Summary
In the removal of tumours that develop within the third ventricle, most approaches are not entirely satisfactory. Therefore, a new approach has been devised: transfrontal exposure of the anterior portion of the frontal horn; coagulation and section of the striothalamic vein in order to open up the roof of the third ventricle; use of a blunt spatula introduced in the foramen of Monro and pushed backwards under the choroïd plexus. This approach has been used in ten cases. Postoperative mortality has been nil; the surgical approach has not apparently been responsible for any sequelae. It is simple and gives a good view of the third ventricle.
Similar content being viewed by others
References
Busch, E., A new surgical approach for the removal of tumors of the third ventricle. Acta Psychiat. (Kbh.)19 (1944), 57–60.
Cairns, H., Mosberg, W. H., Colloid cyst of the third ventricle. Surg. Gynec. Obstet.92 (1951), 545–570.
Caron, J. P., Debrun, G., Sichez, J. P., Comoy, J., Lacour, P., Ligature des veines cérébrales internes et survie: à propos de deux pinéalomectomies. Neurochirurgie20 (1973), 81–90.
Dandy, W. E., Benign tumors in the third ventricle of the Brain. Diagnosis and treatment, 171 p. Springfield, Ill.: Ch. C Thomas. 1933.
Ferry, D. J., Mylander, K., Hardman, J., Radiographic identification and surgical removal of a teratoïd tumor of the roof of the third ventricle. J. Neurosurg.36 (1972), 231–234.
Goetzen, B., Veines internes du cerveau humain: morphologie et topographie des anastomoses veineuses centro-périphériques du cerveau. Arch. Anat. Path.12 (1964), 126–133.
Greenwood, J., Removal of foreign body (bullet) from the third ventricle. J. Neurosurg.7 (1950), 169–172.
Horrax, G., Wyatt, J. P., Ectopic pinealomas in the chiasmal region. Report of three cases. J. Neurosurg.4 (1947), 309–326.
Huang, Y. P., Wolf, B. S., Veins of the white matter of the cerebral hemispheres (the medullary veins) Amer. J. Roentgenol.4 (1964), 739–755.
Kelly, R., Colloïd cyst of the third ventricle. Analysis of twenty nine cases. Brain74 (1951), 23–65.
Koos, W., Laubichler, W., Valencak, E., Les tumeurs du troisième ventricule chez l'enfant. Neurochirurgie12 (1966), 645–652.
McKissock, W., The surgical treatment of colloïd cyst of the third ventricle. A report based upon twenty-one personal cases. Brain74 (1951), 1–9.
Mac Lean, A. J., Paraphysial cysts. Arch. Neurol. Psychiat. (Chicago)36 (1936), 485–513.
Maspes, P. E., Geuna, E., Résultats du traitement chirurgical de 182 cas de tumeurs du troisième ventricule. Neurochirurgie12 (1966), 633–636.
Masson, C. B., Complete removal of two tumors of the third ventricle with complete recovery. Arch. Surg.38 (1934), 527–537.
Paillas, J. E., Combalbert, A., Fabre, J., Mme Berard, Résultats tardifs de l'exérèse des gliomes du troisième ventricule. A propos de deux astrocytomes glomérulés sous-épendymaires vivant 20 ans et plus de 10 ans après ablation. Neurochirurgie12 (1966), 637–644.
Paterson, J. E., Leslie, M., Colloïd cyst of the third ventricle of the brain. Report of a case operated on, with recovery. Brit. Med. J.1 (1935), 920–922.
Pecker, J., Faivre, J., Guy, G., Javalet, A., Le Menn, G., Indications chirurgicales dans les tumeurs du plancher du troisième ventricule. Neurochirurgie12 (1966), 653–660.
Pecker, J., Ferrand, B., Javalet, A., Tumeurs du troisième ventricule. Neurochirurgie1 (1966), 1–137.
Poppen, J. L., Reyes, V., Horrax, G., Colloïd cyst of the third ventricle. Report of seven cases. J. Neurosurg.10 (1953), 242–263.
Shaver, M. R., Colloïd cyst of the third ventricle. A report of four cases. Arch. Neurol. Psychiat. (Chicago)43 (1940), 510–523.
Stein, B. N., Fraser, R. A. R., Tenner, M. S., Tumours of the third ventricle in children. J. Neurol. Neurosurg. Psychiat.35 (1972), 776–788.
Stein, R. L., Rosenbaum, A. E., Normal deep cerebral venous system. In: Radiology of the skull and brain. Vol. 2, Book 3, pp. 1903–1997 (Newton, T. H., Potts, D. G., eds.). St. Louis: C. V. Mosby Company. 1974.
Stookey, B., Intermittent obstruction of the foramen of Monro by neuroepithelial cyst of the third ventricle. Symptoms, diagnosis and treatment. Bull. Neurol. Inst. N. Y.3 (1934), 446–500.
Trescher, J. H., Ford, F. R., Colloïd cyst of the third ventricle. Report of a case: operative removal with section of posterior half of corpus callosum. Arch. Neurol. Psychiat. (Chicago)37 (1937), 959–973.
Van den Bergh, R., Brucher, J. M., L'abord transventriculaire dans les craniopharyngiomes du troisième ventricule. Neurochirurgie16 (1970), 51–65.
Violon, A., Brihaye, J., Crahay, S., Jancu, H., Les troubles mentaux au cours des tumeurs du troisième ventricule. Neurochirurgie3 (1973), 317–320.
Weinberger, L. M., Boshes, B., Paraphysial cyst of the third ventricle. Diagnosis and surgical management. Surgery13 (1943), 368–384.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hirsch, J.F., Zouaoui, A., Renier, D. et al. A new surgical approach to the third ventricle with interruption of the striothalamic vein. Acta neurochir 47, 135–147 (1979). https://doi.org/10.1007/BF01406399
Issue Date:
DOI: https://doi.org/10.1007/BF01406399