Table 1: Advantages and disadvantages of the definitive surgical options for a entrapped temporal horn.
Surgical option | Advantages | Disadvantages | Major indications |
Ventriculoperitoneal shunting | Well demonstrated results Intracranial pressure relieve High effectiveness |
Shunt dependency Shunt relative complications Possibility of abdominal spread in malignant tumors |
Suitable for all cases |
Frontal to temporal shunting | No risk of malignant cells spread outside the head | Limited in displaced or collapsed frontal horn Tumor growing can displaced the shunt |
Favorable frontal horn anatomy |
Endoscopic ventriculocisternostomy | No risk of malignant cells spread outside the head Can be used in cases of infection |
Possibility of spontaneous ventriculostomy closure or after radiotherapy Neuronavigation dependent |
Favorable anatomy Biopsy necessity |
Endoscopic ventriculocisternostomy with a stein placement | No risk of malignant cells spread outside the head Less risk of disfunction |
Theorically more risk of infection than in the endoscopic ventriculostomy Tumor growing can displaced the shunt Risk of migration Neuronavigation dependent |
Favorable anatomy Biopsy necessity |
Temporal tip removal | No risk of malignant cells spread outside the head | More invasive procedure | Alternative to endoscopy in cases that requires a biopsy |
Etiologic treatment | Restores the cerebrospinal fluid physiology | Risk of recurrence | Only for benign tumors which can be completely resected |