Transcortical or transcallosal approach to ventricle-associated lesions: a clinical study on the prognostic role of surgical approach.

摘要: Most entities in and around the anterior two-thirds of supratentorial ventricles can be reached via transcortical or transcallosal approach. This study examined effect surgical approach on postoperative neurological outcome. Thirty-eight patients with intra- periventricular lesions were operated by either frontal Postoperative diencephalic damage occurred 22% group 36% group; transient mutism was virtually equivalent two groups. epilepsy (26%) subdural fluid collections (30%) only group. The incidence hemiparesis higher There a high correlation between Glasgow Outcome Score 5 preoperative severity disease but no location lesion clinical course Surgical outcome ventricle-associated depends mainly symptoms not Additionally, seizures after surgery is high.