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All Journal Journal of International Surgery and Clinical Medicine
Maspian Tjili , Tondi
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Health Professions Medicine & Pharmacology

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Intraventricular Meningioma: A Case Series Valentino, Andrea; Wahyudi; Prastya Pardede, Jeremia; Maspian Tjili , Tondi; Hadisi, Anthar; Aji Prihartomo, Gatot; Wirdayanto, Ade; Rangkuti, Ina Farida
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.61

Abstract

Introduction: Intraventricular meningiomas account for approximately 1.5% of meningiomas, 80% of these were localized in the lateral ventricles, 15% in the third ventricle (mostly in the ventricle trigone), and the remaining 5% in the fourth ventricle. This case report aims to highlight clinical findings and difficulty on removal of the tumor intraoperatively. Case description: We presented 2 cases of Intraventricular Meningioma. Both patient have a chief complaint of chronic headache since 2 years ago. Through the magnetic resonance imaging examination, we found a  solid mass at right ventricle trigone with enhance homogenously 7.3 x 5.5 x 6.5 cm  on the first patient and 6.8 x 8.4 x 3.2 cm on the second patient. Both patients went through craniotomy tumor removal. The pathology showed a Transitional Meningioma who grade I and KI-67 immunohistochemical staining result: 1-2 % on the first patien and angiomatous meningioma (WHO grade 1) on the second patient. Both patients showed improvement post-surgery Conclusion: We  have  successfully  performed  a  total  craniotomy  tumor  removal  on  the  right  trigone  intraventricular  meningioma.  However, the primary challenge lies in excising intraventricular meningiomas located in the trigone without causing injury to the geniculocalcarine tracts. Therefore, the surgical approach must be carefully planned based on the tumor's location and intraoperative monitoring as well as surgical strategy to avoid the neurological deficits.
Co-Authors Aji Prihartomo, Gatot Hadisi, Anthar Prastya Pardede, Jeremia Rangkuti, Ina Farida Valentino, Andrea WAHYUDI Wirdayanto, Ade