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Universitätsmedizin Greifswald Universität Greifswald


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Case description

MRI:

The 47-year-old male patient presented with a right thalamic pilocytic astrocytoma. The tumor was completely resected via a transventricular approach. One month after the operation the patient was admitted with an increasingly serious gait disorder, headaches and fine motor disturbances. The MR imaging showed a huge increase in the size of the right temporal and occipital horn and the dorsal areas of the cella media.

 

Navigation:

In order to determine the ideal entrance point and for intraoperative orientation, the operation was performed under neuronavigational guidance.

 

Pre-operative Images

Intraoperative Neuronavigation

Result

The patient's symptoms were very well alleviated postoperatively. The postoperative MR images show a clear decrease in the ventricle size as well as a widely open septostomy.

Post-operative Images



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