At surgery, a widened sulcus was identified (Figure 2) and its relationship to the underlying tumor was verified by intraoperative ultrasound. The sulcus was freed of its arachnoid trabeculations and a small incision was made at the bottom of the sulcus and continued through the white matter to give access to the tumor. The tumor was broadly attached to the undersurface of the ependyma. It was relatively avascular except for its central component which contained numerous elongated flaccid vessels in a spider web arrangement originating from the ependymal surface.

Figure 2 (to the right)
Neuronavigation image: tumour in green

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