Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Transcortical Endoscopic Surgery for Intraventricular Lesions

  • Kim, Myung-Hyun (Department of Neurosurgery, Ewha Womans University Mokdong Hospital)
  • Received : 2017.01.02
  • Accepted : 2017.04.24
  • Published : 2017.05.01
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Abstract

To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords 'endoscopy,' 'endoscopic,' and 'neuroendoscopic.' Of these articles, those describing intraventricular lesions were reviewed. Suprasellar arachnoid cysts (SACs) can be treated with ventriculo-cystostomy (VC) or ventriculo-cysto-cisternostomy (VCC). VCC showed better results compared to VC. Procedure type, fenestration size, stent placement, and aqueductal patency may affect SAC prognosis. Colloid cysts can be managed using a transforaminal approach (TA) or a transforaminal-transchoroidal approach (TTA). However, TTA may result in better exposure compared to TA. Intraventricular cysticercosis can be cured with an endoscopic procedure alone, but if pericystic inflammation and/or ependymal reaction are seen, third ventriculostomy may be recommended. Tumor biopsies have yielded successful diagnosis rates of up to 100%, but tumor location, total specimen size, endoscope type, and vigorous coagulation on the tumor surface may affect diagnostic accuracy. An ideal indication for tumor excision is a small tumor with friable consistency and little vascularity. Tumor size, composition, and vascularity may influence a complete resection. SACs and intraventricular cysticercosis can be treated successfully using endoscopic procedures. Endoscopic procedures may represent an alternative to surgical options for colloid cyst removal. Solid tumors can be safely biopsied using endoscopic techniques, but endoscopy for tumor resection still results in considerable challenges.

Keywords

References

  1. Auer LM : Intraoperative ultrasound as guide for neurosurgical endoscopic procedures. Acta Radiol Suppl 369 : 164-166, 1986
  2. Berlis A, Vesper J, Ostertag C : Stent placement for intracranial cysts by combined stereotactic/endoscopic surgery. Neurosurgery 59(4 Suppl 2) : ONS474-ONS479; discussion ONS479-ONS480, 2006
  3. Binitie O, Williams B, Case CP : A suprasellar subarachnoid pouch; aetiological considerations. J Neurol Neurosurg Psychiatry 47 : 1066-1074, 1984 https://doi.org/10.1136/jnnp.47.10.1066
  4. Boogaarts HD, Decq P, Grotenhuis JA, Le Guerinel C, Nseir R, Jarraya B, et al. : Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: a series of 90 cases. Neurosurgery 68 : 179-187, 2011 https://doi.org/10.1227/NEU.0b013e3181ffae71
  5. Bosch DA, Rahn T, Backlund EO : Treatment of colloid cysts of the third ventricle by stereotactic aspiration. Surg Neurol 9 : 15-18, 1978
  6. Carr K, Zuckerman SL, Tomycz L, Pearson MM : Endoscopic removal of an intraventricular primitive neuroectodermal tumor: retrieval of a freefloating fragment using a urological basket retriever. J Neurosurg Pediatr 12 : 25-29, 2013 https://doi.org/10.3171/2013.3.PEDS12392
  7. Chawla S, Gupta RK, Husain N, Garg M, Kumar R, Kumar S : Prediction of viability of porcine neurocysticercosis with proton magnetic resonance spectroscopy: correlation with histopathology. Life Sci 74 : 1081-1092, 2004. https://doi.org/10.1016/j.lfs.2003.07.031
  8. Ciricillo SF, Cogen PH, Harsh GR, Edwards MS : Intracranial arachnoid cysts in children. A comparison of the effects of fenestration and shunting. J Neurosurg 74 : 230-235, 1991 https://doi.org/10.3171/jns.1991.74.2.0230
