====== Tectal ganglioglioma ====== see also [[Tectal glioma]]. Tumours of the [[quadrigeminal plate]] in [[adult]]s are usually [[benign]]. Nevertheless, [[obstructive hydrocephalus]] due to compression of the [[Sylvian aqueduct]] is an almost invariable early finding. Whether or not direct excision is undertaken, temporary or permanent treatment of the [[hydrocephalus]] is warranted. [[Endoscopic third ventriculostomy]] is an alternative to insertion of a [[shunt]] and provides both acute and long-term relief of hydrocephalus-related symptoms. Cultrera et al., chose a two-stage approach for treating a tectal ganglioglioma in an adult: endoscopic third ventriculostomy followed by surgical excision ((Cultrera F, Guiducci G, Nasi MT, Paioli G, Frattarelli M. Two-stage treatment of a tectal ganglioglioma: endoscopic third ventriculostomy followed by surgical resection. J Clin Neurosci. 2006 Nov;13(9):963-5. Epub 2006 Aug 17. PubMed PMID: 16914316. )).