@article{10.11648/j.ijn.20240801.11,
  author = {Ibrahim Dao and Aminata Kièmtoré and Ousmane Ouattara and Frédéric Bako and Jacques Traoré and Joseph Biogo and Serge Pacôme Yameogo and Abdoulaye Sanou and Eustache Kienou and Louis Junior Comboigo and Arsène Tossou and Abdoulaye Thiombiano and Lassané Taoko and Henry Lankoandé and Elie Nassoum and Narcisse Ouédraogo and Sosthène Fawaz Adéniran and Astride Somda and Delwendé Sylvain Zabsonré and Abel Kabré},
  title = {Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso
},
  journal = {International Journal of Neurosurgery},
  volume = {8},
  number = {1},
  pages = {1-10},
  doi = {10.11648/j.ijn.20240801.11},
  url = {https://doi.org/10.11648/j.ijn.20240801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240801.11},
  abstract = {Background: Periventricular and Intraventricular processes are life-threatening conditions because of their propensity to obstruct Cerebrospinal fluid pathways and to compress highly functional and vital structures. There are deep-seated lesions requiring rigorous microsurgical technic for their resection. Methods: We retrospectively analyzed the profile and outcome of Periventricular and intraventricular processes operated by the same author since his return in his country in 2015, after graduated abroad in WFNS Rabat training center program 2023. Result: We defined 15 patients operated over 8 years. There were 4 processes in lateral ventricle (26.6%), 1 in third ventricle (6.6%), 2 thalamus processes (13.3%), 4 in fourth ventricle (26.6%) and finally 4 in cerebellar hemisphere and violating the fourth ventricle (26.6%). Various surgical approaches were used, such as contralateral interhemispheric transcallosal, classical interhemispheric transcallosal, Subfrontal transbasal translamina terminalis, Frontal Transcortical, Temporal trans T2, ventriculoperitoneal shunting, endoscopy, cerebellar transcotical approach and Telovelar approach. Surgical procedure duration was more than 10 hours in 12 cases (80%) and one third of the patients have been operated in 2018. When neurosurgical operative microscope was not available, ophthalmologic microscope or binocular with headlight were used to achieve the resection. Pathological examination revealed High-grade glioma, subependymal giant cell astrocytoma (SEGA), central neurocytoma, Subependymoma, Hemangioblastoma, pilocytique astrocytoma, Medulloblastoma, gemiocytic astrocytoma, atypical papilloma of choroid plexus, craniopharygioma and cyst of septum pellucidum. We reported good postoperative outcome in 10 cases (66.6%), moderate postoperative deficit in 1 case and 4 cases of postoperative death (26.6%) among which 3 cases of postoperative meningitis. Conclusion: Periventricular and intraventricular processes can be safely approach in low-income country with acceptable result. However young African Neurosurgeon should be trained to be comfortable with multiple surgical approaches and also with binocular as well as with microscope. WFNS training program is a strong basement for the take-off of young African neurosurgeon. Backing home should be the rule after training, to develop neurosurgery.
},
 year = {2024}
}

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TY  - JOUR
T1  - Periventricular and Intraventricular Tumors in a Low-Income Country: Hard Learning Curve and Outcome of a Young Neurosurgeon from Burkina Faso

AU  - Ibrahim Dao
AU  - Aminata Kièmtoré
AU  - Ousmane Ouattara
AU  - Frédéric Bako
AU  - Jacques Traoré
AU  - Joseph Biogo
AU  - Serge Pacôme Yameogo
AU  - Abdoulaye Sanou
AU  - Eustache Kienou
AU  - Louis Junior Comboigo
AU  - Arsène Tossou
AU  - Abdoulaye Thiombiano
AU  - Lassané Taoko
AU  - Henry Lankoandé
AU  - Elie Nassoum
AU  - Narcisse Ouédraogo
AU  - Sosthène Fawaz Adéniran
AU  - Astride Somda
AU  - Delwendé Sylvain Zabsonré
AU  - Abel Kabré
Y1  - 2024/04/17
PY  - 2024
N1  - https://doi.org/10.11648/j.ijn.20240801.11
DO  - 10.11648/j.ijn.20240801.11
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 1
EP  - 10
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20240801.11
AB  - Background: Periventricular and Intraventricular processes are life-threatening conditions because of their propensity to obstruct Cerebrospinal fluid pathways and to compress highly functional and vital structures. There are deep-seated lesions requiring rigorous microsurgical technic for their resection. Methods: We retrospectively analyzed the profile and outcome of Periventricular and intraventricular processes operated by the same author since his return in his country in 2015, after graduated abroad in WFNS Rabat training center program 2023. Result: We defined 15 patients operated over 8 years. There were 4 processes in lateral ventricle (26.6%), 1 in third ventricle (6.6%), 2 thalamus processes (13.3%), 4 in fourth ventricle (26.6%) and finally 4 in cerebellar hemisphere and violating the fourth ventricle (26.6%). Various surgical approaches were used, such as contralateral interhemispheric transcallosal, classical interhemispheric transcallosal, Subfrontal transbasal translamina terminalis, Frontal Transcortical, Temporal trans T2, ventriculoperitoneal shunting, endoscopy, cerebellar transcotical approach and Telovelar approach. Surgical procedure duration was more than 10 hours in 12 cases (80%) and one third of the patients have been operated in 2018. When neurosurgical operative microscope was not available, ophthalmologic microscope or binocular with headlight were used to achieve the resection. Pathological examination revealed High-grade glioma, subependymal giant cell astrocytoma (SEGA), central neurocytoma, Subependymoma, Hemangioblastoma, pilocytique astrocytoma, Medulloblastoma, gemiocytic astrocytoma, atypical papilloma of choroid plexus, craniopharygioma and cyst of septum pellucidum. We reported good postoperative outcome in 10 cases (66.6%), moderate postoperative deficit in 1 case and 4 cases of postoperative death (26.6%) among which 3 cases of postoperative meningitis. Conclusion: Periventricular and intraventricular processes can be safely approach in low-income country with acceptable result. However young African Neurosurgeon should be trained to be comfortable with multiple surgical approaches and also with binocular as well as with microscope. WFNS training program is a strong basement for the take-off of young African neurosurgeon. Backing home should be the rule after training, to develop neurosurgery.

VL  - 8
IS  - 1
ER  - 

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