Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2019; 7(18): 2894-2898
Published online Sep 26, 2019. doi: 10.12998/wjcc.v7.i18.2894
Entrapment of the temporal horn secondary to postoperative gamma-knife radiosurgery in intraventricular meningioma: A case report
Jia Liu, Sheng-Rong Long, Guang-Yu Li
Jia Liu, Sheng-Rong Long, Guang-Yu Li, Department of Neurosurgery, the First Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: Long SR contributed to the acquisition of data; Liu J wrote the paper; Li GY contributed to revision of this manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2013), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Guang-Yu Li, PhD, MD, Surgeon, Department of Neurosurgery, the First Hospital of China Medical University, 155 Nanjingbei Street, Heping District, Shenyang 110001, Liaoning Province, China. tyjk1972@163.com
Telephone: +86-13998156450
Received: April 22, 2019
Peer-review started: May 8, 2019
First decision: June 17, 2019
Revised: July 23, 2019
Accepted: July 27, 2019
Article in press: July 27, 2019
Published online: September 26, 2019
Processing time: 155 Days and 7.5 Hours
Abstract
BACKGROUND

Entrapment of the temporal horn (ETH) is a rare pathologic condition. It is a kind of focal hydrocephalus caused by obstruction of flow pathway of cerebrospinal fluid. It is caused by various conditions, but ETH secondary to postoperative gamma-knife radiosurgery (GKS) is extremely rare.

CASE SUMMARY

A 52-year old previously healthy woman underwent resection of a large intraventricular meningioma. A small fragment of residual tumor with no obvious enlargement of the temporal horn was observed 3 mo after surgery, and she was referred for GKS. Two months after GKS, she complained of headache and progressive paralysis of the left limb. Magnetic resonance imaging revealed enlargement of the temporal horn. There was a second procedure to resect the residual tumor 8 mo after GKS. After the second procedure, she recovered smoothly. As of the date of this writing, she has remained in good condition.

CONCLUSION

This case reminds us that ETH should be considered in the treatment of intraventricular meningiomas, especially before GKS.

Keywords: Entrapment of the temporal horn; Gamma-knife radiosurgery; Intraventricular meningioma; Case report

Core tip: Entrapment of the temporal horn (ETH) is a rare pathologic condition. Here we present a case of ETH secondary to postoperative gamma-knife radiosurgery (GKS) in intraventricular meningioma. A 52-year old women received gamma knife therapy 3 mo after first operation of intraventricular meningioma due to residual tumor. Then, ETH occurred 2 mo after GKS. A second operation to resect the residual tumor 8 mo after GKS was performed and the patient recovered smoothly. This case reminded us that ETH should be considered in the treatment of intraventricular meningiomas, especially before GKS.