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Acta Neurochirurgica
Published in: Acta Neurochirurgica 11/2012

01-11-2012 | Clinical Article

Surgical management of intraventricular central neurocytoma: 92 cases

Authors: Haipeng Qian, Song Lin, Maozhi Zhang, Yong Cao

Published in: Acta Neurochirurgica | Issue 11/2012

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Abstract

Objective

To analyse the clinical characteristics of intraventricular central neurocytomas and gain a better understanding of the surgical management and treatment strategies.

Methods

A total of 92 cases of intraventricular central neurocytomas with initial treatment using surgical resection were studied retrospectively.

Results

Among 48 male and 44 female patients, 65 underwent gross total resection and 27 underwent subtotal resection. Transcortical or transcallosal approaches were performed, and there was no significant difference between the two approaches in terms of effects and complications. Tumours with calcification or adhesion had a significant lower gross total resection rate. Three patients died after surgery. During follow-up, 55 patients underwent postoperative radiotherapy and four patients had a recurrence of the tumour.

Conclusion

Central neurocytomas mostly occur in the lateral ventricle system near the foramen of Monro. Therefore, total resection is the best treatment. Two surgical approaches are possible as treatment. Calcifications or adhesions affect the gross total resection of the tumour. Radiation therapy or radiosurgery therapy can be chosen as a salvage treatment in case of recurrence.
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Metadata
Title
Surgical management of intraventricular central neurocytoma: 92 cases
Authors
Haipeng Qian
Song Lin
Maozhi Zhang
Yong Cao
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
Acta Neurochirurgica / Issue 11/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-012-1446-6

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