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 |
Periventricular, Intraventricular, Tumor, Process, WFNS Rabat Training Center Program
Age: Year | Year of surgery | Symptome | Tumor Location | Approach | Preoperative shunting | |
---|---|---|---|---|---|---|
1 | 12 | 2015 | ICH + cerebellar syndrome | V4 (and floor of V4 | Telovelar | No |
2 | 4 | 2017 | ICH + cerebellar syndrome | (cerebellar) V4 | Trans cerebellar | VPS |
3 | 17 | 2017 | ICH + cerebellar syndrome | (cerebellar V4) | Trans cerebellar | VPS |
4 | 29 | 2018 | ICH | Right V2 (extended to left thalamus | Left transfrontal | No |
5 | 4 | 2018 | ICH + cerebellar syndrome | (Cerebellar) V4 | Trans cerebellar | VPS |
6 | 5 | 2018 | ICH + cerebellar syndrome | V4 (and floor of V4) | Telovelar | Ventriculo cisternostomy |
7 | 27 | 2018 | ICH + cerebellar syndrome | V4 | Telovelar | VPS |
8 | 14 | 2018 | ICH + hemiparesis (2/5) | Thalamus | Endoscopic removal of the nodule | No |
9 | 6 | 2019 | ICH | Left Monro (V2) | left inter hemispheric | VPS |
10 | 30 | 2020 | Headache | Thalamus | Controlateral inter hemispheric | No |
11 | 23 | 2020 | ICH | Left V2 (atrium) | Transtemporal (Trans T2) | No |
12 | 6 | 2020 | ICH | suprasellar extended to V3 | Subfrontal transbasal translamina terminalis | VPS |
13 | 38 | 2021 | ICH + cerebellar syndrome | cerebellar extended to V4 | Trans cerebellar | VPS |
14 | 39 | 2022 | ICH + Coma | V2 (septum pellicidum | Cysto peritoneal shunting | Not applicable |
15 | 35 | 2023 | ICH | V4 | Telovelar | No |
surgical duration | tumor removal | Postoperative outcome | Pathological examination | Recurrence | Alive at One year follow up | |
---|---|---|---|---|---|---|
1 | 11 | Subtotal | Improved then meningitis and death at 2 month | Gemiocytic astrocytoma | Not applicable | No |
2 | 11 | Total | Meningitis and death | Pilocytic astrocytoma | Not applicable | No |
3 | 15 | Total | Improved | Pilocytic astrocytoma | No | Yes |
4 | 14 | subtotal | Right hemiparesis | Central neurocytoma | Yes (3 more surgery) | Yes |
5 | 11 | Total | Improved | hemangioblastoma | No | Yes |
6 | 13 | Subtotal | Postoperative mortality (respiratory distress) | Medulloblastoma (grade IV WHO) | Not applicable | No |
7 | 15 | Total | Improved | Atypic papilloma of choroid plexus | No | Yes |
8 | 5 | Total | Improved | Pilocytic astrocytoma | No | Yes |
9 | 10 | subtotal | Improved | SEGA (subependymal giant cell astrocytoma) | No | Yes |
10 | 12 | Subtotal | Improved | Fibrillary astrocytoma | Progression to High grade glioma (adjuvant treatment Stupp protocol) | Yes (death at post operative 14th month) |
11 | 8 | subtotal | improved | sub ependymoma | Yes (total removal after the recurrence) | Yes |
12 | 16 | Total | improved | Craniopharyngioma | No | Yes |
13 | 11 | Total | improved | Hemangioblastoma | No | yes |
14 | 1 | Shunting | Improved | Possible arachnoid cyst on CT Scan | No | Yes |
15 | 13 | Subtotal | Improved then ventriculis and death | Epidermoid cyst | Not applicable | No |
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APA Style
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
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
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
@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} }
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 -