Treatment of posterior third ventricular central neurocytoma with endoscopic biopsy, endoscopic third ventriculostomy and stereotactic radiosurgery

Central neurocytomas of the posterior third ventricle are rare. These typically benign lesions have recently been shown to respond well to Gamma knife stereotactic radiosurgery (SRS). We present the case of a posterior third ventricle central neurocytoma presenting with aqueduct obstruction. The pat...

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Bibliographic Details
Published inMinimally invasive neurosurgery Vol. 46; no. 3; p. 165
Main Authors Javedan, S P, Manwaring, K, Smith, K A
Format Journal Article
LanguageEnglish
Published Germany 01.06.2003
Subjects
Biopsy
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Endoscopy - methods
Humans
Male
Middle Aged
Neurocytoma - pathology
Neurocytoma - surgery
Radiosurgery - methods
Third Ventricle - pathology
Third Ventricle - surgery
Treatment Outcome
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Summary:Central neurocytomas of the posterior third ventricle are rare. These typically benign lesions have recently been shown to respond well to Gamma knife stereotactic radiosurgery (SRS). We present the case of a posterior third ventricle central neurocytoma presenting with aqueduct obstruction. The patient was treated with endoscopic biopsy and endoscopic third ventriculostomy, followed by Gamma knife radiosurgery. At 2 years the tumor has diminished in size and the patient is neurologically intact. This treatment strategy may avoid the risk of open ventricular surgery and the need for shunts in patients with central neurocytomas of appropriate size and location.
ISSN:0946-7211
DOI:10.1055/s-2003-40744