ManuScript Details
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Paper Id:
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IJARW3023
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Title:
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TELOVELAR APPROACH FOR FOURTH VENTRICLE TUMORS: SAFETY, EFFICACY, AND ENDOSCOPIC ADJUNCTS IN A PROSPECTIVE SERIES OF 30 PATIENTS
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| Published in: |
International Journal Of All Research Writings |
| Publisher: |
IJARW |
| ISSN: |
2582-1008 |
| Volume / Issue: |
Volume 7 Issue 10 |
| Pages: |
10
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| Published On: |
5/1/2026 9:23:06 PM (MM/dd/yyyy) |
Main Author Details
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Name:
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IZIROUEL KARIM |
| Institute: |
CHU MUSTAPHA |
Co - Author Details
| Author Name |
Author Institute |
| djaafer miloud |
CHU Mustapha |
| Sellami Abdullah |
CHU Mustapha |
| belah zineb |
CHU Mustapha |
| mehidi dalila |
CHU Mustapha |
| boudjadja aicha |
CHU Mustapha |
| biad hicham |
CHU Mustapha |
| toumi rihab |
CHU Mustapha |
Abstract
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Research Area:
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Neuro surgery |
| KeyWord: |
Telovelar approach, Cerebellomedullary fissure, Fourth ventricle tumors |
| Abstract: |
Introduction :The surgical approach to fourth ventricle (V4) tumors is a challenge for neurosurgeons, as devastating morbidity can occur at any moment. Traditionally, a transvermian approach has been employed. However, vermian incision is associated with a higher incidence of cerebellar mutism and posterior fossa syndrome, as well as chronic neurocognitive sequelae. This has led some authors to opt for the telovelar approach to fourth ventricle tumors, which represents a more natural and safer corridor.
Objective: The main objective of our work is to evaluate the benefits and safety of the telovelar approach in surgery for fourth ventricle tumors and its role in reducing postoperative neurological dysfunctions, namely cerebellar mutism, cerebellar cognitive affective syndrome, and ataxia, with particular emphasis on vermis preservation and the added value of endoscopic assistance.
Materials and Methods: We conducted a prospective study of 30 patients operated on between 2022 and 2025 at the "Mustapha Pacha" University Hospital Center in Algiers. The telovelar approach was systematically used for all patients, with endoscopic assistance employed in nearly half of the cases. Clinical, radiological, and operative data were analyzed to assess the quality of resection as well as short- and long-term postoperative prognosis.
Results:Total macroscopic resection was achieved in 66.7% of patients. The opening of the cerebellomedullary fissure (CMF) was extensive in the majority of cases (90%). The combination of microscope and endoscope facilitated complete resection of extensions toward the cerebral aqueduct in 100% of cases. Notably, no cases of cerebellar mutism were observed. At 2 years, neurological recovery was complete for all followed patients.
Conclusion: The telovelar approach provides a safe and versatile surgical corridor that offers a panoramic view of the entire fourth ventricle and excellent, secure exposure of fourth ventricle tumors without the need for vermian incision. Endoscopic assistance proves to be an indispensable adjunct for ensuring safe resection in areas with limited microscopic visibility.
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Citations
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IEEE
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IZIROUEL KARIM, djaafer miloud, Sellami Abdullah, belah zineb, mehidi dalila, boudjadja aicha, biad hicham, toumi rihab, "TELOVELAR APPROACH FOR FOURTH VENTRICLE TUMORS: SAFETY, EFFICACY, AND ENDOSCOPIC ADJUNCTS IN A PROSPECTIVE SERIES OF 30 PATIENTS", International Journal Of All Research Writings,
vol. 7, no. 10, pp. 337-346, 2026.
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MLA
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IZIROUEL KARIM, djaafer miloud, Sellami Abdullah, belah zineb, mehidi dalila, boudjadja aicha, biad hicham, toumi rihab "TELOVELAR APPROACH FOR FOURTH VENTRICLE TUMORS: SAFETY, EFFICACY, AND ENDOSCOPIC ADJUNCTS IN A PROSPECTIVE SERIES OF 30 PATIENTS." International Journal Of All Research Writings,
vol 7, no. 10, 2026, pp. 337-346.
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APA
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IZIROUEL KARIM, djaafer miloud, Sellami Abdullah, belah zineb, mehidi dalila, boudjadja aicha, biad hicham, toumi rihab (2026). TELOVELAR APPROACH FOR FOURTH VENTRICLE TUMORS: SAFETY, EFFICACY, AND ENDOSCOPIC ADJUNCTS IN A PROSPECTIVE SERIES OF 30 PATIENTS. International Journal Of All Research Writings,
7(10), 337-346.
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TELOVELAR APPROACH FOR FOURTH VENTRICLE TUMORS: SAFETY, EFFICACY, AND ENDOSCOPIC ADJUNCTS IN A PROSPECTIVE SERIES OF 30 PATIENTS
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