チエルノフ　ミハイル    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Assistant Professor
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Minimally invasive management of the third ventricle glioma in a patient without hydrocephalus: neurofiberscopic biopsy followed by gamma knife radiosurgery
Journal	Formal name：Minim Invasive Neurosurg ISSN code：09467211
Volume, Issue, Page	47(4),pp.238-241
Author and coauthor	CHERNOV Mikhail†, KAMIKAWA Syuji, TOLEDO R., YAMANE Fumitaka, IZAWA Masahiro, HAYASHI Motohiro, MURAGAKI Yoshihiro, HORI Tomokatsu
Authorship	Lead author
Publication date	2004
Summary	There is usually concern that ventricular enlargement is necessary for safe neuroendoscopic procedures. However, newly developed models of neurofiberscopes with a small outer diameter can be effectively used even in patients without ventriculomegaly. We present the case of a successful neurofiberscopic biopsy of a third ventricle anaplastic astrocytoma in a previously shunted patient without hydrocephalus. Subsequent gamma knife radiosurgery led to complete disappearance of the tumor. It seems that presence of collapsed ventricles, and even symptoms consistent with the slit ventricle syndrome, should not be considered as contraindications for neurofiberscopic surgery when brain compliance is sufficiently preserved. The latter should be considered as the key point of safe endoscopic manipulations. The combination of the neuroendoscopy and stereotactic radiosurgery provides wide possibilities for minimally invasive management of selected intracranial tumors.
DOI	10.1055/s-2004-818495
Document No.	15346322