التفاصيل البيبلوغرافية
| العنوان: |
Endoscopic Endonasal Approach to a Suprasellar Craniopharyngioma. |
| المؤلفون: |
Todeschini, Alexandre B., Montaser, Alaa S., Shahein, Mostafa, Revuelta, Juan Manuel, Otto, Bradley A., Carrau, Ricardo L., Prevedello, Daniel M. |
| المصدر: |
Journal of Neurological Surgery. Part B. Skull Base; 2018 Supplement3, Vol. 79, p237-238, 2p |
| مصطلحات موضوعية: |
CRANIOPHARYNGIOMA, ENDOSCOPIC surgery, NEUROSURGERY, SKULL base, SURGICAL decompression |
| مستخلص: |
We present the case of a 57-year-old male who presented with progressive right side vision loss whose workup revealed a large suprasellar lesion with invasion of the third ventricle. The pituitary stalk was not visible. Hormonal panel showed no hormonal deficits. The initial diagnosis was of a type II transinfundibular craniopharyngioma (as classified by Kassam et al). An endoscopic endonasal transplanum transtuberculum approach was done using a standard binostril four-hand technique, with the patient positioned supine with the head turned to the right side and tilted to the left, fixed in a three-pin head clamp, under imaging guidance. The tumor was carefully dissected away from the optic apparatus while preserving the vessels, mainly the superior hypophyseal artery. The stalk was identified around the tumor and preserved. The third ventricle was entered and inspected at the end of the procedure and a near-total resection (asmall residual in the right hypothalamus) with decompression of the optic apparatus was achieved. Reconstruction was done in a multilayered fashion, using collagenmatrix and a nasoseptal flap. Patient had an uneventful postoperative stay and was discharged on POD 4, neurologically stable with no hormonal deficits. Pathology confirmed an adamantinomatous craniopharyngioma. Due to a small growth of the residual, patient underwent fractionated stereotactic radiation (50.4Gy in 28 sessions). He presented with panhypopituitarism 2 years after radiation therapy. At 3-month follow-up, his vision was back to normal and 6-year postoperative magnetic resonance imaging showed no signs of recurrence. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Neurological Surgery. Part B. Skull Base is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder