Interhemispheric transcallosal transchoroidal approach for resection of a mesencephalic lesion

A 12 years old boy presented with strabismus, left third nerve palsy (ptosis, mydriasis, downward and abducted eye), and vertical conjugate gaze paresis. A brain magnetic resonance image revealed a brainstem solid cystic tumor in the mesencephalic tegmentum, with compression of the aqueduct of Sylvi...

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Autores principales: Lucas Pires Augusto, Matheus Fernando Manzolli Ballestero, Ricardo Santos de Oliveira
Formato: article
Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2019
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Acceso en línea:https://doaj.org/article/85eabbe24a4949438ea3543a02e18b3e
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Sumario:A 12 years old boy presented with strabismus, left third nerve palsy (ptosis, mydriasis, downward and abducted eye), and vertical conjugate gaze paresis. A brain magnetic resonance image revealed a brainstem solid cystic tumor in the mesencephalic tegmentum, with compression of the aqueduct of Sylvius and associated supratentorial ventriculomegaly. The patient underwent an interhemispheric transcallosal transchoroidal approach for a subtotal resection of the mesencephalic periaqueductal lesion. The pathology report was a low grade neuroepithelial tumor. The patient evolved with no new neurological deficits.