J Neurol Surg A Cent Eur Neurosurg 2022; 83(01): 085-088
DOI: 10.1055/s-0041-1726109
Technical Note

Robot-Assisted Stereotactic Shunting as a Novel Treatment for Pontine Glioependymal Cysts

Simon Schieferdecker
1   Department of Medicine, Heinrich Heine University Düsseldorf, Dusseldorf, Nordrhein-Westfalen, Germany
,
Stefan Hunsche
2   Department of Stereotactic and Functional Neurosurgery, Cologne Merheim Medical Center (CMMC), Cologne, Germany
,
Faycal El Majdoub
2   Department of Stereotactic and Functional Neurosurgery, Cologne Merheim Medical Center (CMMC), Cologne, Germany
,
Mohammad Maarouf
3   Department of Neurosurgery, Beta Clinic Bonn, Bonn, Germany
› Author Affiliations

Abstract

In this case report, the authors describe the first case of a glioependymal cyst of the brainstem managed by robot-assisted, stereotactic, cysto-ventricular shunting. Glioependymal cysts are rare congenital cystic lesions that are thought to form by displacement of ependymal cells during the embryonal period. Glioependymal cysts have been reported in a variety of different locations within the central nervous system. However, glioependymal cysts of the brainstem have only been described once before. Here, we report the case of a 53-year-old man who was referred to our department due to hemiparesis, hemihypesthesia, and hemidysesthesia, as well as facial and abducens nerve palsy. A large pontine glioependymal cyst was confirmed via magnetic resonance imaging (MRI) scans. The cyst was subsequently decompressed by connecting the cyst with the fourth ventricle via robot-assisted stereotactic shunt placement. In the postoperative course, the patient made a quick recovery and did not report any permanent neurologic deficits.



Publication History

Received: 09 July 2020

Accepted: 28 October 2020

Article published online:
24 May 2021

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