Transcallosal Parafornicial Approach for Third Ventricle Tumors: Neuropsychological Consequences

Five adult patients with 3rd ventricle tumors underwent a transcallosal intraventricular parafornicial approach. Pre- and postoperative cognitive reviews were conducted on all patients. Each review consisted of: (a) a standardized neuropsychological battery, (b) mental status reviews, (c) specific tests for disconnection, and (d) a personality variable, where possible. Computed tomography and magnetic resonance imaging are also presented. The three patients with colloid cysts and the two with oligodendrogliomas showed no significant postoperative cognitive deficits compared to the preoperative review. These additional subtle neuropsychometric measures, along with the methodological advantage of preoperative review, support a parafornicial approach where indicated to preserve cognitive abilities.