Abstract
Background Intraventricular cavernomas are rare and generally treated by microsurgical approach.
With the advances in neuroendoscopy, intraventricular lesions have been managed by
this technique. However, tumor size and vascular nature are considered restrictive
factors. As far as we are concerned, there are two cases in the literature of intraventricular
cavernoma resection done by neuroendoscopy.
Case We describe a case of a man who presented with hydrocephalus secondary to a mesencephalic
cavernoma and a second cavernous angioma located at the dorsum thalamus. This second
lesion was successfully removed using a pure neuroendoscopic technique at the same
time as a third ventriculostomy was performed.
Conclusion As neuroendoscopy evolves, we see that lesions considered impossible to be managed
by neuroendoscopy before today are being treated with the advantages that the minimally
invasive surgery offers.
Keywords
cavernoma - vascular NS - endoscopy - cerebral ventricle - minimal invasive - hydrocephalus
