not without drawbacks. An alternative to endoscopic surgery may be simultaneous microsurgical third ventriculostomy and biopsy of deep midline tumors.

OBJECTIVE

To evaluate effectiveness and safety of burr hole microsurgical third ventriculostomy in the treatment of deep midline brain tumors.

MATERIAL AND METHODS

We used transcortical (25 cases) and transcallosal (8 cases) approaches for microsurgical third ventriculostomy.

RESULTS

Initially scheduled biopsy was performed in 19 cases, partial resection in 6 cases, subtotal resection in 4 cases and total resection in 4 cases. All patients underwent microsurgical third ventriculostomy. In 12 cases, stenting of stoma was performed in addition to ventriculostomy. Biopsy was informative in all cases. Postoperative follow-up period ranged from 3 to 44 months (mean 29 months). There was no postoperative hydrocephalus and need for shunting procedure.

CONCLUSION

Burr hole microsurgery may be an alternative to endoscopic surgery for the treatment of pineal, periaqueductal and third ventricular tumors.

Keywords:

endoscopic third ventriculostomy
tumor biopsy
minimally invasive surgery
Burr hole microsurgery
microsurgical third ventriculostomy

Authors:

Pitskhelauri D.I.

Burdenko Neurosurgical Center

Grachev N.S.

Burdenko Neurosurgical Institute

Kudieva E.S.

Burdenko Neurosurgical Institute

Sanikidze A.Z.

Burdenko Neurosurgical Institute

Received:

25.09.2023

Accepted:

12.01.2024

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