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Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso

Received: 10 March 2024     Accepted: 26 March 2024     Published: 17 April 2024
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Abstract

Background: Periventricular and Intraventricular processes are life-threatening conditions because of their propensity to obstruct Cerebrospinal fluid pathways and to compress highly functional and vital structures. There are deep-seated lesions requiring rigorous microsurgical technic for their resection. Methods: We retrospectively analyzed the profile and outcome of Periventricular and intraventricular processes operated by the same author since his return in his country in 2015, after graduated abroad in WFNS Rabat training center program 2023. Result: We defined 15 patients operated over 8 years. There were 4 processes in lateral ventricle (26.6%), 1 in third ventricle (6.6%), 2 thalamus processes (13.3%), 4 in fourth ventricle (26.6%) and finally 4 in cerebellar hemisphere and violating the fourth ventricle (26.6%). Various surgical approaches were used, such as contralateral interhemispheric transcallosal, classical interhemispheric transcallosal, Subfrontal transbasal translamina terminalis, Frontal Transcortical, Temporal trans T2, ventriculoperitoneal shunting, endoscopy, cerebellar transcotical approach and Telovelar approach. Surgical procedure duration was more than 10 hours in 12 cases (80%) and one third of the patients have been operated in 2018. When neurosurgical operative microscope was not available, ophthalmologic microscope or binocular with headlight were used to achieve the resection. Pathological examination revealed High-grade glioma, subependymal giant cell astrocytoma (SEGA), central neurocytoma, Subependymoma, Hemangioblastoma, pilocytique astrocytoma, Medulloblastoma, gemiocytic astrocytoma, atypical papilloma of choroid plexus, craniopharygioma and cyst of septum pellucidum. We reported good postoperative outcome in 10 cases (66.6%), moderate postoperative deficit in 1 case and 4 cases of postoperative death (26.6%) among which 3 cases of postoperative meningitis. Conclusion: Periventricular and intraventricular processes can be safely approach in low-income country with acceptable result. However young African Neurosurgeon should be trained to be comfortable with multiple surgical approaches and also with binocular as well as with microscope. WFNS training program is a strong basement for the take-off of young African neurosurgeon. Backing home should be the rule after training, to develop neurosurgery.

Published in International Journal of Neurosurgery (Volume 8, Issue 1)
DOI 10.11648/j.ijn.20240801.11
Page(s) 1-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Periventricular, Intraventricular, Tumor, Process, WFNS Rabat Training Center Program

References
[1] Elwatidy S. M, Al Towin A. A, Malick S. H. tumors of lateral and third ventricle: surgical management and outcome analysis in 42 cases. Neurosciences. 2017; 22 (4): 274-281.
[2] Lim J, Park Y, Ahn JW, Hwang SJ, Kwon H, Sung S K, Cho K. Maximal surgical resection and adjuvant surgical technique to Prolong the survival of adult patients with thalamic glioblastoma. PLoS One. 2021; 16 (2): E0244325
[3] Principles of intraventricular surgery. Neurosurgical atlas.
[4] Karekezi C, El Khamlichi A, El Ouahabi A, El Abbadi N, Ahokpossi SA, Ahanogbe KMH, Berete I, Bouya SM, Coulibaly O, Dao I, Djoubairou BO, Doleagbenou AAK, Egu KP, Mbaki HBE, Kinata-Bambino SB, Habibou LM, Mousse AN, Ngamasata T, Ntalaja J et al (2020) The impact of African-trained neurosurgeons on sub-Saharan Africa. Neurosurg Focus. 48(3): E4.
[5] Megerssa TB, Mahesparan R. Surgical Outcome of Intraventricular Tumors; A Retrospective Single Center Study in Addis Ababa, Ethiopia. SVOA Neurology. 2024; 5: 1: 26-36.
[6] Filippidis A, Tsonidis CA. Intraventricular brain tumors in children. Pediatr Neurosurg. 1989; 5: 230-233.
[7] Ellenbogen RG. Transcortical surgery for lateral ventricular tumors. FOC. 2001; 10 (6): 1-13.
[8] Kasowski H, Piepmeier JM. Transcallosal approach for tumors of the lateral and third ventricles. FOC. 2001; 10(6): 1- 5.
[9] Kriankumar C, Deshpande R, K. Chandrasekhar YbV, Rao Is, Panigrahi M, Babu P. Clinical management and prognostic outcome of intracranial ventricular tumors: A study of 134 cases. Cancer Res Stat Treat. 2019; 2(1): 10.
[10] Vigo, V., Monroy-Sosa, A., Rodriguez-Rubio, R. (2021). Surgical Treatment of Intraventricular Tumors. In Brain and Skull Base, (eds) Principles of Neuro-Oncology. Switzerland: Springer Nature, Cham; 2021, 561-581
[11] Grundy P, Apostolopoulos V. Intraventricular tumors. In: Kirollos AH RW, Thomson S, Hutchinson PJA, editors. Neurological surgery: Oxford University Press; 2019.
[12] Yasargil MG, Abdulrauf SI. Surgery of intraventricular tumors. Neurosurgery. 2008; 62 (6 Suppl 3): 1029–40. discussion 40-1.
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[14] For the French Society of Neurosurgery, Lubrano V, François P, Loundou A, Vasiljevic A, Roche PH. Outcomes after surgery for central neurocytoma: results of a French multicentre retrospective study. Acta Neurochir. 2013; 155 (7): 1261-1269.
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    Dao, I., Kièmtoré, A., Ouattara, O., Bako, F., Traoré, J., et al. (2024). Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso. International Journal of Neurosurgery, 8(1), 1-10. https://doi.org/10.11648/j.ijn.20240801.11

