Telovelar Approach for Resection of Pontomedullary Ependymoma

Removing a malignant tumor attached to the medulla

Young patients came and had symptoms such as the inability to move the eyes properly. This patient's tumor had previously been operated elsewhere, but because the main part of the tumor remained, it had regrown and attached to the medulla.

Since surgery and radiation therapy were performed in the past, the brain has become very sticky; For this reason, the doctor performs the surgery slowly and calmly. The doctor performs this surgery very carefully, because this tumor is located in the fourth ventricle and the fourth ventricle is a very sensitive area. Removing the tumor from the fourth ventricle requires special techniques.

This tumor is very large and has spread to different parts of the brain. The surgeon takes time to remove all parts of this tumor. This surgery lasted for 13 hours and was done very carefully and reassuringly so as not to put pressure on the brain. At the end of the surgery, the brain anatomy returned to normal.