{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T20:07:52Z","timestamp":1787342872841,"version":"build-2736575974"},"reference-count":84,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,6,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Intraventricular meningiomas (IVMs) are a rare subtype of brain tumors. Typically slow growing, these tumors can occasionally reach a substantial size, causing ventricular obstruction and hydrocephalus. Resection remains the treatment of choice; however, the deep location and proximity to critical neurovascular structures can pose significant challenges. Various surgical strategies and adjuncts have been described. Here, the authors highlight the benefits of early intraoperative tumor devascularization to minimize blood loss and enable safe, efficient removal through a minimally disruptive transsulcal approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 59-year-old woman presented with symptoms of increased intracranial pressure due to a large atrial IVM causing temporal horn entrapment. The tumor was hypervascular, with prominent arterial feeders. Early intraoperative microsurgical devascularization was favored over preoperative embolization, combined with temporary clipping of adjacent arterial feeders and intraoperative neurophysiological monitoring. This strategy facilitated piecemeal gross-total tumor resection within a relatively short surgical duration, minimizing brain retraction. The patient was neurologically intact after gross-total resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Early and strategic tumor devascularization is an effective approach to achieve safe and efficient resection of large intraventricular tumors with minimal brain retraction.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE2569\">https:\/\/thejns.org\/doi\/10.3171\/CASE2569<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2569","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T20:02:11Z","timestamp":1750104131000},"source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative neurovascular considerations for efficient intraventricular meningioma surgery: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Khaled","family":"Alok","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Yale New Haven Hospital, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1148-7523","authenticated-orcid":true,"given":"Maria Isabel","family":"Ocampo-Navia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilge","family":"Ya\u015far","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Acibadem University, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Millares Chavez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yale New Haven Hospital, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aladine A.","family":"Elsamadicy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yale New Haven Hospital, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Moliterno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yale New Haven Hospital, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"bib1","series-title":"Neurosurg Rev","first-page":"513","article-title":"Natural history of intraventricular meningiomas: systematic review","volume":"43","author":"Pereira","year":"2020","unstructured":"Pereira BJAde Almeida ANPaiva WSde Aguiar PHPTeixeira MJMarie SKN.Natural history of intraventricular meningiomas: systematic review. Neurosurg Rev. 2020;43(2):513-523."},{"issue":"5","key":"bib2","series-title":"J Clin Neurosci","first-page":"442","article-title":"Intraventricular meningiomas: a surgical challenge","volume":"14","author":"Lyngdoh","year":"2007","unstructured":"Lyngdoh BTGiri PJBehari SBanerji DChhabra DKJain VK.Intraventricular meningiomas: a surgical challenge. J Clin Neurosci. 2007;14(5):442-448."},{"key":"bib3","series-title":"World Neurosurg","first-page":"178","article-title":"Intraventricular meningiomas: a series of 42 patients at a single institution and literature review","volume":"97","author":"Grujicic","year":"2017","unstructured":"Grujicic DCavallo LMSomma TIntraventricular meningiomas: a series of 42 patients at a single institution and literature review. 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Thieme; 1994."},{"issue":"1","key":"bib8","series-title":"Neurosurg Rev","first-page":"299","article-title":"Enhancing meningioma resection: a comprehensive study on the safety and effectiveness of Onyx\u2122 presurgical embolization","volume":"46","author":"Batista","year":"2023","unstructured":"Batista SAndre\u00e3o FFPalavani LBEnhancing meningioma resection: a comprehensive study on the safety and effectiveness of Onyx\u2122 presurgical embolization. Neurosurg Rev. 2023;46(1):299."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"364","article-title":"The role of preoperative embolization for intracranial meningiomas","volume":"119","author":"Shah","year":"2013","unstructured":"Shah AHPatel NRaper DMSThe role of preoperative embolization for intracranial meningiomas. 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