Skip to main content
SpringerLink
Log in

Ventrikel- und Thalamusgliome

  • Chapter
  • First Online:
Gliomchirurgie

  • 1471 Accesses

Zusammenfassung

Intraventrikuläre- (IV) und thalamische Gliome sind seltene Unterformen der Gliome, die sich klinisch häufig durch einen Hydrozephalus manifestieren. Zu ihnen zählen niedriggradige und relativ benigne histopathologische Entitäten, jedoch auch hochgradig maligne Gliome. Die mikrochirurgische Resektion für diese Gruppe von Tumoren gestaltet sich durch ihre tiefe Lage und ihre Nachbarschaft zu eloquenten Hirn- und kritischen vaskulären Strukturen anspruchsvoll. Je nach vermuteter Tumorentität ist die mikrochirurgische Resektion bezüglich ihrer potenziellen Komplikationen und Morbidität gegenüber weniger invasiven Therapieformen sorgfältig abzuwägen. Während bei IV-Gliomen eine komplette Resektion häufig möglich und sinnvoll ist, beschränkt sich die chirurgische Therapie der thalamischen Gliome oft auf eine Biopsie.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Apuzzo MLJ (1998) Surgery of the third ventricle. Lippincott Williams & Wilkins, Baltimore.

    Google Scholar 

  • Asgari S, Engelhorn T, Brondics A, Sandalcioglu IE, Stolke D (2003) Transcortical or transcallosal approach to ventricle-associated lesions: a clinical study on the prognostic role of surgical approach. Neurosurg Rev 26: 192–197.

    Article  PubMed  Google Scholar 

  • Bernstein M, Hoffman HJ, Halliday WC, Hendrick EB, Humphreys RP (1984) Thalamic tumors in children. Long-term follow-up and treatment guidelines. J Neurosurg 61: 649–656.

    Article  CAS  PubMed  Google Scholar 

  • Broniscer A, Chintagumpala M, Fouladi M, Krasin MJ, Kocak M, Bowers DC, Iacono LC, Merchant TE, Stewart CF, Houghton PJ, Kun LE, Ledet D, Gajjar A (2006) Temozolomide after radiotherapy for newly diagnosed high-grade glioma and unfavorable low-grade glioma in children. J Neurooncol 76: 313–319.

    Article  PubMed  Google Scholar 

  • Dumont AS, Farace E, Schiff D, Shaffrey ME (2003) Intraventricular gliomas. Neurosurg Clin N Am 14: 571–591.

    Article  PubMed  Google Scholar 

  • Ellenbogen RG (2001) Transcortical surgery for lateral ventricular tumors. Neurosurg Focus 10: E2.

    Article  CAS  PubMed  Google Scholar 

  • Frank F, Fabrizi AP, Gaist G, Frank-Ricci R, Piazzi M, Spagnolli F (1987) Stereotaxy and thalamic masses. Survey of 44 cases. Appl Neurophysiol 50: 243–247.

    CAS  PubMed  Google Scholar 

  • Franzini A, Leocata F, Cajola L, Servello D, Allegranza A, Broggi G (1994) Low-grade glial tumors in basal ganglia and thalamus: natural history and biological reappraisal. Neurosurgery 35: 817–820; discussion 820–811.

    Article  CAS  PubMed  Google Scholar 

  • Hall WA (1998) The safety and efficacy of stereotactic biopsy for intracranial lesions. Cancer 82: 1749–1755.

    Article  CAS  PubMed  Google Scholar 

  • Jain A, Amin AG, Jain P, Burger P, Jallo GI, Lim M, Bettegowda C (2012) Subependymoma: clinical features and surgical outcomes. Neurol Res 34: 677–684.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelly PJ (1989) Stereotactic biopsy and resection of thalamic astrocytomas. Neurosurgery 25: 185–194; discussion 194–185.

    Article  CAS  PubMed  Google Scholar 

  • Kratzsch T, Gautschi OP, Kuhn SA, Hottinger AF, Hildebrandt G, Stienen MN (2014) Low-grade gliomas in adults. Praxis (Bern 1994) 103: 1385–1396.

