CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S243-S244
DOI: 10.1055/s-0038-1623519
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Resection of a Retrochiasmatic Craniopharyngioma by Combined Modified Orbital Craniotomy and Transnasal Endoscopic Techniques

Nirav J. Patel
1   Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States
,
Ian Dunn
1   Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States
› Author Affiliations
Funding None.
Further Information

Publication History

29 October 2017

29 November 2017

Publication Date:
28 February 2018 (online)

Abstract

A 20-year-old patient presented with hydrocephalus but intact vision and hormone function. The MRI showed a large seller, suprasellar and third ventricular mass. We chose a combined approach utilizing the translyvian, lamina terminals route, with a possible interhemispheric approach. But, we also utilized a transnasal endoscopic approach for the tumor that remained below the diaphragma sellae. The patient did well, with complete tumor resection via a staged approach, but did require hormone replacement.

The link to the video can be found at: https://youtu.be/yzpfOxzI4cQ.