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A new surgical approach to the third ventricle with interruption of the striothalamic vein

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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.

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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

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