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: | , , |
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Formato: | article |
Lenguaje: | EN |
Publicado: |
Brazilian Society for Pediatric Neurosurgery
2019
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Materias: | |
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. |
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