Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center

Somil Jaiswal; Manish Jaiswal; Pooja Jaiswal; Ankur Bajaj; Chhitij Srivastava; Anil Chandra; Bal Ojha; Janu Vikas; Awadhesh Yadav

doi:10.4103/ajns.AJNS_252_20

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 846-855
DOI: 10.4103/ajns.AJNS_252_20

Original Article

Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center

Somil Jaiswal

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Manish Jaiswal

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Pooja Jaiswal

¹Department of Pathology, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh

,

Ankur Bajaj

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Chhitij Srivastava

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Anil Chandra

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Bal Ojha

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Janu Vikas

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

,

Awadhesh Yadav

Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh

› Author Affiliations

Abstract

Background: Microsurgical resection has been considered the gold standard treatment of craniopharyngioma, but lately, it has found less favor due to its morbidity and is being replaced by minimally invasive cyst drainage procedures. We present our experience of transventricular endoscopy and cyst drainage along with its technique and have analyzed its results. Materials and Methods: Clinical and radiological data of all cystic craniopharyngioma patients treated by transventricular endoscopic cyst drainage and Ommaya placement were retrieved and analyzed Results: Thirty-two patients underwent endoscopic cyst drainage during the study period. All patients had immediate clinical and radiological improvement. No significant complications were seen. All patients underwent adjuvant radiotherapy and six patients (18.7%) showed recurrence. Three patients died in the follow-up period. Conclusions: Endoscopic transcortical transventricular cyst drainage with Ommaya reservoir along with adjuvant radiotherapy is a simple, safe, and effective treatment modality.

Key-words:

Cystic craniopharyngioma - cystocisternostomy - endoscopic transcortical transventricular - Ommaya - radiotherapy

Full Text

References

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