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Research ArticleClinical Studies

Contralateral Interhemispheric Transfalcine Approach for Supratentorial Extraventricular Ependymoma Resection

MATIAS BALDONCINI, GIANLUCA FERINI, GIUSEPPE E. UMANA, BIPIN CHAURASIA, MICKAELA ECHAVARRIA DEMICHELIS, JUAN F. VILLALONGA, PAOLO PALMISCIANO, PAOLO AMICO, SABINO LUZZI, DEREK O. PIPOLO and ALVARO CAMPERO
Anticancer Research June 2022, 42 (6) 3203-3207; DOI: https://doi.org/10.21873/anticanres.15810
MATIAS BALDONCINI
1Department of Neurological Surgery, Hospital San Fernando, Buenos Aires, Argentina;
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GIANLUCA FERINI
2Department of Radiation Oncology, REM Radioterapia srl, Viagrande, Italy;
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GIUSEPPE E. UMANA
3Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy;
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  • For correspondence: umana.nch@gmail.com
BIPIN CHAURASIA
4Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal;
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MICKAELA ECHAVARRIA DEMICHELIS
1Department of Neurological Surgery, Hospital San Fernando, Buenos Aires, Argentina;
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JUAN F. VILLALONGA
5Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina;
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PAOLO PALMISCIANO
3Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy;
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PAOLO AMICO
6Department of Pathology, ASP 7, Ragusa, Italy;
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SABINO LUZZI
7Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;
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DEREK O. PIPOLO
8LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina
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ALVARO CAMPERO
5Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina;
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Abstract

Background/Aim: Extraventricular supratentorial ependymomas are rare entities. Most ependymomas are located at the infratentorial and intraventricular level, and only in a small group of cases they do not present continuity with the ventricular system. This is a case report of a patient with an atypical location of a cerebral ependymoma, which required the implementation of a complex and infrequent approach for its complete microsurgical removal. Case Report: A 16-year-old male patient was referred at our department with a diagnosis of a 40 mm × 50 mm × 60 mm solid-cystic space-occupying lesion, sited between the left superior frontal-cingulate gyri. A contralateral transfalcine interhemispheric approach was selected, which achieved total resection of the tumor. The histopathological diagnosis of Grade II ependymoma was obtained according to WHO classification. Conclusion: The contralateral transfalcine interhemispheric approach represents a favorable surgical corridor to achieve a total resection of the tumor lesion and is favored by an adequate working angle and reduced brain manipulation.

Key Words:
  • Contralateral interhemispheric approach
  • extraventricular ependymoma
  • supratentorial ependymoma
  • Received March 23, 2022.
  • Revision received April 16, 2022.
  • Accepted April 18, 2022.
  • Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 42 (6)
Anticancer Research
Vol. 42, Issue 6
June 2022
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Contralateral Interhemispheric Transfalcine Approach for Supratentorial Extraventricular Ependymoma Resection
MATIAS BALDONCINI, GIANLUCA FERINI, GIUSEPPE E. UMANA, BIPIN CHAURASIA, MICKAELA ECHAVARRIA DEMICHELIS, JUAN F. VILLALONGA, PAOLO PALMISCIANO, PAOLO AMICO, SABINO LUZZI, DEREK O. PIPOLO, ALVARO CAMPERO
Anticancer Research Jun 2022, 42 (6) 3203-3207; DOI: 10.21873/anticanres.15810

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Contralateral Interhemispheric Transfalcine Approach for Supratentorial Extraventricular Ependymoma Resection
MATIAS BALDONCINI, GIANLUCA FERINI, GIUSEPPE E. UMANA, BIPIN CHAURASIA, MICKAELA ECHAVARRIA DEMICHELIS, JUAN F. VILLALONGA, PAOLO PALMISCIANO, PAOLO AMICO, SABINO LUZZI, DEREK O. PIPOLO, ALVARO CAMPERO
Anticancer Research Jun 2022, 42 (6) 3203-3207; DOI: 10.21873/anticanres.15810
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Keywords

  • Contralateral interhemispheric approach
  • extraventricular ependymoma
  • supratentorial ependymoma
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