Abstract
The authors present the case of a 20-year-old male with a history of headaches and blurred vision found to have a pineal mass and chronic hydrocephalus. The patient initially underwent an endoscopic third ventriculostomy and pineal mass biopsy that revealed a low-grade neuroepithelial neoplasm. A microsurgery-endoscope–assisted paramedian supracerebellar-infratentorial approach was chosen and a gross-total resection was achieved. The patient’s postoperative and follow-up course has been unremarkable, with early postoperative imaging demonstrating no residual tumoral mass. The operative video highlights the advantages of endoscopic visualization for deep lesions in the pineal region and posterior third ventricle.The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2119.
Highlights
The authors present the case of a 20-year-old male with a history of headaches and blurred vision found to have a pineal mass and chronic hydrocephalus
Due to the acute severity of his hydrocephalus, the patient was admitted for an endoscopic third ventriculostomy as well as endoscopic biopsy of the most anterior aspect of the tumor
The patient tolerated well that procedure, and pathology was consistent with a low-grade neuroepithelial tumor
Summary
The authors present the case of a 20-year-old male with a history of headaches and blurred vision found to have a pineal mass and chronic hydrocephalus. We present an illustrative case where a combined microsurgical and endoscopic paramedian supracerebellarinfratentorial approach was used for resection of a pineal low-grade glioma. Due to the acute severity of his hydrocephalus, the patient was admitted for an endoscopic third ventriculostomy as well as endoscopic biopsy of the most anterior aspect of the tumor.
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call