CASE REPORTS   

Chirurgia 2011 June;24(3):173-6

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Endoscopic treatment of neurocytoma of lateral ventricle: case report and review of literature

Yadav Y. R., Bhagwat A., Agarwal M., Parihar V., Chandrakar S., Jain N.

Department of Neurosurgery, NSCB Medical College, Garha, Jabalpur, India

Central neurocytoma is a rare benign tumor. Neurocytomas of the lateral ventricle are very rare. Endoscopic techniques are better option as compared to microsurgical procedures due to reduction of brain retraction with less iatrogenic trauma to the neighboring structures and inspection of hidden corners. Additional endoscopic procedures like endoscopic third ventriculostomy or septostomy can be performed as majority of patients present with non-communicating hydrocephalus or asymmetrically dilated lateral ventricle. There is no report of the pure endoscopic excision of lateral ventricle neurocytoma, although there is a case report of endoscopic removal of third ventricle neurocytoma. A 55-year-male presented with a sudden onset of unconsciousness, vomiting and headache. General and neurological examination was normal. MRI examination demonstrated a left lateral ventricle mixed density lesion with mild contrast enhancement at the level of foramen of Monro. The patient underwent a gross total pure endoscopic excision of tumor. MRI scan at two-month follow-up confirmed gross total excision. At three months follow-up, he is doing well.