Ventricular tumors are a difficult part of brain tumors. First, the location of the tumor is deep, and the surgical route is difficult to reachSecond, because of the blockage of cerebrospinal fluid circulation, tumors are often accompanied by obstructive hydrocephalus, how to remove ventricular obstruction at the same time as tumor resection is very important, if the tumor remains too much, it is bound to be difficult to relieve hydrocephalus;Thirdly, there are many important structures in the ventricular wall, such as the fornix, thalamus and deep drainage veins, etc., and how to properly protect these structures while resecting the tumor is very important to reduce postoperative neurological deficits and maintain the quality of life of patients.
Recently, Chief Physician Xia Haijian's team admitted a patient with a large meningioma in the triangle of the left ventricle. The patient, a young male, presents with a progressively worsening headache and presents with a high intracranial pressure crisis. In view of the characteristics of the patient's large tumor, tough texture (obvious calcification) and adjacent to deep important neurovascular structures, the team of chief physician Xia Haijian and the Department of Anesthesiology carried out a detailed surgical plan and arranged tumor resection surgery as soon as possible. The tumor was confirmed to be tough during the operation, and it was found that in addition to the blood supply to the body of the lateral ventricle and the choroid plexus of the temporal angle, there were multiple blood supplies to the ventricular wall in each direction. Under the guidance of the principle of protecting important structures such as the thalamus, fornix column and deep drainage veins as much as possible, the surgical team used neuroelectrophysiological monitoring to remove the tumor by CyberKnife in blocks, perform sufficient intratumoral decompression, and then gradually separate the tumor boundaries in all directions, and finally successfully completely resected the tumor and completely alleviated the obstructive hydrocephalus.
After the operation, the patient was resuscitated smoothly, there was no neurological deficit, and he was discharged from the hospital.
As one of the first batch of national key clinical specialties and Chongqing Neurosurgery Quality Control Center, the Department of Neurosurgery of the First Affiliated Hospital of Intensive Medical Care has a long history and excellent heritage. Thank you for your trust, and my team and I will continue to do our best to work for your health.