Assessment of surgical efficiency in patients having posterior cranial fossa epidermoid tumors

Authors

  • Rustem Trosh Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Oleksandr Lisianyi Romodanov Neurosurgery Institute, Kiev, Ukraine https://orcid.org/0000-0002-9965-9993
  • Viktor Gudkov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Petro Onishchenko Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

epidermoid tumors, volume removal, mortality

Abstract

Based on the data from 35 epidermoid tumor cases (37 tumors located in cerebellopontile angle and 16 in the IV — the ventricle) the analysis of postoperative mortality was carried out with regard for the tumor volume and surgical radicality. The analysis revealed that subtotal tumor removal allows to considerably decrease postoperative mortality in cerebellopontile angle epidermoid tumors and exclude mortality in tumors of the IV — th ventricle.

It may be concluded therefore that the most appropriate method of posterior cranial fossa tumor removal is to remove a tumor subtotally leaving its small part closely tied to the brain structures unremoved.

References

1. Altschuler E, Jungreis C, Sekhar L, Jannetta P, Sheptak P. Operative treatment of intracranial epidermoid cysts and cholesterol granulomas. Neurosurgery. 1990:606. [CrossRef]

2. Berger M, Wilson C. Epidermoid cysts of the posterior fossa. Journal of Neurosurgery. 1985; 62(2):214-219. [CrossRef]

3. De Souza C, de Souza R, Da Costa S et al. Cerebellopontine angle epidermoid cysts: a report on 30 cases. Journal of Neurology, Neurosurgery & Psychiatry. 1989;52(8):986-990. [CrossRef]

4. Fleming JF, Botterell EH. Cranial dermoid and epidermoid tumors. Surg Gynecol Obstet. 1959 Oct;109:403-11. [PubMed]

5. Grant F, Austin G. Epidermoids: Clinical Evaluation and Surgical Results. Journal of Neurosurgery. 1950;7(3):190-198. [CrossRef]

6. Guidetti B, Gagliardi F. Epidermoid and dermoid cysts. Journal of Neurosurgery. 1977;47(1):12-18. [CrossRef]

7. Keville F, Wise B. Intracranial Epidermoid and Dermoid Tumors. Journal of Neurosurgery. 1959; 16(5):564-569. [CrossRef]

8. Long D. Intracranial Epidermoid Tumors. In: Apuzzo M, ed. Brain Surgery: Complication Avoidance And Management. New York: Churchill Livingstone; 1993:669-688.

9. Lunardi P, Missori P, Gagliardi F, Fortuna A. Epidermoid tumors of the 4th ventricle. Neurosurgery. 1990:532. [CrossRef]

10. MacCarty C, Leavens M, Love J, Kernohan J. Dermoid and epidermoid tumors in the central nervous system of adults. Surg Gynecol Obstet. 1959 Feb; 108(2):191-198. [PubMed]

11. Mohanty A, Venkatrama S, Rao B, Chandramouli B, Jayakumar P, Das B. Experiens with Cerebellopontine Angle Epidermoids. Neurosurgery. 1997 Jan; 40(1): 24-29; discussion 29-30. [PubMed]

12. Nassar S, Haddad F, Abdo A. Epidermoid tumors of the fourth ventricle. Surgical Neurology. 1995;43(3):246-251. [CrossRef]

13. Sabin H, Bordi L, Symon L. Epidermoid cysts and cholesterol granulomas centered on the posterior fossa. Neurosurgery. 1987;21(6):798-805. [CrossRef]

14. Samii M, Tatagiba M, Piquer J, Carvalho G. Surgical treatment of epidermoid cysts of the cerebellopontine angle. Journal of Neurosurgery. 1996;84(1):14-19. [CrossRef]

15. Yamakawa K, Shitara N, Genka S, Manaka S, Takakura K. Clinical course and surgical prognosis of 33 cases of intracranial epidermoid tumors. Neurosurgery. 1989;24(4):568-73. [CrossRef]

16. Yaşargil M, Abernathey C, Sarioglu A. Microneurosurgical Treatment of Intracranial Dermoid and Epidermoid Tumors. Neurosurgery. 1989;24(4):561-567. [CrossRef]

How to Cite

Trosh, R., Lisianyi, O., Gudkov, V., & Onishchenko, P. Assessment of surgical efficiency in patients having posterior cranial fossa epidermoid tumors. Ukrainian Neurosurgical Journal, (2), 60–64. Retrieved from https://theunj.org/article/view/48418

Issue

Section

Original articles