We report a case of a patient with large intraventricular
tumor treated with
craniotomy assisted by a
neuroendoscope. A 25-year-old man, who had
headache and
nausea for several months, was transferred to our hospital with the diagnosis of an intraventricular
tumor. Because of
intracranial hypertension and
hydrocephalus, we first performed a biopsy and bilateral intraventricular drainage using a
neuroendoscope. Since the pathological finding indicated
central neurocytoma, we secondarily attempted
tumor removal. The main location of the
tumor was the left lateral ventricle, protruding into the third ventricle and contralateral lateral ventricle. The operation was performed mainly under microscopic visualization through left-sided
craniotomy, and the total excision was accomplished using a
neuroendoscope through the right lateral ventricle. In order to accomplish the optimal removal of an intraventricular
tumor,
endoscope-assisted microsurgery should be considered a surgical strategy.