임상 : 상측뇌실 종양의 수술적 치료 = Surgical Treatment for Lateral Ventricle Tumors

다국어 초록 (Multilingual Abstract)

Objective: Lateral ventricular tumors are rare lesions of the central nervous system. Since most tumors are benign or low grade, good outcomes can be achieved with complete removal. However, optimal surgical management in lateral ventricle tumors remains controversial. We review six cases of patients with these lesions treated with a surgical approach on the basis of the tumor location. Methods: Six patients underwent surgery for lateral ventricle tumors. The transcortical approach was used in five patients, and the transcallosal approach was used in one patient. Transcortical approaches are frontal transcortical, middle temporal gyrus, and posterior parietal transcortical approaches. And we operated one patient with atypical meningioma of frontal horn and body by anterior interhemispheric transcallosal approach. Results: Gross total resection was performed in five patients. There was the only surgical morbidity that the tumor bed operated was bled, and the outcome of the patient remained poor. Two visual field deficits were developed transiently, however they were recovered during follow-up period. Conclusions: Lateral ventricle tumors can be treated best by careful selection of the approach according to the specific location, size, and vascularization of these tumors.