PMID- 36358378
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221126
IS  - 2076-3425 (Print)
IS  - 2076-3425 (Electronic)
IS  - 2076-3425 (Linking)
VI  - 12
IP  - 11
DP  - 2022 Oct 27
TI  - The Ipsilateral Interhemispheric Transprecuneal Approach to the Atrium: Technical 
      Considerations and Clinical Outcome on a Series of 7 Patients.
LID - 10.3390/brainsci12111453 [doi]
LID - 1453
AB  - Surgical removal of tumors of the atrium is challenging due to their deep 
      location, vascularization, and to their complex three-dimensional relationships 
      with the highly functional white matter fibers of the region. To assess the 
      feasibility and the effectiveness of the ipsilateral interhemispheric 
      transprecuneus approach (IITA) for tumors involving the atrium and the posterior 
      third of the temporal horn, a retrospective chart review of all patients who had 
      undergone a surgical treatment for intraventricular tumors between January 2008 
      and January 2017 was performed, and the step-by-step approach is described. Ten 
      patients affected by lesions of the atrium of the lateral ventricle underwent 
      surgical treatment, seven of which were approached through the IITA. The mean age 
      was 42.8 years (range 6-63 years). The symptoms presented included severe, 
      drug-resistant headache (90%), lateral homonymous hemianopsia (50%), seizures 
      (30%), and speech disturbances (30%). Histological examinations revealed seven 
      patients with meningioma (70%), one with a metastasis (10%), one with a choroid 
      plexus papilloma (10%) and one with a cavernoma (10%). In all cases, a gross 
      total removal was obtained. All patients had a significant improvement in their 
      headache. Two patients experienced a worsening of the pre-operative visual 
      disturbances, while two patients had a significant improvement. No patients 
      without pre-operative visual disturbances described a post-operative worsening of 
      visual symptoms. The IITA represents a feasible approach for tumors of the 
      atrium. The three-quarter prone position facilitates the enlargement of the 
      interhemispheric fissure by increasing the working angle and facilitating the 
      exposure of the lateral wall of the atrium.
FAU - Pescatori, Lorenzo
AU  - Pescatori L
AD  - Department of Neurosurgery, Sant Eugenio Hospital, 00144 Rome, Italy.
FAU - Tropeano, Maria Pia
AU  - Tropeano MP
AUID- ORCID: 0000-0002-4653-1232
AD  - Humanitas Clinical and Research Center-IRCCS, 20089 Milan, Italy.
AD  - Department of Biomedical Sciences, Humanitas University, 20090 Milan, Italy.
FAU - Torregrossa, Fabio
AU  - Torregrossa F
AD  - Neurosurgical Unit, Department of Biomedicine, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, 90133 Palermo, Italy.
FAU - Grasso, Giovanni
AU  - Grasso G
AUID- ORCID: 0000-0001-5362-0092
AD  - Neurosurgical Unit, Department of Biomedicine, Neurosciences and Advanced 
      Diagnostics (BiND), University of Palermo, 90133 Palermo, Italy.
FAU - Ciappetta, Pasqualino
AU  - Ciappetta P
AD  - Department of Neurosurgery, University of Bari, 70121 Bari, Italy.
LA  - eng
PT  - Journal Article
DEP - 20221027
PL  - Switzerland
TA  - Brain Sci
JT  - Brain sciences
JID - 101598646
PMC - PMC9688377
OTO - NOTNLM
OT  - atrium
OT  - interhemispheric approach
OT  - intraventricular tumor
OT  - superior longitudinal fasciculus
OT  - surgical management
COIS- The authors declare no conflict of interest.
EDAT- 2022/11/12 06:00
MHDA- 2022/11/12 06:01
PMCR- 2022/10/27
CRDT- 2022/11/11 01:04
PHST- 2022/08/02 00:00 [received]
PHST- 2022/08/24 00:00 [revised]
PHST- 2022/10/15 00:00 [accepted]
PHST- 2022/11/11 01:04 [entrez]
PHST- 2022/11/12 06:00 [pubmed]
PHST- 2022/11/12 06:01 [medline]
PHST- 2022/10/27 00:00 [pmc-release]
AID - brainsci12111453 [pii]
AID - brainsci-12-01453 [pii]
AID - 10.3390/brainsci12111453 [doi]
PST - epublish
SO  - Brain Sci. 2022 Oct 27;12(11):1453. doi: 10.3390/brainsci12111453.