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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(04): 642-646
DOI: 10.1055/s-0042-1757724
Case Report

Lateral Horizontal Head Position Approach for the Lateral and Anterior Third Ventricles: A Subependymoma Clinical Case and Literature Review

Hüseyin Doğu 
1   Department of Neurosurgery, Medicine Hospital, Atlas University, Istanbul, Turkey
,
Hidayet Akdemir
1   Department of Neurosurgery, Medicine Hospital, Atlas University, Istanbul, Turkey
,
Sırma Çetin
2   Department of Pathology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey
› Institutsangaben Funding None.
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Abstract

Subependymomas are benign, slow-growing, noninvasive solitary lesions of World Health Organization Grade I cerebral ependymal origin that are rare compared with other types of ependymomas. Anterior third ventricle subependymomas are usually detected during autopsies in cases of sudden death due to acute or intermittent obstruction of the cerebrospinal fluid passage. Different surgical approaches are used for these cerebral lateral and third ventricular lesions. Serious complications can occur, either because of brain edema and acute intracranial pressure due to the lesion itself or the chosen head position and continuous use of brain retractors during the surgical procedure.

In this case report, we trust that the surgical principles we applied with the aid of two cotton pads, gravity assist, and lateral horizontal head position, and without continuous use of brain retractors in the third ventricular lesion in the transcallosal interhemispheric approach are safe and secure in preventing perioperative brain edema or early postoperative neurological complications.

Keywords

third ventricle - transcallosal interhemispheric - subependymoma

Authors' Contributions

Hüseyin Doğu was involved in conceptualization, designing, definition of intellectual content, literature search, clinical studies, data analysis, manuscript preparation and editing. Hidayet Akdemir was involved in conceptualization, definition of intellectual content, clinical studies, data analysis, and manuscript preparation. Sırma Çetin contributed to clinical studies and data acquisition. Hüseyin Doğu and Hidayet Akdemir provided guarantee.




Publikationsverlauf

Artikel online veröffentlicht:
18. Oktober 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Scheinker IM, Scheinker IM. Subependymoma: a newly recognized tumor of subependymal derivation. J Neurosurg 1945; 2: 232-240
    CrossrefGoogle Scholar
  • 2 Louis DN, Ohgaki H, Wiestler OD. et al. WHO Classification of Tumours of the Central Nervous System. Lyon: International Agency for Research in Cancer (IARC Press); 2016
    Google Scholar
  • 3 Scheithauer BW. Symptomatic subependymoma. Report of 21 cases with review of the literature. J Neurosurg 1978; 49 (05) 689-696
    CrossrefPubMedGoogle Scholar
  • 4 Lombardi D, Scheithauer BW, Meyer FB. et al. Symptomatic subependymoma: a clinicopathological and flow cytometric study. J Neurosurg 1991; 75 (04) 583-588
    CrossrefPubMedGoogle Scholar
  • 5 Rushing EJ, Cooper PB, Quezado M. et al. Subependymoma revisited: clinicopathological evaluation of 83 cases. J Neurooncol 2007; 85 (03) 297-305
    CrossrefPubMedGoogle Scholar
  • 6 Nowak A, Marchel A. Surgical treatment of intraventricular ependymomas and subependymomas. Neurol Neurochir Pol 2012; 46 (04) 333-343
    CrossrefPubMedGoogle Scholar
  • 7 Apuzzo MIJ, Litofsky NS. Surgery in and around the anterior third ventricle. In Apuzzo MLJ. ed. Brain Surgery Complication Avoidance and Management. New York, NY: Churchill Livingstone Inc.; 1993: 541-577
    Google Scholar
  • 8 Kurukumbi M, Muley A, Ramidi G, Wynn Z, Trouth AJ. A rare case of subependymoma with an atypical presentation: a case report. Case Rep Neurol 2011; 3 (03) 227-232
    CrossrefPubMedGoogle Scholar
  • 9 Fujisawa H, Hasegawa M, Ueno M. Clinical features and management of five patients with supratentorial subependymoma. J Clin Neurosci 2010; 17 (02) 201-204
    CrossrefPubMedGoogle Scholar
  • 10 Chiechi MV, Smirniotopoulos JG, Jones RV. Intracranial subependymomas: CT and MR imaging features in 24 cases. AJR Am J Roentgenol 1995; 165 (05) 1245-1250
    CrossrefPubMedGoogle Scholar
  • 11 Ragel BT, Osborn AG, Whang K, Townsend JJ, Jensen RL, Couldwell WT. Subependymomas: an analysis of clinical and imaging features. Neurosurgery 2006; 58 (05) 881-890 , discussion 881–890
    CrossrefPubMedGoogle Scholar
  • 12 Mørk SJ, Morild I, Giertsen JC. Subependymoma and unexpected death. Forensic Sci Int 1986; 30 (04) 275-280
    CrossrefPubMedGoogle Scholar
  • 13 Ortiz-Reyes R, Dragovic L, Eriksson A. Sudden unexpected death resulting from previously nonsymptomatic subependymoma. Am J Forensic Med Pathol 2002; 23 (01) 63-67
    CrossrefPubMedGoogle Scholar
  • 14 Dandy WE. Diagnosis, localization and removal of tumors of the third ventricle. Bull Johns Hopkins Hosp 1922; 33: 188-189
    Google Scholar
  • 15 Stein BM. Transcallosal approach to third ventricular tumors. In Schmidek HH, Sweet WH. eds. Current Techniques in Operative Neurosurgery. New York: Grune & Stratton; 1977: 247-255
    Google Scholar
  • 16 Winston KR, Cavazzuti V, Arkins T. Absence of Neurological and behavioral abnormalities after anterior transcallosal operation for third ventricular lesions. Neurosurgery 1979; 4 (05) 386-393
    CrossrefPubMedGoogle Scholar
  • 17 Ehni G. Interhemispheric and percallosal (transcallosal) approach to the cingulate gyri, intraventricular shunt tubes, and certain deeply placed brain lesions. Neurosurgery 1984; 14 (01) 99-110
    CrossrefPubMedGoogle Scholar
  • 18 Clark K. The occipital transtentorial approach to the pineal region. In: Schmidek HH, Sweet WH. eds. Operative Neurosurgical Techniques. Orlando: Grune & Statton, Inc; 1988: 11-418
    Google Scholar
  • 19 Shevach I, Cohen M, Rappaport ZH. Patient positioning for the operative approach to midline intracerebral lesions: technical note. Neurosurgery 1992; 31 (01) 154-155
    PubMedGoogle Scholar