To evaluate the feasibility, technical workflow, and clinical outcomes of single burr-hole pure ventriculoscopic resection for small solid intraventricular lesions.
Key Findings:
Gross-total resection achieved in 92.1% (35/38) of cases.
No seizures, cerebrospinal fluid leakage, permanent neurological deficits, or mortality occurred.
Complications included transient diplopia in 5.3% and one intracranial infection in 2.6% of patients.
No definite lesion recurrence observed during a mean follow-up of 60 months.
Pathological diagnoses included cavernous malformations, subependymomas, meningiomas, low-grade gliomas, and others.
Interpretation:
Single burr-hole pure ventriculoscopy is a safe and feasible minimally invasive approach for selected small intraventricular lesions, enabling high rates of complete resection with low morbidity, which is significant for patient outcomes.
Limitations:
Retrospective study design may introduce bias.
Limited sample size may affect generalizability of results.
Potential for selection bias in patient inclusion.
Conclusion:
Single burr-hole pure ventriculoscopy offers a minimally invasive option for resecting solid intraventricular lesions with favorable outcomes.
