PT - JOURNAL ARTICLE AU - Elwatidy, Sherif M. AU - Albakr, Abdulrahman A. AU - Al Towim, Abdullah A. AU - Malik, Safdar H. TI - Tumors of the lateral and third ventricle: surgical management and outcome analysis in 42 cases AID - 10.17712/nsj.2017.4.20170149 DP - 2017 Oct 01 TA - Neurosciences Journal PG - 274--281 VI - 22 IP - 4 4099 - http://nsj.org.sa/content/22/4/274.short 4100 - http://nsj.org.sa/content/22/4/274.full SO - Neurosciences (Riyadh)2017 Oct 01; 22 AB - Objectives: To discuss the clinical presentation, pathological diagnosis, and surgical outcome for a series of 42 consecutive patients treated for lateral and third ventricular tumors.Methods: This is a retrospective series study conducted between 2001 and 2015 and included 42 patients (mean age: 25 years; range: 2 months-65 years) with lateral and third ventricle tumors surgically treated at King Khaled University Hospital, Riyadh, Kingdom of Saudi Arabia. Demographic, clinical, radiological, surgical, histopathological, and follow up data were analyzed.Results: The most common symptoms at presentation included headache (69%), nausea/vomiting (38%), visual deficits (24%), and seizures (17%). Lesions were located in the lateral ventricle in 15 patients, third ventricle in 20 patients, and involved both the lateral and third ventricles in 7 patients. The most common tumor types in the overall cohort were colloid cysts (n=6) and pineal tumors (n=6). The postoperative complication rate was 36%. The most common postoperative complications were seizure and hydrocephalus (n=5 each, 12%). Surgical mortality was 5%.Conclusion: The selection of the surgical approach for intraventricular tumor resection is fundamentally dependent on the surgeon’s experience and preference. We recommend that this decision be based on the anatomic considerations that provide the best and safest access to the mass, rather than on the risk of seizure following transcortical approach.