    Article  Google Scholar 

  • Krouwer HG, Prados MD (1995) Infiltrative astrocytomas of the thalamus. J Neurosurg 82: 548–557.

    Article  CAS  PubMed  Google Scholar 

  • Lejeune JP, Le Gars D, Haddad E (2000) Tumors of the third ventricle: review of 262 cases. Neurochirurgie 46: 211–238.

    CAS  PubMed  Google Scholar 

  • Linn J, Hoffmann LA, Danek A, Bruckmann H (2007) [Differential diagnosis of bilateral thalamic lesions. Röfo 179: 234–245.

    CAS  PubMed  Google Scholar 

  • Luther N, Edgar MA, Dunkel IJ, Souweidane MM (2006) Correlation of endoscopic biopsy with tumor marker status in primary intracranial germ cell tumors. J Neurooncol 79: 45–50.

    Article  PubMed  Google Scholar 

  • Messing-Junger AM, Floeth FW, Pauleit D, Reifenberger G, Willing R, Gartner J, Coenen HH, Langen KJ (2002) Multimodal target point assessment for stereotactic biopsy in children with diffuse bithalamic astrocytomas. Childs Nerv Syst 18: 445–449.

    Article  CAS  PubMed  Google Scholar 

  • Milde T, Hielscher T, Witt H, Kool M, Mack SC, Deubzer HE, Oehme I, Lodrini M, Benner A, Taylor MD, von Deimling A, Kulozik AE, Pfister SM, Witt O, Korshunov A (2012) Nestin expression identifies ependymoma patients with poor outcome. Brain Pathol 22: 848–860.

    Article  PubMed  Google Scholar 

  • Milligan BD, Meyer FB (2010) Morbidity of transcallosal and transcortical approaches to lesions in and around the lateral and third ventricles: a single-institution experience. Neurosurgery 67: 1483–1496; discussion 1496.

    Article  PubMed  Google Scholar 

  • Mohanty A, Thompson BJ, Patterson J (2013) Initial experience with endoscopic side cutting aspiration system in pure neuroendoscopic excision of large intraventricular tumors. World Neurosurg 80: 655 e615–621.

    Google Scholar 

  • Mussi AC, Rhoton AL, Jr. (2000) Telovelar approach to the fourth ventricle: microsurgical anatomy. J Neurosurg 92: 812–823.

    Article  CAS  PubMed  Google Scholar 

  • Ocal E, Baehring JM, J. P (2007) Surgical approaches to intraventricular tumors (lateral ventricles). In: Badie B (ed.) Neurosurgical operative atlas: neuro-oncology. Thieme, New York, pp 54–57.

    Google Scholar 

  • Puget S, Crimmins DW, Garnett MR, Grill J, Oliveira R, Boddaert N, Wray A, Lelouch-Tubiana A, Roujeau F, Zerah M, Sainte-Rose C (2007) Thalamic tumors in children: a reappraisal. J Neurosurg 106: 354–362.

    PubMed  Google Scholar 

  • Qiao L, Souweidane MM (2011) Purely endoscopic removal of intraventricular brain tumors: a consensus opinion and update. Minim Invasive Neurosurg 54: 149–154.

    Article  CAS  PubMed  Google Scholar 

  • Sai Kiran NA, Thakar S, Dadlani R, Mohan D, Furtado SV, Ghosal N, Aryan S, Hegde AS (2013) Surgical management of thalamic gliomas: case selection, technical considerations, and review of literature. Neurosurg Rev 36: 383–393.

    Article  PubMed  Google Scholar 

  • Schroeder JL, Barnett GH (2015) Intraventricular Tumors. In: Bernstein M, Berger MS (eds.) Neuro-Oncology. Thieme, New York, pp 363–374.

    Google Scholar 

  • Selvanathan SK, Kumar R, Goodden J, Tyagi A, Chumas P (2013) Evolving instrumentation for endoscopic tumour removal of CNS tumours. Acta Neurochir (Wien) 155: 135–138.

