Surgical Management of Tumors of the Lateral Ventricle

Abstract

Transcortical approach, had a higher percentage in hemiplegia and hemiparesis due a technical fault of head position which was corrected later on in the study. In addition, we didn’t have the access to neuro-navigation, cortical mapping or cortical stimulation. Plus, the patients who had hemiplegia didn’t improve at all after 1 year follow up. While patients with hemiparesis improved from grade 2 to 3 in 1 year time. However, majority of cases recovered very well without any incidence of postoperative seizures, complications, with zero % recurrence. As all the patients were given antiepileptic drugs 1 week before operation and 6 months after. While, the cases that were operated on with the transcallosal approach recovered even better, they experienced minimal impairment of working memory which wasn’t affecting their quality of their lives. Moreover, the behavioral changes were also subtle without any impact on their lives. It was an easy, less hustle, less bleeding and definitely least complications. Nevertheless, the most devastating complication postoperative was mutism, however it’s a rare complication. Where the patient was conscious but couldn’t speak resulting in the absence or marked paucity of verbal outcome. Surprisingly all patients that suffered from mutism recovered perfectly in 2 months duration. We think that this complication was due to the large division of the corpous callosum, which then patients suffered from mutism due to the suppression of the limbic system.