Endoscope-assisted resection of cavernous angioma at the foramen of Monro: a case report

被引:11
|
作者
Matsumoto, Yuji [1 ]
Kurozumi, Kazuhiko [1 ]
Shimazu, Yousuke [2 ]
Ichikawa, Tomotsugu [1 ]
Date, Isao [1 ]
机构
[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Neurol Surg, 2-5-1 Shikata Cho, Okayama, Okayama 7008558, Japan
[2] Hiroshima City Hiroshima Citizens Hosp, Dept Neurol Surg, Hiroshima, Japan
来源
SPRINGERPLUS | 2016年 / 5卷
关键词
Cavernous angioma; Foramen of Monro; Neuroendoscope-assisted surgery; COLLOID CYST; HEMANGIOMA; MALFORMATION; LESIONS;
D O I
10.1186/s40064-016-3538-x
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Introduction: Intraventricular cavernous angiomas are rare pathological entities, and those located at the foramen of Monro are even rarer. We herein present a case of cavernous angioma at the foramen of Monro that was successfully treated by neuroendoscope-assisted surgical removal, and review the relevant literature. Case presentation: A 65-year-old woman had experienced headache and vomiting for 10 days before admission to another hospital. Magnetic resonance imaging (MRI) showed a mass at the foramen of Monro, and obstructive hydrocephalus of both lateral ventricles. The patient was then referred to our hospital. Neurological examination on admission to our hospital showed memory disturbance (Mini-Mental State Examination 20/30) and wide-based gait. A cavernous angioma at the foramen of Monro was diagnosed based on the typical popcorn-like appearance of the lesion on MRI. The lesion was completely removed by neuroendoscope-assisted transcortical surgery with the Viewsite Brain Access System (Vycor Medical Inc., Boca Raton, FL), leading to a reduction in the size of the ventricles. The resected mass was histologically confirmed to be cavernous angioma. The patient's symptoms resolved immediately and there were no postoperative complications. Conclusion: Minimally invasive neuroendoscope-assisted surgery was used to successfully treat a cavernous angioma at the foramen of Monro.
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页数:7
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