    Article  Google Scholar 

  • Shahzadi S, Andalibi R, Sharifi G (2005) Biopsy of thalamic lesions using computed imaging-assisted stereotaxis: report of 15 years of experience. Arch Iranian Med 8: 188–191.

    Google Scholar 

  • Shooman D, Belli A, Grundy PL (2010) Image-guided frameless stereotactic biopsy without intraoperative neuropathological examination. J Neurosurg 113: 170–178.

    Article  PubMed  Google Scholar 

  • Smoll NR, Gautschi OP, Schatlo B, Schaller K, Weber DC (2012) Relative survival of patients with supratentorial low-grade gliomas. Neuro Oncol 14: 1062–1069.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smoll NR, Schaller K, Gautschi OP (2013) Long-term survival of patients with glioblastoma multiforme (GBM). J Clin Neurosci 20:670–675.

    Article  PubMed  Google Scholar 

  • Smoll NR, Hamilton B (2014) Incidence and relative survival of anaplastic astrocytomas. Neuro Oncol 16: 1400–1407.

    Article  PubMed  PubMed Central  Google Scholar 

  • Steiger HJ, Gotz C, Schmid-Elsaesser R, Stummer W (2000) Thalamic astrocytomas: surgical anatomy and results of a pilot series using maximum microsurgical removal. Acta Neurochir (Wien) 142: 1327–1336; discussion 1336–1327.

    Article  CAS  Google Scholar 

  • Tomita T, Cortes RF (2002) Astrocytomas of the cerebral peduncle in children: surgical experience in seven patients. Childs Nerv Syst 18: 225–230.

    Article  PubMed  Google Scholar 

  • Uchino M, Kitajima S, Miyazaki C, Shibata I, Miura M (2002) Bilateral thalamic glioma–case report. Neurol Med Chir (Tokyo) 42: 443–446.

    Article  Google Scholar 

  • Ulm AJ, Russo A, Albanese E, Tanriover N, Martins C, Mericle RM, Pincus D, Rhoton AL (2009) Limitations of the transcallosal transchoroidal approach to the third ventricle. J Neurosurg 111: 600–609.

    Article  PubMed  Google Scholar 

  • Waldron JS, Tihan T (2003) Epidemiology and pathology of intraventricular tumors. Neurosurg Clin N Am 14: 469–482.

    Article  PubMed  Google Scholar 

  • Westphal M (2003) Ventrikeltumoren. In: Schlegel U, Weller M, Westphal M (Hrsg.) Neuroonkologie. Thieme, Stuttgart, S. 219–223.

    Google Scholar 

  • Yao KC, Lang FF (2007) Surgical approaches to tumors of the third ventricle. In: Badie B (ed.) Neurosurgical operative atlas: neuro-oncology. Thieme, New York, pp 42–53.

    Google Scholar 

  • Yasargil MG (1994) CNS tumors: surgical anatomy, neuropathology, neuroradiology, neurophysiology, clinical considerations, operability, treatment options. Thieme, Stuttgart.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hopitaux Universitaires de Geneve, Service de Neurochirurgie, Rue Gabrielle-Perret-Gentil 4, 1211, Genf 4, Schweiz

    Martin N. Stienen

  2. Hopitaux Universitaires de Geneve, Service de Neurochirurgie, Rue Gabrielle-Perret-Gentil 4, 1211, Genf 4, Schweiz

    Avinash M. Koka

  3. Hopitaux Universitaires de Geneve, Service de Neurochirurgie, Rue Gabrielle-Perret-Gentil 4, 1211, Genf 4, Switzerland

    Karl Schaller

Authors
  1. Martin N. Stienen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Avinash M. Koka
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Karl Schaller
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Martin N. Stienen .

Editor information

Editors and Affiliations

  1. Klinik für Neurochirurgie, Ev. Klinikum Bethel, Bielefeld, Germany

    Matthias Simon

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Stienen, M.N., Koka, A.M., Schaller, K. (2018). Ventrikel- und Thalamusgliome. In: Simon, M. (eds) Gliomchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48694-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48694-8_19

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48693-1

  • Online ISBN: 978-3-662-48694-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation