Evaluation on Clinical Effect of Microsurgical Treatment of the Fourth Ventricular Tumors
TANG Jian-jian
ZHAN Zi-yin
ZHOU Jian
MA Chun-yang
WANG Zi-zhen
HUANG Qiu-hu
Abstract：Objective To investigate the clinical effect of microsurgical treatment of the fourth ventricular tumors. Methods Clinical data of 35 cases of fourth ventricle tumors operated on in Affiliated Hospital of Hainan Medical College from January 2011 to December 2013 were analyzed retrospectively. The treatment experience was summarize. Results All the patients underwent microsurgery. 8 patients were operated on by cerebellar vermis approach and 23 patients were operated on by cerebella medulla oblongata approach, and the others by combination approach;32 cases underwent total resection and 3 cases underwent subtotal resection; postoperative pathological examination showed medulloblastoma (15 cases), ependy-moma(10 cases), hemangioblastoma(3 cases), star cutin cell tumor (3 cases), choroid layer papilloma (2 cases), cutin mother cell tumors (1 case) and meningiomas (1 case). Hydrocephalus, dizziness, ataxia symptoms were improved after op-eration. KPS was used to evaluate the patients' situation 6 months after operation; 2 cases with 60 scores, 9 cases with 70 scores, 17 cases with 80 scores, 6 cases with 90 scores, 1 case with 100 scores. A 3-36 month follow-up of 32 cases showed that 27 case were good recovery, 5 cases were relapse (2 cases of mortality);3 cases were lost in follow-upsConclusion Proper operative approaches together with microsurgical skills and proper treatment of complications are the key to improving treatment effect of microsurgery for the fourth ventricular tumors .
Keywords：Brain neoplasmForth ventricleMicrosurgery
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 62-65 )