Minimally invasive resection of solid intraventricular lesions via single burr-hole ventriculoscopy
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By
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Xinghua Xu
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Jiashu Zhang
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Zhichao Gan
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Qun Wang
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Haoyang Zheng
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Shiyu Zhang
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Xiaolei Chen
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June 15, 2026
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Clinical Scorecard: Single Burr-Hole Ventriculoscopy for the Minimally Invasive Resection of Solid Intraventricular Lesions
At a Glance
| Category | Detail |
|---|
| Condition | Solid intraventricular lesions |
| Key Mechanisms | Single burr-hole pure ventriculoscopic resection |
| Target Population | Patients with solid intraventricular lesions |
| Care Setting | Neurosurgical department |
Key Highlights
- Gross-total resection achieved in 92.1% of cases
- No seizures, cerebrospinal fluid leakage, or permanent neurological deficits reported
- Transient diplopia in 5.3% of patients; one intracranial infection in 2.6%
- Mean follow-up of 60 months with no definite lesion recurrence
- High-resolution 3D-SPACE MRI used for individualized trajectory planning
Guideline-Based Recommendations
Diagnosis
- Use high-resolution 3D-SPACE MRI for imaging solid intraventricular lesions
Management
- Consider single burr-hole pure ventriculoscopic resection for selected small solid intraventricular lesions
Monitoring & Follow-up
- Postoperative MRI to evaluate extent of resection and follow-up for neurological outcomes
Risks
- Potential for transient diplopia, intracranial infection, and delayed hydrocephalus
Patient & Prescribing Data
Patients with radiologically confirmed solid intraventricular lesions
Surgical approach minimizes invasiveness and preserves surrounding neural structures
Clinical Best Practices
- Utilize virtual ventriculoscopy for preoperative planning
- Ensure careful selection of patients based on lesion characteristics and anatomical considerations
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