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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 976-982
DOI: 10.4103/ajns.AJNS_194_20
Original Article

Endoscopic third ventriculostomy and simultaneous tumor biopsy in pineal region tumors using the “Single Burr Hole” technique: An analysis of 34 cases

Gagandeep Attri
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Jaskaran Gosal
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Deepak Khatri
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Kuntal Das
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Kamlesh Bhaisora
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Anant Mehrotra
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Jayesh Sardhara
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Arun Srivastava
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Sanjay Behari
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
,
Sushila Jaiswal
1   Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh
,
Awadhesh Jaiswal
Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh
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Background: Pineal region tumors often present with hydrocephalus. Endoscopic third ventriculostomy (ETV) and simultaneous tumor biopsy remain a minimally invasive procedure offering both diagnostic and therapeutic advantages in the management of these tumors. However, different operative techniques have been described in the literature. Aim: The aim is to study the ETV success rate, diagnostic rate of simultaneous tumor biopsy, complications, and follow-up of patients of pineal region tumors managed with ETV and simultaneous tumor biopsy using the single burr hole technique. Methods: The study was performed by retrospectively reviewing the records of patients of pineal region tumors managed by simultaneous ETV and tumor biopsy using a “single burr hole” technique from January 2012 to December 2019. Results: Thirty-four patients (22 males and 12 females) with a mean age of 28.7 years were analyzed. ETV was successful in relieving hydrocephalus in 29 (87.8%) patients. Three patients needed a ventriculoperitoneal shunt, and one required Ommaya reservoir placement for persistent hydrocephalus. Histological diagnosis was successfully established in 26 (78.8%) patients. There were two procedure-related mortalities. Two patients underwent craniotomy and tumor excision subsequently. Radiotherapy was given to 11 patients, and 9 patients were managed by observation alone. The mean follow-up of our study was 15.8 months. Conclusions: Simultaneous ETV and tumor biopsy using a single burr hole technique is a safe, minimally invasive procedure for the management of pineal region tumors.

Key-words:

Endoscope - pineal region tumors - posterior third ventricle tumors - single burr hole - third ventriculostomy

Financial support and sponsorship

Nil.




Publication History

Received: 03 May 2020

Accepted: 15 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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