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    ACS Style

    Dao, I.; Kièmtoré, A.; Ouattara, O.; Bako, F.; Traoré, J., et al. Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso. Int. J. Neurosurg. 2024, 8(1), 1-10. doi: 10.11648/j.ijn.20240801.11

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    AMA Style

    Dao I, Kièmtoré A, Ouattara O, Bako F, Traoré J, et al. Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso. Int J Neurosurg. 2024;8(1):1-10. doi: 10.11648/j.ijn.20240801.11

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  • @article{10.11648/j.ijn.20240801.11,
      author = {Ibrahim Dao and Aminata Kièmtoré and Ousmane Ouattara and Frédéric Bako and Jacques Traoré and Joseph Biogo and Serge Pacôme Yameogo and Abdoulaye Sanou and Eustache Kienou and Louis Junior Comboigo and Arsène Tossou and Abdoulaye Thiombiano and Lassané Taoko and Henry Lankoandé and Elie Nassoum and Narcisse Ouédraogo and Sosthène Fawaz Adéniran and Astride Somda and Delwendé Sylvain Zabsonré and Abel Kabré},
      title = {Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso
    },
      journal = {International Journal of Neurosurgery},
      volume = {8},
      number = {1},
      pages = {1-10},
      doi = {10.11648/j.ijn.20240801.11},
      url = {https://doi.org/10.11648/j.ijn.20240801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240801.11},
      abstract = {Background: Periventricular and Intraventricular processes are life-threatening conditions because of their propensity to obstruct Cerebrospinal fluid pathways and to compress highly functional and vital structures. There are deep-seated lesions requiring rigorous microsurgical technic for their resection. Methods: We retrospectively analyzed the profile and outcome of Periventricular and intraventricular processes operated by the same author since his return in his country in 2015, after graduated abroad in WFNS Rabat training center program 2023. Result: We defined 15 patients operated over 8 years. There were 4 processes in lateral ventricle (26.6%), 1 in third ventricle (6.6%), 2 thalamus processes (13.3%), 4 in fourth ventricle (26.6%) and finally 4 in cerebellar hemisphere and violating the fourth ventricle (26.6%). Various surgical approaches were used, such as contralateral interhemispheric transcallosal, classical interhemispheric transcallosal, Subfrontal transbasal translamina terminalis, Frontal Transcortical, Temporal trans T2, ventriculoperitoneal shunting, endoscopy, cerebellar transcotical approach and Telovelar approach. Surgical procedure duration was more than 10 hours in 12 cases (80%) and one third of the patients have been operated in 2018. When neurosurgical operative microscope was not available, ophthalmologic microscope or binocular with headlight were used to achieve the resection. Pathological examination revealed High-grade glioma, subependymal giant cell astrocytoma (SEGA), central neurocytoma, Subependymoma, Hemangioblastoma, pilocytique astrocytoma, Medulloblastoma, gemiocytic astrocytoma, atypical papilloma of choroid plexus, craniopharygioma and cyst of septum pellucidum. We reported good postoperative outcome in 10 cases (66.6%), moderate postoperative deficit in 1 case and 4 cases of postoperative death (26.6%) among which 3 cases of postoperative meningitis. Conclusion: Periventricular and intraventricular processes can be safely approach in low-income country with acceptable result. However young African Neurosurgeon should be trained to be comfortable with multiple surgical approaches and also with binocular as well as with microscope. WFNS training program is a strong basement for the take-off of young African neurosurgeon. Backing home should be the rule after training, to develop neurosurgery.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso
    