  9. Citow JS, Johnson JP, McBridge DQ, Ammirati M : Imaging features and surgery-related outcomes in intraventricular neurocysticercosis. Neurosurg Focus 12 : e6, 2002
  10. Cuetter AC, Andrews RJ : Intraventricular neurocysticercosis: 18 consecutive patients and review of the literature. Neurosurg Focus 12 : e5, 2002
  11. Cuetter AC, Andrews RJ : Intraventricular neurocysticercosis in Singh G, Prabhakar S (eds): Taenia Solium Cysticercosis. Oxford : CABI Publishing, 2002, pp199-210
  12. Dandy WE, Blackfan KD : An experimental and clinical study on internal hydrocephalus. JAMA 61 : 2216-2217, 1913 https://doi.org/10.1001/jama.1913.04350260014006
  13. Depreitere B, Dasi N, Rutka J, Dirks P, Drake J : Endoscopic biopsy for intraventricular tumors in children. J Neurosurg 106(5 Suppl) : 340-346, 2007
  14. Desai KI, Nadkarni TD, Muzumdar DP, Goel AH : Surgical management of colloid cyst of the third ventricle--a study of 105 cases. Surg Neurol 57 : 295-302; discussion 302-304, 2002 https://doi.org/10.1016/S0090-3019(02)00701-2
  15. Dorward N, Alberti O, Velani B, Gerritsen FA, Harkness WF, Kitchen ND, et al. : Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 88 : 656-662, 1998 https://doi.org/10.3171/jns.1998.88.4.0656
  16. El-Ghandour NM : Endoscopic treatment of intraparenchymal arachnoid cysts in children. J Neurosurg Pediatr 14 : 501-507, 2014 https://doi.org/10.3171/2014.7.PEDS13647
  17. El-Ghandour NM : Endoscopic treatment of suprasellar arachnoid cysts in children. J Neurosurg Pediatr 8 : 6-14, 2011 https://doi.org/10.3171/2011.4.PEDS1184
  18. Fox JL, Al-Mefty O : Suprasellar arachnoid cysts: an extension of the membrane of Liliequist. Neurosurgery 7 : 615-618, 1980 https://doi.org/10.1227/00006123-198012000-00016
  19. Fukushima T : Endoscopic biopsy of intraventricular tumors with the use of a ventriculofiberscope. Neurosurgery 2 : 110-113, 1978 https://doi.org/10.1227/00006123-197803000-00006
  20. Gaab MR, Schroeder HW : Neuroendoscopic approach to intraventricular lesions. Neurosurg Focus 6 : e5, 1999
  21. Greenfield JP, Souweidane MM : Endoscopic management of intracranial cysts. Neurosurg Focus 19 : E7, 2005
  22. Greenlee JD, Teo C, Ghahreman A, Kwok B : Purely endoscopic resection of colloid cysts. Neurosurgery 62(3 Suppl 1) : 51-55; discussion 55-56, 2008 https://doi.org/10.1227/01.neu.0000317373.00018.6f
  23. Husain N, Kumari M, Husain M : Tumor irrigation fluid enhances diagnostic efficacy in endoscopic biopsies of intracranial space-occupying lesions. Acta Neurochir (Wien) 152 : 111-117, 2010 https://doi.org/10.1007/s00701-009-0541-9
  24. Husain M, Rastogi M, Jha DK, Husain N, Gupta RK : Endoscopic tranaqueductal removal of fourth ventricular neurocysticercosis with an angiographic catheter. Neurosurgery 60(4 Suppl 2) : 249-253; discussion 254, 2007
  25. Iacono RP, Labadie EL, Johnstone SJ, Bendt TK : Symptomatic arachnoid cyst at the clivus drained stereotactically through the vertex. Neurosurgery 27 : 130-133, 1990 https://doi.org/10.1227/00006123-199007000-00020
  26. Iacoangeli M, di Somma LG, Di Rienzo A, Alvaro L, Nasi D, Scerrati M : Combined endoscopic transforaminal-transchoroidal approach for the treatment of third ventricle colloid cysts. J Neurosurg 120 : 1471-1476, 2014 https://doi.org/10.3171/2014.1.JNS131102
