TUMORS OF THE 3RD VENTRICLE
TUMORS OF THE 3RD VENTRICLE
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DOI：
10.1007/bf01406334
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发表时间：
1985-01-01
影响因子：
2.4
通讯作者：
CARMEL, PW
中科院分区：
文献类型：
--
作者：
CARMEL, PW
原发性脑室内肿瘤，包括胶质囊肿、脉络丛乳头状瘤和室管膜瘤都附着在第三脑室内并停留在其范围内。继发性脑室内肿瘤发生于第三脑室附近，通常在鞍上区，包括颅咽管瘤、视神经胶质瘤和脑膜瘤。脑室入路包括额下、颞下、前经脑室、前后经胼胝体和经小脑幕入路。记忆问题已经注意到与前背方法，涉及损害一个或两个前穹窿柱。打开第三脑室顶部的方法必须评估对脑室深静脉、穹窿和脉络丛的风险。基底额下入路可以通过打开终板或包括翼点区的外侧入路进行修改。这些方法在一系列的100个第三脑室肿瘤的应用进行了分析。
Primary intraventricular tumors, including colloid cysts, choroid plexus papillomas, and ependymomas have their attachment within the IIIrd ventricle and stay within its confines. Secondary intraventricular tumours arise adjacent to the IIIrd ventricle, often in the suprasellar region, and include craniopharyngiomas, optic nerve gliomas, and meningiomas. Approaches to the ventricle include subfrontal, subtemporal, anterior transventricular, anterior and posterior transcallosal, and transtentorial routes. Memory problems have been noted with anterior dorsal methods, implicating damage to one or both anterior forniceal columns. Methods of opening the roof of the third ventricle must evaluate risk to the deep ventricular veins, the fornix, and the choroid plexus. The basal subfrontal method may be modified by opening the lamina terminalis or including a lateral approach from the pterional area. The application of these approaches in a series of 100 third ventricle tumours is analyzed.