Evidence map›Paper›PMID 39959717›Full record

ArticleNeurosurgery practice2023

Successful Treatment of Pure Aqueductal Pilomyxoid Astrocytoma and Arrested Hydrocephalus With Endoscopic Tumor Resection Followed by Chemotherapy: A Case Report and Technical Considerations.

Kiyohiko Sakata, Aya Hashimoto, Yoshikuni Kotaki, Hidenobu Yoshitake, Shoko Shimokawa, Satoru Komaki, Hideo Nakamura, Takuya Furuta, Motohiro Morioka

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurosurgery practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kiyohiko SakataDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0003-2019-1732
Aya HashimotoDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-7624-3848
Yoshikuni KotakiDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.
Hidenobu YoshitakeDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.
Shoko ShimokawaDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0001-7650-3964
Satoru KomakiDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0001-6987-5524
Hideo NakamuraDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0003-2944-234X
Takuya FurutaDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-6645-7818
Motohiro MoriokaDepartment of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.ORCID https://orcid.org/0000-0001-7179-1258

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and importancePure aqueductal tumors are extremely rare and may lead to death, regardless of histopathology. We report the first case of pure aqueductal pilomyxoid astrocytoma in an adult woman with arrested hydrocephalus. Endoscopic tumor resection for securing aqueductal patency followed by chemotherapy allowed control of both the tumor and the hydrocephalus. CLINICAL PRESENTATION: A 20-year-old woman presented with mild cognitive dysfunction and marked ventricular dilatation. She had no preoperative symptoms of intracranial hypertension, and her head circumference was more than 2 SDs above the 98th percentile. The aqueduct of Sylvius was entirely occupied by a neoplastic lesion with 2 periventricular nodules at the wall of the third ventricle and anterior horn of the right lateral ventricle. She was treated successfully with endoscopic tumor resection followed by chemotherapy, and the patency of the aqueduct of Sylvius was secured throughout the duration of treatment.

conclusionPure aqueductal tumors may be an appropriate indication for endoscopic tumor resection to secure the aqueductal patency of cerebrospinal fluid. This case demonstrates the surgical technique of a combined rigid-flexible endoscopic transforaminal approach, which was a useful surgical intervention for the management of this patient.

Indexed as

Aqueductal tumorArrested hydrocephalusCerebrospinal fluid disseminationEndoscopic tumor resectionLong-standing overt ventriculomegaly in adultsPilomyxoid astrocytoma

Identifiers

PMID39959717
PMCPMC11809950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.