|
KMID : 0378019700130120137
|
|
New Medical Journal
1970 Volume.13 No. 12 p.137 ~ p.142
|
|
|
A Partial Removal of Pinealoma
|
|
박청수/Park, Cheong Soo
韓大熙/崔吉洙/朱正和/Han, Dae Hee/Choi, Kil Soo/Jeong, M.D.
|
|
|
Abstract
|
|
|
Any surgical approach to the pineal region even for the purpose of obtaining a biopsy specimen involves so great a risk that it is ususally preferred to use a more conservative form of treatment, particularly since the majority of these tumors will respond well to X-ray therapy.
An instance of successful intracapsular removal of the tumor, laying in the posterior part of the third ventricle, which was cytologically verified pinealoma, is reported. The patient was a 22-year-old Korean male with the complaints of headache, vomiting, bilateral hearing disturbances and Parinaud´s syndrome of five months´ duration.
1. The case showed typical symptoms, signs and X-ray findings for the diagnosis of the tumor in the pineal region.
2. A transtentorial posterior fossa exploration was used. The removal of a wedge of tentorium seemed to decompress the tumor which was squeezed under it, and also to obtain a sufficient space available for the cerebrospinal fluid to flow up through the cisterna pontis to interpeduncular cistern, along with the functioning Torkildsen´s shunt.
3. An intracapsular removal of tumor, sparing important surrounding structures, seemed to decompress the neighbouring tissues immediately, thus obtaining an early improvement of some neurological deficits.
4. Pre- and postoperative continuous ventricular drainage and use of cortisone were helpful to control the intracranial pressure.
5. Torkildsen´s procedure by inserting the distal end of the catheter into the cisterna magna was performed and Co" therapy to the neoplasm was begun as soon as the condition of the patient warrented it.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|