{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:06:38Z","timestamp":1755907598943,"version":"3.44.0"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nPediatric third ventricular gliomas may obstruct the flow of cerebrospinal fluid (CSF) requiring surgical intervention, typically involving ventriculoperitoneal shunt placement. We present an alternative surgical strategy involving partial resection of the posterior portion of the glioma to reestablish CSF flow.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 3-year-old female presents with obstructive hydrocephalus. Visual acuity and fields were preserved. Initial imaging showed a third ventricular tumor with enlargement of the lateral ventricles. Due to broad differential diagnosis, endoscopic biopsy was performed, which showed pilocytic astrocytoma. A craniotomy for a transcortical transventricular approach through a tubular retractor was performed to resect the posterior portion of the glioma and open the cerebral aqueduct. The patient underwent adjuvant chemotherapy. Postoperatively, she had complete resolution of presenting symptoms and, at 20-month follow-up, she has not required any procedures for CSF diversion.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nBenefits of the reported surgical strategy of partial posterior tumor resection include lack of permanent hardware and associated complications, as well as additional tissue for molecular studies. The approach can be considered in patients with obstructive hydrocephalus in the setting of a large third ventricular pilocytic astrocytoma in which risks of attempted gross total resection are high and there is a desire to avoid shunt placement.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_361_2025","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T09:46:59Z","timestamp":1755856019000},"page":"359","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Targeted tumor resection to reestablish cerebrospinal fluid flow in the setting of a pediatric third ventricular glioma with obstructive hydrocephalus"],"prefix":"10.25259","volume":"16","author":[{"given":"Avi","family":"Stern","sequence":"first","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankita","family":"Jain","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Westchester Medical Center, Valhalla, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip B.","family":"Storm","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Rosenblum","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York, United States"},{"name":"Division of Pediatric Hematology\/Oncology and Stem Cell Transplantation, New York Medical College, Valhalla, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared M.","family":"Pisapia","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York, United States"},{"name":"Department of Neurosurgery, Westchester Medical Center, Valhalla, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"10.25259\/SNI_361_2025\/ref-1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s11060-016-2126-9","article-title":"Microsurgical resection of tumors of the lateral and third ventricles: Operative corridors for difficult-to-reach lesions","volume":"130","author":"Cikla","year":"2016","journal-title":"J Neurooncol"},{"key":"10.25259\/SNI_361_2025\/ref-2","doi-asserted-by":"crossref","first-page":"553","DOI":"10.3171\/2021.3.PEDS20794","article-title":"Readmissions after ventricular shunting in pediatric patients with hydrocephalus: A Nationwide readmissions database analysis","volume":"28","author":"Donoho","year":"2021","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_361_2025\/ref-3","doi-asserted-by":"crossref","first-page":"327","DOI":"10.3340\/jkns.2017.0101.008","article-title":"Transcortical endoscopic surgery for intraventricular lesions","volume":"60","author":"Kim","year":"2017","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_361_2025\/ref-4","doi-asserted-by":"crossref","first-page":"100857","DOI":"10.1016\/j.neo.2022.100857","article-title":"Pediatric low-grade glioma: Targeted therapeutics and clinical trials in the molecular era","volume":"36","author":"Manoharan","year":"2023","journal-title":"Neoplasia"},{"key":"10.25259\/SNI_361_2025\/ref-5","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.wneu.2016.10.136","article-title":"The rate of complications after ventriculoperitoneal shunt surgery","volume":"98","author":"Merkler","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_361_2025\/ref-6","doi-asserted-by":"crossref","first-page":"189","DOI":"10.4103\/JPN.JPN_118_17","article-title":"Quality of life among children who had undergone ventriculoperitoneal shunt surgery","volume":"13","author":"Prakash","year":"2018","journal-title":"J Pediatr Neurosci"},{"key":"10.25259\/SNI_361_2025\/ref-7","doi-asserted-by":"crossref","first-page":"226","DOI":"10.3389\/fneur.2019.00226","article-title":"Risk factors of external ventricular drain infection: Proposing a model for future studies","volume":"10","author":"Sorinola","year":"2019","journal-title":"Front Neurol"},{"key":"10.25259\/SNI_361_2025\/ref-8","doi-asserted-by":"crossref","first-page":"271","DOI":"10.3171\/jns.2006.105.2.271","article-title":"Endoscopic resection of solid intraventricular brain tumors","volume":"105","author":"Souweidane","year":"2006","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_361_2025\/ref-9","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.3171\/foc.1999.7.4.4","article-title":"Endoscopic management of hydrocephalus secondary to tumors of the posterior third ventricle","volume":"7","author":"Teo","year":"1999","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_361_2025\/ref-10","doi-asserted-by":"crossref","first-page":"3381","DOI":"10.1007\/s00381-023-06096-8","article-title":"The minimally invasive transventricular endoscopic approach to third ventricular lesions in pediatric patients-all-rounder with limitations?","volume":"39","author":"Teping","year":"2023","journal-title":"Childs Nerv Syst"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/targeted-tumor-resection-to-reestablish-cerebrospinal-fluid-flow-in-the-setting-of-a-pediatric-third-ventricular-glioma-with-obstructive-hydrocephalus\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/targeted-tumor-resection-to-reestablish-cerebrospinal-fluid-flow-in-the-setting-of-a-pediatric-third-ventricular-glioma-with-obstructive-hydrocephalus\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T09:47:01Z","timestamp":1755856021000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/targeted-tumor-resection-to-reestablish-cerebrospinal-fluid-flow-in-the-setting-of-a-pediatric-third-ventricular-glioma-with-obstructive-hydrocephalus\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,22]]},"references-count":10,"alternative-id":["10.25259\/SNI_361_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_361_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8,22]]},"article-number":"359"}}