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《Chinese Journal of Neuromedicine》 2007-11
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Microsurgical strategies of lateral ventricle gliomas

CHEN Ju-xiang LU Yi-cheng SUN Ke-hua DING Xue-hua LOU Mei-qing HU Guo-han LUO Chun HOU Li-jun WANG Chun-lin LIN Hai.Department of Neurosurgery,Changzheng Hospital,Second Military Medical University;Shanghai Institute of Neurosurgical,Shanghai 200003,China  
Objective To enhance the therapeutic effects through ameliorating the microsurgical strategies and methods of lateral ventricle gliomas.Methods The clinical manifestations,diagnoses and microsurgical approaches of 23 patients,who were treated in our hospital during January 2000 and June 2007 and pathologically diagnosed as lateral ventricle gliomas,were retrospectively analyzed.Clinical data included 15 cases of raised intracranial pressure with the primary symptom of headache,4 cases of progressive unilateral limb muscle strength decline,5 cases of memory descent and 2 cases of epilepsy.The optimal surgical approaches and comprehensive therapeutic strategies were selected according to the imaging features and pathological properties of tumors. Resection was performed via the anterior transcallosal approach in 6 cases,the transcortical approach in 5 cases,the combined interhemispheric transcallosal and transcortical approach in 4 patients to remove tumors in the anterior horn and anterior body of the lateral ventricle,the transparietal cortical approach in 7 patients to remove tumors in the trigone or posterior body of the lateral ventricle,and the transoccipital cortical approach in 1 case.The navigation orientation was used in 6 cases and supervision by type-B ultrasonic,in 4 cases.Patients with tumors above gradeⅡ,confirmed pathologically after resection, underwent chemotherapy(Vumon+lomustine/methy1-CCNU)and radiotherapy which was designated individually according to the pathological grades and scope of gliomas.The follow-up study was conducted by telephone,e-mail or outpatient department visits etc.Results A total of 23 of the 79 cases undergoing microsurgical treatment for their lateral ventricle tumors were pathologically confirmed as cerebral gliomas after resection, including astrocytomas in 11 cases,oligodendrogliomas in 6 cases, central neurocytomas in 4 cases and ependymomas in 2 cases.Tumors in the anterior horn and body of the lateral ventricle were found in 15 cases and that in the trigone and posterior horn were found in 8 cases.Total resection was realized in 15 cases;subtotal resection in 6 cases and partial resection in 2 cases.Postoperative clinical symptoms were alleviated in 18 cases,aggravated in 2 cases and unchanged in 3 cases and 1 case died of the complicating pulmonary infection.The follow-up indicated that 17 cases survived over 1 year and 6 cases died within the postoperative 1 year.Conclusion The lateral ventricle gliomas can be treated through careful selection of surgical approaches after the anatomic site of tumors in the lateral ventricle,adjoining relationships,blood supply and the existence of hydrocephalus have been well understood,to reduce disability rate and achieve favorable efficacies.Navigation assistance or real-time supervision by type-B ultrasonic,in combination with microsurgery,shall help to enhance the resection rate of tumors and assisted by appropriate therapeutic strategies,prognosis of the later ventricle gliomas can be ameliorated.
【Fund】: 国家自然科学基金(30471777);; 上海市青年科技启明星计划项目(05QMX1473);; 上海市登山行动计划重点项目(上海科委基金064119510)
【CateGory Index】: R739.4
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【Citations】
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1 LIU Jun, ZHOU Zheng, HE Jia quan, LIU Hai peng, YANG Hui (Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China);Neuronavigation assisted microneurosurgery for lateral ventricular tumor resection[J];Acta Academiae Medicinae Militaris Tertiae;2003-20
【Co-citations】
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1 Zheng Hulin,Guo Yanyang.Department of Neurosurgery,Yulin First Hospital,Yulin 718000,Shanxi,China;Clinical study on interstitial chemotherapy and brachytherapy for saccular glioma[J];Chinese Journal of Practical Nervous Diseases;2009-03
2 NIE Zhengming,ZHAO Changdi,NIE Yayi,et al(The people's first hospital of Jining);The Electro-microscope View of Cerebral Glioma of Nude Mice Treated with Regional Application of Sapylin[J];Journal of Jining Medical College;2006-03
3 Geng Xiaozeng, Chen Gang , Lu Ailin, et al. Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029;Surgical treatment of recurrent gliomas[J];Journal of Clinical Neurosurgery;2004-03
4 ZOU Yuan-jie,LIU Hong-yi,CHANG Yi,et al.Department of Neurosurgery,Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210029,China;Microsurgical strategies of lateral ventricle tumor[J];Journal of Clinical Neurosurgery;2008-04
5 YE Jian-ping,ZHAN Huai-yi,WANG Xiao-ping,LI Ming.Department of Neaurosurgery,81 Hospital of PLA,Nanjing 210002,China;Gliomas in cerebral main functional areas treated by interstitial brachytherapy[J];Chinese Clinical Oncology;2007-04
6 TANG Yaoling (Department of neuroswgery, Tianjin Baodi hospital,Tianjin 301800,China);The clinical study of microsurgical resection of malignant glioma[J];Journal of North China Coal Medical College;2004-06
7 YANG Jin-song1, LU Xue-guan21.Department of Radiation Oncology, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, P.R.China2.Department of Radiation Oncology, Second Affiliated Hospital of Suzhou University, Suzhou 215004, P.R.China;Synthetic treatment of high-grade cerebral gliomas: progress in evidence-based research[J];Chinese Journal of Cancer Prevention and Treatment;2007-13
8 FU Ting-gang,WANG Zhi-xia,XIANG Shou-chang,XU Peng,MENG Xiang-yun,CUI Ming-qin,SUN De-ke,HUI Zhi-qiang,SONG Jie,SUN Long Department of Neurosurgery,Yishui Central Hospital of Linyi City,yishui 276400,P.R.China;Clinical study of brain glioma by multi-foot of balloon ~(32)P internal radiotherapy[J];Chinese Journal of Cancer Prevention and Treatment;2008-24
9 HOU Yan-li,BAI Yong-rui,WU Xu-dong,ZHOU Di,CHEN Hai-yan,YE Ming(Department of Radiation Oncology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China);Therapeutic effects of postoperative three-dimensional conformal radiotherapy for glioma[J];Journal of Shanghai Jiaotong University(Medical Science);2008-08
10 XIA Yue-sheng1,WANG Jian-hua1,WU Yong-zhong2,WANG Huan3 (1.Fifth Staff Hospital of PLA,Shanxi 043801,China;2.Tangdu Hospital of Fourth Military Medical University,Xi'an,710038,China;3.Shanxi TCM College,Taiyuan 030024,China);Inducing Differentiation Effect of Shenghe Powder on C6 Brain Glioma Cells[J];Lishizhen Medicine and Materia Medica Research;2007-02
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