Contralateral Interhemispheric Transfalcine Approach for Supratentorial Extraventricular Ependymoma Resection.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 23 03 2022
revised: 16 04 2022
accepted: 18 04 2022
entrez: 31 5 2022
pubmed: 1 6 2022
medline: 3 6 2022
Statut: ppublish

Résumé

Extraventricular supratentorial ependymomas are rare entities. Most ependymomas are located at the infratentorial and intraventricular level, and only in a small group of cases they do not present continuity with the ventricular system. This is a case report of a patient with an atypical location of a cerebral ependymoma, which required the implementation of a complex and infrequent approach for its complete microsurgical removal. A 16-year-old male patient was referred at our department with a diagnosis of a 40 mm × 50 mm × 60 mm solid-cystic space-occupying lesion, sited between the left superior frontal-cingulate gyri. A contralateral transfalcine interhemispheric approach was selected, which achieved total resection of the tumor. The histopathological diagnosis of Grade II ependymoma was obtained according to WHO classification. The contralateral transfalcine interhemispheric approach represents a favorable surgical corridor to achieve a total resection of the tumor lesion and is favored by an adequate working angle and reduced brain manipulation.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Extraventricular supratentorial ependymomas are rare entities. Most ependymomas are located at the infratentorial and intraventricular level, and only in a small group of cases they do not present continuity with the ventricular system. This is a case report of a patient with an atypical location of a cerebral ependymoma, which required the implementation of a complex and infrequent approach for its complete microsurgical removal.
CASE REPORT METHODS
A 16-year-old male patient was referred at our department with a diagnosis of a 40 mm × 50 mm × 60 mm solid-cystic space-occupying lesion, sited between the left superior frontal-cingulate gyri. A contralateral transfalcine interhemispheric approach was selected, which achieved total resection of the tumor. The histopathological diagnosis of Grade II ependymoma was obtained according to WHO classification.
CONCLUSION CONCLUSIONS
The contralateral transfalcine interhemispheric approach represents a favorable surgical corridor to achieve a total resection of the tumor lesion and is favored by an adequate working angle and reduced brain manipulation.

Identifiants

pubmed: 35641289
pii: 42/6/3203
doi: 10.21873/anticanres.15810
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3203-3207

Informations de copyright

Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Matias Baldoncini (M)

Department of Neurological Surgery, Hospital San Fernando, Buenos Aires, Argentina.

Gianluca Ferini (G)

Department of Radiation Oncology, REM Radioterapia srl, Viagrande, Italy.

Giuseppe E Umana (GE)

Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy; umana.nch@gmail.com.

Bipin Chaurasia (B)

Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.

Mickaela Echavarria Demichelis (ME)

Department of Neurological Surgery, Hospital San Fernando, Buenos Aires, Argentina.

Juan F Villalonga (JF)

Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina.

Paolo Palmisciano (P)

Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy.

Paolo Amico (P)

Department of Pathology, ASP 7, Ragusa, Italy.

Sabino Luzzi (S)

Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.

Derek O Pipolo (DO)

LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina.

Alvaro Campero (A)

Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina.

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Classifications MeSH