  27. Javedan SP, Manwaring K, Smith KA : Treatment of posterior third ventricular central neurocytoma with endoscopic biopsy, endoscopic third ventriculostomy and stereotactic radiosurgery. Minim Invasive Neurosurg 46 : 165-168, 2003 https://doi.org/10.1055/s-2003-40744
  28. Levine NB, Miller MN, Crone KR : Endoscopic resection of colloid cysts: indications, technique, and results during a 13-year period. Minim Invasive Neurosurg 50 : 313-317, 2007 https://doi.org/10.1055/s-2007-993215
  29. Longatti P, Godano U, Gangemi M, Delitala A, Morace E, Genitori L, et al. : Cooperative study by the Italian neuroendoscopy group on the treatment of 61 colloid cysts. Childs Nerv Syst 22 : 1263-1267, 2006 https://doi.org/10.1007/s00381-006-0105-8
  30. Luther N, Cohen A, Souweidane MM : Hemorrhagic sequelae from intracranial neuroendoscopic procedures for intraventricular tumors. Neurosurg Focus 19 : E9, 2005
  31. Maher CO, Goumnerova L : The effectiveness of ventriculocystocisternostomy for suprasellar arachnoid cysts. J Neurosurg Pediatr 7 : 64- 72, 2011 https://doi.org/10.3171/2010.10.PEDS10356
  32. Manwaring JC, El Damaty A, Baldauf J, Schroeder HW : The smallchamber irrigation technique (SCIT): a simple maneuver for managing intra-operative hemorrhage during endoscopic intraventricular surgery. Neurosurgery 10 : 375-379, 2014 https://doi.org/10.1227/NEU.0000000000000406
  33. Mathiesen T, Grane P, Lindquist C, von Holst H : High recurrence rate following aspiration of colloid cysts in the third ventricle. J Neurosurg 78 : 748-752, 1993 https://doi.org/10.3171/jns.1993.78.5.0748
  34. Mishra S, Chandra PS, Suri A, Rajender K, Sharma BS, Mahapatra AK : Endoscopic management of third ventricular colloid cysts: eight years' institutional experience and description of a new technique. Neurol India 58 : 412-417, 2010 https://doi.org/10.4103/0028-3886.66222
  35. Oberbauer RW, Haase J, Pucher R : Arachnoid cysts in children: a European co-operative study. Childs Nerv Syst 8 : 281-286, 1992 https://doi.org/10.1007/BF00300797
  36. Oertel JM, Baldauf J, Schroeder HW, Gaab MR : Endoscopic options in children: experience with 134 procedures. J Neurosurg Pediatr 3 : 81-89, 2009 https://doi.org/10.3171/2008.11.PEDS0887
  37. Oppido PA, Fiorindi A, Benvenuti L, Cattani F, Cipri S, Gangemi M, et al. : Neuroendoscopic biopsy of ventricular tumors: a multicentric experience. Neurosurg Focus 30 : E2, 2011
  38. Oretel JMK, Wagner W, Mondorf Y, Baldauf J, Schroeder HWS, Gaab MR : Endoscopic treatment of arachnoid cysts: a detailed account of surgical techniques and results. Neurosurgery 67 : 824-836, 2010 https://doi.org/10.1227/01.NEU.0000377852.75544.E4
  39. Ogiwara H, Morota N : Flexible endoscopy for management of intraventricular brain tumors in patients with small ventricles. J Neurosurg Pediatr 14 : 490-494, 2014 https://doi.org/10.3171/2014.7.PEDS13648
  40. Ogiwara H, Morota N, Joko M, Hirota K : Endoscopic fenestrations for suprasellar arachnoid cysts. J Neurosurg Pediatr 8 : 484-488, 2011 https://doi.org/10.3171/2011.8.PEDS11226
  41. Rangel-Castilla L, Torres-Corzo J, Vecchia RR, Mohanty A, Nauta HJ : Coexistent intraventricular abnormalities in periventricular giant arach noid cysts. J Neurosurg Pediatr 3 : 225-231, 2009 https://doi.org/10.3171/2008.11.PEDS08106
  42. Rengachary SS, Kennedy JD : Intracranial arachnoid cysts and ependymal cysts in Wilkins RH, Rengachary SS (eds): Neurosurgery, ed 2. New York : McGraw-Hill, 1996, Vol 3, pp3709-3728
