Papillary Ependymoma WHO Grade II of the Aqueduct Treated by Endoscopic Tumor Resection
Author(s) -
Andreas M. Stark,
Heinz-Herrmann Hugo,
Arya Nabavi,
H. Maximilian Mehdorn
Publication year - 2009
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2009/434905
Subject(s) - medicine , aqueduct , endoscopic third ventriculostomy , hydrocephalus , cerebral aqueduct , ependymoma , magnetic resonance imaging , ventriculostomy , spinal cord , endoscopy , resection , cerebrospinal fluid , surgery , radiology , pathology , archaeology , psychiatry , history
Papillary ependymoma is a rare tumor that may be located along the ventricular walls or within the spinal cord. We report the case of a 54-year-old patient with a papillary ependymoma WHO grade II arising at the entrance of the aqueduct. The tumor caused hydrocephalus. The tumor was completely removed via a right-sided endoscopic approach with restoration of the aqueduct. The free cerebrospinal fluid passage through the aqueduct was not only visualized by endoscopy but also controlled by intraoperative high-field magnetic resonance imaging. Therefore, an additional endoscopic third ventriculostomy was unneccessary.
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