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Case Reports in Medicine
Volume 2009, Article ID 434905, 5 pages
http://dx.doi.org/10.1155/2009/434905
Case Report

Papillary Ependymoma WHO Grade II of the Aqueduct Treated by Endoscopic Tumor Resection

Klinik für Neurochirurgie, Im Universitätsklinikum Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany

Received 15 April 2009; Accepted 17 June 2009

Academic Editor: Vincenzo Di Lazzaro

Copyright © 2009 Andreas M. Stark et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Papillary ependymoma is a rare tumor that may be located along the ventricular walls or within the spinal cord. We report the case of a 54-year-old patient with a papillary ependymoma WHO grade II arising at the entrance of the aqueduct. The tumor caused hydrocephalus. The tumor was completely removed via a right-sided endoscopic approach with restoration of the aqueduct. The free cerebrospinal fluid passage through the aqueduct was not only visualized by endoscopy but also controlled by intraoperative high-field magnetic resonance imaging. Therefore, an additional endoscopic third ventriculostomy was unneccessary.