Anatomical surgical approach to lateral ventricle masses and histopathological findings of the brain

dc.contributor.authorÜnlü, İlker
dc.contributor.authorAlptekin, Mehmet
dc.contributor.authorTuncer, Mehmet Cudi
dc.date.accessioned2025-02-22T14:10:57Z
dc.date.available2025-02-22T14:10:57Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: The selection of surgical approach to the lateral ventricular masses includes difficulties due to their deep localisations and close proximity to the vascular and the eloquent brain structures. The most appropriate approach that should be chosen in surgical treatment of lateral ventricular masses is still controversial. In this study, the factors in the choice of surgical approach to the lateral ventricle masses and the results of them were investigated. Materials and methods: In this study, 80 patients who underwent surgery in our clinic due to the lateral ventricular masses were retrospectively analysed between the years 2002 and 2013. All the cases were evaluated in terms of clinical and neuroradiological results pre- and postoperatively. In 24 cases the anterior interhemispheric transcallosal, in 4 cases the posterior interhemispheric transcallosal, in 30 cases the posterior interhemispheric precuneal, in 14 cases the transcortical, and in 8 cases the combined surgical approaches were performed. Results: Gender distribution of the cases were 45 male/35 female, and the mean age of them was 31.7 years (7 month — 73 years). In 64 patients the gross total resection was performed, whereas in 16 patients subtotal resection was performed due to the infiltration of eloquent brain areas. In the histopathological examination 52 neuroepithelial, 8 mixed neuroglial, 3 meningeal, 2 lympho-hematopoietic system, 1 pine blastoma, 1 germ cell, 5 metastatic, and 8 other benign masses were observed. After surgery, additional neurological deficits developed in 9 patients. Mortality was observed in 6 patients postoperatively. The average follow-up time was 13 (1–83) months. Conclusions: The essential factors that affect the results of surgical treatment of lateral ventricular masses are the size of the mass, histopathology, location, extension, and the relationship with the neurovascular structures. The goal of surgery is to provide a histopathological diagnosis, gross total resection, if possible, and to normalise the flow of cerebrospinal fluid by eliminating the mass effect of pressure. © 2024 Via Medica.en_US
dc.identifier.doi10.5603/fm.99092
dc.identifier.endpage812en_US
dc.identifier.issn0015-5659
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85213839646en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage802en_US
dc.identifier.urihttps://doi.org/10.5603/fm.99092
dc.identifier.urihttps://hdl.handle.net/11468/29923
dc.identifier.volume83en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofFolia Morphologica (Poland)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_Scopus_20250222
dc.subjectlateral ventricleen_US
dc.subjectsurgical approachen_US
dc.subjecttranscallosalen_US
dc.subjecttranscorticalen_US
dc.subjecttranssylvianen_US
dc.titleAnatomical surgical approach to lateral ventricle masses and histopathological findings of the brainen_US
dc.typeArticleen_US

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