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Minim Invasive Neurosurg 2011; 54(3): 125-127
DOI: 10.1055/s-0031-1277198
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Neuronavigation-Guided Endoscopic Management of a Pineal Region Tumour with Obscured Floor of the Third Ventricle: Case Report

Z. Idris1 , A. R. I. Ghani1 , B. Idris1 , M. Muzaimi1 , S. Awang1 , H. K. Pal1 , J. M. Abdullah1
  • 1Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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Publication History

Publication Date:
23 August 2011 (online)

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Abstract

Background: Shunt surgery is frequently chosen to manage periventricular metastasis of pineal region tumours which obscured the floor of the third ventricle. However, this procedure falls short due to distant metastasis. Neuronavigation-guided endoscopic surgery offers a viable alternative.

Patient: A 17-year-old man became symptomatic from widespread periventricular metastasis of a pineal region tumour which completely obscured the floor of the third ventricle.

Results: Endoscopic tumour biopsy followed by neuronavigation-guided endoscopic third ventriculotomy was performed successfully.

Conclusion: This case report emphasizes the value of neuronavigation-guided endoscopic third ventriculostomy as a feasible surgical alternative for pineal region tumours with widespread periventricular metastasis that obscure the third ventricular floor.

Key words

endoscopy - neuronavigation - germinoma - ventriculostomy

References

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Correspondence

Dr. Z. Idris

Department of Neurosciences

School of Medical Sciences

Hospital Universiti Sains

Malaysia

16150 Kubang Kerian

Kelantan

Malaysia

Phone: +60/9/767 6299

Fax: +60/9/764 8613

Email: zamzuri@kb.usm.my