| Ganglioglioma of the right lateral ventricle approached with neuronavigation and intraoperative DTI. Case report and literature review. | |
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MedLine Citation:
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PMID: 21993894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CASE REPORT: A 22-year-old male was admitted because of headache and seizures. Magnetic resonance imaging (MRI) revealed a neoplasm in the temporal horn of the right lateral ventricle. A CT scan demonstrated calcifications. After preoperative planning, the patient was scheduled for neuronavigated operation. A small temporal craniotomy was performed. Once the dura was opened, we acquired a volumetric intraoperative MRI with diffusion tensor imaging (DTI). The optic tract was visualized again on intraoperative DTI and the volumetric MRI was used to update the navigational data. RESULTS: The temporal corticotomy between the inferior and the middle temporal gyrus was guided by neuronavigation, keeping the surgical corridor in distance to the optic tract until the tumor was reached. After tumor resection, we repeated intraoperative MRI with DTI, which confirmed complete tumor removal and the patency of the optic pathway. Our protocol allowed us to reach the lesion via a minimally invasive approach with near real-time control of the integrity of the optic tract during surgery. DTI was acquired preoperatively and during surgery, avoiding inaccuracy due to brain shift. CONCLUSIONS: Intraoperative MRI with DTI allows to treat such lesions via minimally invasive approaches and to reduce operative morbidity due to fiber tract damage. |
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Authors:
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G d'Andrea; G Sessa; L Ferrante |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-10-12 |
Journal Detail:
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Title: Central European neurosurgery Volume: 72 ISSN: 1868-4912 ISO Abbreviation: Cent Eur Neurosurg Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-14 Completed Date: 2012-03-06 Revised Date: 2012-03-23 |
Medline Journal Info:
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Nlm Unique ID: 101501500 Medline TA: Cent Eur Neurosurg Country: Germany |
Other Details:
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Languages: eng Pagination: 196-200 Citation Subset: IM |
Copyright Information:
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© Georg Thieme Verlag KG Stuttgart · New York. |
Affiliation:
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S Andrea Hospital, University of Rome, Neurosurgery, Rome, Italy. gdandrea2002@yahoo.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Ventricle Neoplasms
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pathology*,
surgery* Craniotomy Diffusion Tensor Imaging / methods* Ganglioglioma / pathology*, surgery* Humans Image Processing, Computer-Assisted Lateral Ventricles / pathology, radiography, surgery Magnetic Resonance Imaging Male Monitoring, Intraoperative Neuronavigation / methods* Neurosurgical Procedures / methods* Tomography, X-Ray Computed Vision Disorders / etiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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