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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(3)

Surgical strategy for symptomatic pineal cyst: is endoscopit third ventriculostomy necessary in addition to cyst fenestration?

https://doi.org/10.18999/nagjms.83.3.627
https://doi.org/10.18999/nagjms.83.3.627
f0f4c530-cd74-4995-959f-a67c5ad17b95
名前 / ファイル ライセンス アクション
17_Ndukuba.pdf 17_Ndukuba.pdf (7.1 MB)
Item type itemtype_ver1(1)
公開日 2021-09-16
タイトル
タイトル Surgical strategy for symptomatic pineal cyst: is endoscopit third ventriculostomy necessary in addition to cyst fenestration?
言語 en
著者 Ndukuba, Kelechi

× Ndukuba, Kelechi

en Ndukuba, Kelechi

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Ogiwara, Toshihiro

× Ogiwara, Toshihiro

en Ogiwara, Toshihiro

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Nakamura, Takuya

× Nakamura, Takuya

en Nakamura, Takuya

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Kamiya, Keisuke

× Kamiya, Keisuke

en Kamiya, Keisuke

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Hanaoka, Yoshiki

× Hanaoka, Yoshiki

en Hanaoka, Yoshiki

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Horiuchi, Tetsuyoshi

× Horiuchi, Tetsuyoshi

en Horiuchi, Tetsuyoshi

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Ohaegbulam, Samuel

× Ohaegbulam, Samuel

en Ohaegbulam, Samuel

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Hongo, Kazuhiro

× Hongo, Kazuhiro

en Hongo, Kazuhiro

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 pineal cyst
キーワード
主題Scheme Other
主題 cyst fenestration
キーワード
主題Scheme Other
主題 hydrocephalus
キーワード
主題Scheme Other
主題 neuroendoscopy
キーワード
主題Scheme Other
主題 endoscopic third ventriculostomy
内容記述
内容記述 Symptomatic large pineal cyst (PC) remains a rare entity. The stable natural course of asymptomatic PCs is well established. However, large cysts may cause pressure-related symptoms necessitating surgical intervention. The surgical strategy for symptomatic PCs is still controversial. Regardless of the approach, total resection of the cyst is not mandatory. The endoscopic approach allows cyst fenestration in patients with associated obstructive hydrocephalus. On the other hand, the necessity of simultaneous endoscopic third ventriculostomy (ETV) is still debatable. Here, we report a case of a woman who underwent endoscopic cyst fenestration, biopsy, and third ventriculostomy for a large symptomatic PC and discuss the surgical strategy. A 30-year-old woman presented with headache and diplopia, MRI showed a large PC and ac- companying obstructive hydrocephalus. Simultaneous cyst fenestration, biopsy and ETV with endoscopy was successfully completed. She had an uneventful recovery period with immediate relief of symptoms. Although, the aqueduct was communicated due to cyst shrinkage, the patency of the third ventricular stoma was demonstrated in long-term follow-up scans. Based on clinical course of the present case, we concluded that ETV in addition to cyst fenestration should be considered necessary and beneficial in cases of large symptomatic PC with associated hydrocephalus whenever an endoscopic intraventricular approach is considered.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.3.627
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/833.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 3, p. 627-633, 発行日 2021-08
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