Expanded Endoscopic Transnasal Approach to the Chordoid Glioma of the Third Ventricle : The First Case Ever Reported.

Abstract:

:Chordoid glioma of the third ventricle is a rare and challenging tumor to surgery because of its unique anatomical location and its close juxtaposition to the neurovascular structures and hypothalamus. The authors report a case of chordoid glioma of the third ventricle in a 43-year-old woman, who presented with headache and somnolence. The tumor was approached by endoscopic transnasal technique with a favorable result. Histopathologic examination disclosed a neoplastic tissue composed of eosinophilic epithelioid cells, mucinous, periodic acid Schiff-diastase positive, extracellular matrix, and scattered lymphoplasmacytic infiltrates. The best treatment option remains controversial. Customarily, the surgical route to remove chordoid glioma is transcranial; however, the undersurface of the optic chiasm and optic nerves preclude an adequate surgical visualization. In contrast, an expanded endoscopic transnasal approach provides a direct midline corridor to this region without any brain retraction.

journal_name

J Korean Neurosurg Soc

authors

Zeinalizadeh M,Sadrehosseini SM,Tayebi Meybodi K,Sharifabadi AH

doi

10.3340/jkns.2016.59.6.643

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

643-646

issue

6

eissn

2005-3711

issn

1598-7876

journal_volume

59

pub_type

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