Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Expanded Endoscopic Transnasal Approach to the Chordoid Glioma of the Third Ventricle : The First Case Ever Reported

  • Zeinalizadeh, Mehdi (Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital, Tehran University of Medical Sciences) ;
  • Sadrehosseini, Seyed Mousa (Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital, Tehran University of Medical Sciences) ;
  • Meybodi, Keyvan Tayebi (Department of Neurological Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences) ;
  • Sharifabadi, Ali Heidari (Department of Pathology, Imam Khomeini Hospital, Tehran University of Medical Sciences)
  • Received : 2015.06.06
  • Accepted : 2015.12.06
  • Published : 2016.11.01
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Abstract

Chordoid glioma of the third ventricle is a rare and challenging tumor to surgery because of its unique anatomical location and its close juxtaposition to the neurovascular structures and hypothalamus. The authors report a case of chordoid glioma of the third ventricle in a 43-year-old woman, who presented with headache and somnolence. The tumor was approached by endoscopic transnasal technique with a favorable result. Histopathologic examination disclosed a neoplastic tissue composed of eosinophilic epithelioid cells, mucinous, periodic acid Schiff-diastase positive, extracellular matrix, and scattered lymphoplasmacytic infiltrates. The best treatment option remains controversial. Customarily, the surgical route to remove chordoid glioma is transcranial; however, the undersurface of the optic chiasm and optic nerves preclude an adequate surgical visualization. In contrast, an expanded endoscopic transnasal approach provides a direct midline corridor to this region without any brain retraction.

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References

  1. Al-Mefty O, Ayoubi S, Kadri PA : The petrosal approach for the total removal of giant retrochiasmatic craniopharyngiomas in children. J Neurosurg 106 (2 Suppl) : 87-92, 2007
  2. Brat DJ, Scheithauer BW, Staugaitis SM, Cortez SC, Brecher K, Burger PC : Third ventricular chordoid glioma : a distinct clinicopathologic entity. J Neuropathol Exp Neurol 57 : 283-290, 1998 https://doi.org/10.1097/00005072-199803000-00009
  3. Cenacchi G, Roncaroli F, Cerasoli S, Ficarra G, Merli GA, Giangaspero F : Chordoid glioma of the third ventricle : an ultrastructural study of three cases with a histogenetic hypothesis. Am J Surg Pathol 25 : 401-405, 2001 https://doi.org/10.1097/00000478-200103000-00016
  4. Dehdashti AR, Ganna A, Witterick I, Gentili F : Expanded endoscopic endonasal approach for anterior cranial base and suprasellar lesions : indications and limitations. Neurosurgery 64 : 677-687; discussion 687-689, 2009 https://doi.org/10.1227/01.NEU.0000339121.20101.85
  5. Iwami K, Arima T, Oooka F, Fukumoto M, Takagi T, Takayasu M : Chordoid glioma with calcification and neurofilament expression : case report and review of the literature. Surg Neurol 71 : 115-120; discussion 120, 2009 https://doi.org/10.1016/j.surneu.2007.07.032
  6. Liu JK, Christiano LD, Patel SK, Eloy JA : Surgical nuances for removal of retrochiasmatic craniopharyngioma via the endoscopic endonasal extended transsphenoidal transplanum transtuberculum approach. Neurosurg Focus 30 : E14, 2011
  7. Liu WP, Cheng JX, Yi XC, Zhen HN, Fei Z, Li Q, et al. : Chordoid glioma : a case report and literature review. Neurologist 17 : 52-56, 2011 https://doi.org/10.1097/NRL.0b013e3181e7db67
  8. Ni HC, Piao YS, Lu DH, Fu YJ, Ma XL, Zhang XJ : Chordoid glioma of the third ventricle : four cases including one case with papillary features. Neuropathology 33 : 134-139, 2013 https://doi.org/10.1111/j.1440-1789.2012.01333.x
  9. Sanches P, Yamashita S, Freitas CCM, Resende LAL : Chordoid glioma of the third ventricle : a new case report. Radiol Bras 45 : 288-290, 2012 https://doi.org/10.1590/S0100-39842012000500011
  10. Van Effenterre R, Boch AL : Craniopharyngioma in adults and children : a study of 122 surgical cases. J Neurosurg 97 : 3-11, 2002 https://doi.org/10.3171/jns.2002.97.1.0003
  11. Zarghouni M, Vandergriff C, Layton KF, McGowan JB, Coimbra C, Bhakti A, et al. : Chordoid glioma of the third ventricle. Radiology Report 25 : 285-286, 2012

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