    AU  - Ibrahim Dao
    AU  - Aminata Kièmtoré
    AU  - Ousmane Ouattara
    AU  - Frédéric Bako
    AU  - Jacques Traoré
    AU  - Joseph Biogo
    AU  - Serge Pacôme Yameogo
    AU  - Abdoulaye Sanou
    AU  - Eustache Kienou
    AU  - Louis Junior Comboigo
    AU  - Arsène Tossou
    AU  - Abdoulaye Thiombiano
    AU  - Lassané Taoko
    AU  - Henry Lankoandé
    AU  - Elie Nassoum
    AU  - Narcisse Ouédraogo
    AU  - Sosthène Fawaz Adéniran
    AU  - Astride Somda
    AU  - Delwendé Sylvain Zabsonré
    AU  - Abel Kabré
    Y1  - 2024/04/17
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijn.20240801.11
    DO  - 10.11648/j.ijn.20240801.11
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 1
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20240801.11
    AB  - Background: Periventricular and Intraventricular processes are life-threatening conditions because of their propensity to obstruct Cerebrospinal fluid pathways and to compress highly functional and vital structures. There are deep-seated lesions requiring rigorous microsurgical technic for their resection. Methods: We retrospectively analyzed the profile and outcome of Periventricular and intraventricular processes operated by the same author since his return in his country in 2015, after graduated abroad in WFNS Rabat training center program 2023. Result: We defined 15 patients operated over 8 years. There were 4 processes in lateral ventricle (26.6%), 1 in third ventricle (6.6%), 2 thalamus processes (13.3%), 4 in fourth ventricle (26.6%) and finally 4 in cerebellar hemisphere and violating the fourth ventricle (26.6%). Various surgical approaches were used, such as contralateral interhemispheric transcallosal, classical interhemispheric transcallosal, Subfrontal transbasal translamina terminalis, Frontal Transcortical, Temporal trans T2, ventriculoperitoneal shunting, endoscopy, cerebellar transcotical approach and Telovelar approach. Surgical procedure duration was more than 10 hours in 12 cases (80%) and one third of the patients have been operated in 2018. When neurosurgical operative microscope was not available, ophthalmologic microscope or binocular with headlight were used to achieve the resection. Pathological examination revealed High-grade glioma, subependymal giant cell astrocytoma (SEGA), central neurocytoma, Subependymoma, Hemangioblastoma, pilocytique astrocytoma, Medulloblastoma, gemiocytic astrocytoma, atypical papilloma of choroid plexus, craniopharygioma and cyst of septum pellucidum. We reported good postoperative outcome in 10 cases (66.6%), moderate postoperative deficit in 1 case and 4 cases of postoperative death (26.6%) among which 3 cases of postoperative meningitis. Conclusion: Periventricular and intraventricular processes can be safely approach in low-income country with acceptable result. However young African Neurosurgeon should be trained to be comfortable with multiple surgical approaches and also with binocular as well as with microscope. WFNS training program is a strong basement for the take-off of young African neurosurgeon. Backing home should be the rule after training, to develop neurosurgery.
    
    VL  - 8
    IS  - 1
    ER  - 

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