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Seminars in Neurosurgery 2003; 14(3): 237-244
DOI: 10.1055/s-2004-828927
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Meningiomas of the Lateral Ventricle

Anthony L. D'Ambrosio, Richard C. Anderson, Jeffrey N. Bruce
  • Department of Neurological Surgery, The Neurological Institute, Columbia University College of Physicians and Surgeons, New York, New York
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Publication History

Publication Date:
02 June 2004 (online)

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ABSTRACT

Intraventricular meningiomas represent less than 2% of all intracranial meningiomas. These tumors often have an indolent course, and patients can present in adulthood with severe headache, nausea and vomiting, visual disturbances, and/or seizures. These lesions typically reside in the trigone of the lateral ventricle, with a predilection for the left side and a female predominance; however, any location within the ventricular system is possible. The differential diagnosis for lateral ventricular lesions is broad, but intraventricular meningiomas have the same radiographic appearance on magnetic resonance imaging and cerebral angiography as other, more common intracranial meningiomas. The primary treatment for an intraventricular meningioma is surgery, with the goal of gross total resection. Many surgical approaches to the lateral ventricle exist, and the challenge is to develop a route to these deep lesions that will cause the least morbidity, provide adequate working space, allow the identification and control of the vascular pedicle, and achieve a complete resection. With the assistance of frameless stereotactic image guidance and preoperative cerebral angiography, primary surgical resection of these lesions can result in excellent clinical outcomes with low recurrence rates.

KEYWORDS

Meningioma - intraventricular - lateral ventricle - surgical approaches

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