El Ghannam, O., El Narsh, A., Beheiry, H., Ziady, M. (2019). Endoscopic Management of Supratentorial Ventricular Tumors. The Egyptian Journal of Hospital Medicine, 76(3), 3764-3773. doi: 10.21608/ejhm.2019.40641
Osama El Ghannam; Ahmed El Narsh; Hamdy Beheiry; Mohamed Fathy Kamel Ziady. "Endoscopic Management of Supratentorial Ventricular Tumors". The Egyptian Journal of Hospital Medicine, 76, 3, 2019, 3764-3773. doi: 10.21608/ejhm.2019.40641
El Ghannam, O., El Narsh, A., Beheiry, H., Ziady, M. (2019). 'Endoscopic Management of Supratentorial Ventricular Tumors', The Egyptian Journal of Hospital Medicine, 76(3), pp. 3764-3773. doi: 10.21608/ejhm.2019.40641
El Ghannam, O., El Narsh, A., Beheiry, H., Ziady, M. Endoscopic Management of Supratentorial Ventricular Tumors. The Egyptian Journal of Hospital Medicine, 2019; 76(3): 3764-3773. doi: 10.21608/ejhm.2019.40641
Endoscopic Management of Supratentorial Ventricular Tumors
Department of Neurosurgery, Faculty of Medicine – Al-Azhar University
Abstract
Background: Intraventricular tumors are ideal indications for neuroendoscopic surgery. Because intraventricular tumors often cause cerebrospinal fluid (CSF) pathway obstruction, resulting in ventricular dilation and sufficient space for maneuvering with the endoscopes is available. Objective: The aim of this study was retrospectively and antrospectively evaluation of the role and outcome of use of endoscope in intraventricular tumors in term of: 1-Diagnostic of the deep lesions. 2- Management of increased intra-cranial pressure (ICP). 3-Excision of tumor depends on the type. Patients and Methods: This prospective and retrospective study was carried on 30 patients who sought medical advice for intra ventricular tumor from 2015 to 2019 in Al-Hussein University Hospital. Tumors are removed or biopsied with or without ETV and septum pellucidostomy. Results: According to our study, we found that endoscopic removal of intraventricular tumors has low rate of complications. There were 25 cases with no complications (83.3%) and better outcome. There were 15 cases (50%) very good outcome and 10 cases (33.3%) were good outcome, as there was minimal dissection and brain retraction. Conclusion: Regarding endoscopic treatment of intra ventricular tumors, there are many advantages of the endoscopic approach as low rate of complications, minimal dissection, better outcome, brain retraction, rapid access to the target and excellent visualization of the lesion and surrounding structures. Endoscopic approach also has the ability of treatment of the associated hydrocephalus at the same session with low rate of failure or recurrence.
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