  43. Rohde V, Reinges MH, Krombach GA, Gilsbach JM : The combined use of image-guided frameless stereotaxy and neuroendoscopy for the surgical management of occlusive hydrocephalus and intracranial cysts. Br J Neurosurg 12 : 531-538, 1998 https://doi.org/10.1080/02688699844385
  44. Roth J, Constantini S : Combined rigid and flexible endoscopy for tumors in the posterior third ventricle. J Neurosurg 122 : 1341-1346, 2015 https://doi.org/10.3171/2014.9.JNS141397
  45. Santamarta D, Aguas J, Ferrer E : The natural history of arachnoid cysts: endoscopic and cine-mode MRI evidence of a slit-valve mechanism. Minim Invasive Neurosurg 38 : 133-137, 1995 https://doi.org/10.1055/s-2008-1053473
  46. Schroeder HW, Oertel J, Gaab MR : Incidence of complications in neuroendoscopic surgery. Childs Nerv Syst 20 : 878-883, 2004 https://doi.org/10.1007/s00381-004-0946-y
  47. Shapiro S, Rodgers R, Shah M, Fulkerson D, Campbell RL : Interhemispheric transcallosal subchoroidal fornix-sparing craniotomy for total resection of colloid cysts of the third ventricle. J Neurosurg 110 : 112-115, 2009 https://doi.org/10.3171/2008.4.17495
  48. Sood S, Schulmann MU, Cakan N, Ham SD : Endoscopic fenestration and coagulation shrinkage of suprasellar arachnoid cysts. Technical note. J Neurosurg 102(1 Suppl) : 127-133, 2005
  49. Souweidane MM: Endoscopic surgery for intraventricular brain tumors in patients without hydrocephalus. Neurosurgery 57(6 Suppl 3) : ONS-312-ONS-318, 2005
  50. Souweidane MM, Luther N : Endoscopic resection of solid intraventricular brain tumors. J Neurosurg 105 : 271-278, 2006 https://doi.org/10.3171/jns.2006.105.2.271
  51. Talamonti G, D'Aliberti G, Picano M, Debernardi A, Collice M : Intracranial cysts containing cerebrospinal fluid-like fluid: results of endoscopic neurosurgery in a series of 64 consecutive cases. Neurosurgery 68 : 788-803; discussion 803, 2011 https://doi.org/10.1227/NEU.0b013e318207ac91
  52. Tamura Y, Kuroiwa T, Kajimoto Y, Miki Y, Miyatake AI, Tsuji M : Endoscopic identification and biopsy sampling of an intraventricular malignant glioma using a 5-aminolevulinic acid-induced protoporphyrin IX fluorescence imaging system. Technical note. J Neurosurg 106 : 507-510, 2007 https://doi.org/10.3171/jns.2007.106.3.507
  53. Torres-Corzo J, Rodriguez-della Vecchia R, Rangel-Castilla L : Bruns syndrome caused by intraventricular neurocysticercosis treated using flexible endoscopy. J Neurosurg 104 : 746-748, 2006 https://doi.org/10.3171/jns.2006.104.5.746
  54. Wait SD, Gazzeri R, Wilson DA, Abla AA, Nakaji P, Teo C : Endoscopic colloid cyst resection in the absence of ventriculomegaly. Neurosurgery 73 (1 Suppl Operative) : ons39-ons46; ons46-ons47, 2013 https://doi.org/10.1227/NEU.0000000000000102
  55. Wang JC, Heier L, Souweidane MM : Advances in the endoscopic management of suprasellar arachnoid cysts in children. J Neurosurg 100(5 Suppl Pediatrics) : 418-426, 2004
  56. Wei GZ, Li CJ, Meng JM, Ding MC : Cysticercosis of the central nervous system. A clinical study of 1,400 cases. Chin Med J (Engl) 101 : 493-500, 1988
  57. Zada G, Liu C, Apuzzo ML : "Through the looking glass": optical physics, issues, and the evolution of neuroendoscopy. World Neurosurg 77 : 92-102, 2012 https://doi.org/10.1016/j.wneu.2011.10.051
  58. Zamorano L, Chavantes C, Dujovny M, Malik G, Ausman J : Stereotactic endoscopic interventions in cystic and intraventricular brain lesions. Acta Neurochir Suppl (Wien) 54 : 69-76, 1992

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