2011, Number 1
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Rev Cubana Neurol Neurocir 2011; 1 (1)
Endoscopic diagnosis of triventricular hydrocephalus secondary to pineocitoma: a case report
González OY, de Jongh CE, Junco MRA, Rojas MJL, Duboy LV, Córdova AF
Language: Spanish
References: 18
Page: 33-36
PDF size: 242.73 Kb.
ABSTRACT
Introduction: The Pineocitoma it is a benign pineal parenchyma tumor with slow growth. It´s symptoms depend on the non-communicant hydrocephalus for obstruction of the Silvio aqueduct and compressive effects of surrounding nervous structures.
Case report: In a white skin masculine patient, with clinical picture of intracranial hypertension secondary to triventricular hydrocephalus, we carry out a Fenestration Endoscopic premamilar of the floor of the third ventricle and biopsy that turned out to be a Pineocitoma. In the simple CT scan of alone skull diagnosis of the first entity existed.
Conclusions: By this way, is demonstrated the advantages of the neuroendoscopic of the third ventricle, not only for therapeutic ends but also diagnostic purposes.
REFERENCES
Allen JC, Bruce J, Kun LE, Langford L. Pineal región tumors. In Levin VA (ed): Cancer in the Nervous System. Oxford, University Press 2002;2:193–207.
Neuwelt EA, Glasberg M, Frenkel E, Clark WK: Malignant pineal region tumors. A clinico–pathological study. J Neurosurg. 1999;51:597–607.
Chiechi MV, Smirniotopoulos JG, Mena H: Pineal parenchymal tumors: CT and MR features. J Comput Assist Tomogr. 1995;19:509–17.
DeGirolami U, Schmidek H: Clinicopathological study of 53 tumors of the pineal region. J Neurosurg 1973; 39: 455–62.
Rubistein LH, Russel DS. Pathology of tumors of the Nervous System, 3rd ed. Baltimore: Williams and Wilkins 1971.
Lutterbach J, Fauchon F, Schild SE, Chang SM, Pagenstecher A, Volk B, et al. Malignant pineal parenchymal tumors in adult patients: patterns of care and prognostic factors. Neurosurgery. 2002;51:44–55.
Herrick MK, Rubinstein JL. The cytological differentiating potential of pineal parenchymal neoplasms (true pinealomas). A clinicopathological study of 28 brain tumours. Brain. 1979;102:289–320.
Kleihues P, Louis D, Scheithauer BW, Rorke LB. Reifenberger G, Burger PC, Cavenee WK. The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol. 2002;61:215–25.
Herrick M. Pathology of pineal tumors. In Neuwelt, E., ed.: Diagnosis and treatment of pineal region tumors. Baltimore, Williams & Wilkins 1984: 31–60.
Nakagawa H, Iwasaki S, Kichikawa K, Maeda M, Matuo T, Ohishi H, et al. MR imaging of pineocytoma: report of two cases. AJNR Am J Neuroradiol. 1990;11:195–8.
Decq P, La Guerinel C, Sakka L, Roujeau T, Sol J, Palfi S, et al. Endoscopio surgery of third ventricle lesions [in French]. Neurochirurgie. 2000;46:286–94.
Engel U, Gottschalk S, Niehaus L, Lehmann R, May C, Vogel S, et al. Cystic lesions of the pineal region––MRI and pathology. Neuroradiology. 2000;42:399–402.
Kondziolka D, Hadjipanayis CG, Flickinger JC, Lunsford LD. The role of radiosurgery for the treatment of pineal parenchymal tumors. Neurosurgery. 2002;51:880–9.
Boshhert J, Hellwig D, Krauss JK. Endoscopic third ventriculostomy for Shunt dysfunction in occlusive hydrocephalus: Long–term follow up and review. J Neurosurg. 2003;98:1032–9.
Gagliardi CE, Fernández MGS. Abordaje neuroendoscópico a la patología expansiva del III ventrículo. Nuestra experiencia en 16 pacientes. Rev. Argent Neuroc. 2007;13:78.
Maciel MR, Baltazar VJ, Ramírez CV, Martínez CJ, Juárez J, García S, et al. Técnicas neuroendoscópicas: Indicaciones y procedimientos. Rev Esp Med Quir. 2006;11:63–6.
Oi S, Shibata M, Tominaga J, Honda Y, Shinoda M, Takei F, et al. Efficacy of neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors: a prospective study. J Neurosurg. 2000;93:245–53.
Feng H, Huang G, Liao X, Fu K, Tan H, Pu H, et al. Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: An outcome analysis. J Neurosurg. 2004;100:626–33.