Daijiworld News Network – Udupi/ Manipal (VM)
 
Udupi, Aug 30: Kasturba Hospital Neuroscience Center, Manipal performed a rare and complicated third ventricle tumor removal surgery successfully recently.

Santhosh, a student presented with signs of raised intracranial pressure was investigated at Bangalore with a CT scan. He attended the KMC Neurological Science Center at Manipal. As there were two tumors in relation to third ventricle (in the anterior part and posterior part, the posterior part was causing raised pressure inside head. 

The decision to operate was taken, but the difficulty whether in one stage (or) two stages. Using the operating microscope first the posterior third ventricular tumor was operated and after clearance of this tumor, through the dilated third ventricle the anterior part reached and adequate removal of the tumor was done. 

Later this patient had a shunt done to manage the hydrocephalus. 

The third ventricle is the most central part of brain and it is related to thalamus and hypothalamus, most important part of brain.  Operating at one site and removing two tumors is considered to be very dangerous. 

The polycystic astrocytoma type tumor that Santhosh had developed in the third ventricle area of the brain. This is an area less than 1 per cent of the whole brain and is the center for a host of homeostatic mechanisms, temperature, osmolality, pituitary endocrine function, sympathetic and parasympathetic control, appetite and for a variety of behavioral drives. In addition, memory circuits pass through this area, although current models exclude the immediate hypothalamus as playing a major role in memory.

The team of neurosurgeons from KMC Neuro Science Centre, Manipal, Dr A Raja professor and HOD Neurosurgery, Dr Sachin, Dr Roopjyoti Hazarika and Dr Arup Borpuzari with anesthetist performed this rare surgery in saving a patients life successfully.

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