Intra-Ventricular Tumors: Assessment of 40 Cases

Abstract

Objective: Intra-ventricular mass lesion has a significant position at diagnostic and therapeutic stage since they have deep localization and they are in close proximity with important neurovascular structures. We examined 40 patients who had surgical treatment for intraventricular mass lesion with respect to localization, symptoms, pathology, surgery method and outcomes. Method: 40 patients who were operated due to the ventricular mass lesion were examined with respect to the clinical picture and radiologic and pathologic findings as well as surgical methods and outcomes. Results: Of the mass lesions, 20 were located at lateral ventricle, 15 had 3rd ventricle localization and 7 were located at 4th ventricle. Ages of the patient ranged from 3 years to 67 years. The most common symptom was headache and nausea/vomiting. Interhemispheric transcallosal approach was preferred for 19 patients, while transcortical approach and other methods were used for 12 patients and 9 patients, respectively. Conclusion: Considering the surgical methods and outcomes, the aim should be extraction of the mass lesion with minimum damage. Transcortical approach is more common for mass lesion located at lateral ventricle. Recently, endoscopic methods are more commonly and successfully used.