Multistage Surgical Resection of a Giant Pineal Tumor in an Infant

Post-Operative Period

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This video shows an analysis of the post-op results.

Keywords

  • postoperative MRI
  • Pineal Anlage Tumor
  • Residual tumor
  • Transcallosal approach
  • Position of the patient
  • Sagittal sinus
  • Bone flap

About this video

Author(s)
Giuseppe Cinalli
Matteo Sacco
First online
16 March 2019
DOI
https://doi.org/10.1007/978-3-030-16006-7_11
Online ISBN
978-3-030-16006-7
Publisher
Springer, Cham
Copyright information
© The Author(s) 2019

Video Transcript

In the postoperative period, the MRI showed partial removal of the lower part of the tumor. Clinical evolution was uneventful, and the patient recovered rapidly. The MRI clearly showed that the largest part present in the posterior fossa has been removed, but that the most upper part in the lateral ventricle remains untouched. And another approach is necessary.

The coronal MRI sections show the upper limit reached with our first approach. And the sagittal T2 DRIVE MRI demonstrates very well the surgical corridor created with the transtentorial approach that was able to reach the third ventricle.

Histological diagnosis did not confirm the initial diagnosis of teratoma because the final diagnosis was Pineal Anlage Tumor. Multidisciplinary discussion concluded for the necessity of complete removal followed by chemotherapy with bone marrow transplant. And the new surgery was planned. New surgery was planned with another approach.

And second surgery, in fact, was reopening of the previous posterior transcallosal approach that had been performed the year before in another country.