Extended Endoscopic Endonasal Approach for Craniopharyngioma Removal

Mahmoud Messerer; Rodolfo Maduri; Roy Thomas Daniel

doi:10.1055/s-0038-1623527

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

CC-BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 02): S199-S200
DOI: 10.1055/s-0038-1623527

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Extended Endoscopic Endonasal Approach for Craniopharyngioma Removal

Mahmoud Messerer

¹Department of Clinical Neurosciences, Service of Neurosurgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

²Faculty of Biology and Medicine, University of Lausanne (UniL), Switzerland

,

Rodolfo Maduri

¹Department of Clinical Neurosciences, Service of Neurosurgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

,

Roy Thomas Daniel

¹Department of Clinical Neurosciences, Service of Neurosurgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

²Faculty of Biology and Medicine, University of Lausanne (UniL), Switzerland

› Author Affiliations

Abstract

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Keywords

craniopharyngioma - extended endonasal approach - endoscopy - parasellar lesions - transsphenoidal surgery

Fig. 1 Preoperative sagittal (A) and axial (B) MRI showing a Kassam III cystic craniopharyngioma with a solid component, exerting mass effect on the optic chiasm. Postoperative sagittal (C) and axial (B) MRI showing complete resection of the craiopharyngioma.

Fig. 2 Operative pictures of the intradural phase. (A) shows tumor dissection from its adhesions to the right ON. (B) shows the resection of the residual craniopharyngioma after careful dissection from the right ON. The EEA allows wide exposure of the anterior communicating vascular complex, both optic nerves, the optic chiasm and tracts, the pituitary stalk. Abbreviations. AComA, anterior communicating artery; OptCh, optic chiasm; ON: optic nerve, OT, optic tract.

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Figures

Fig. 1 Preoperative sagittal (A) and axial (B) MRI showing a Kassam III cystic craniopharyngioma with a solid component, exerting mass effect on the optic chiasm. Postoperative sagittal (C) and axial (B) MRI showing complete resection of the craiopharyngioma.

Fig. 2 Operative pictures of the intradural phase. (A) shows tumor dissection from its adhesions to the right ON. (B) shows the resection of the residual craniopharyngioma after careful dissection from the right ON. The EEA allows wide exposure of the anterior communicating vascular complex, both optic nerves, the optic chiasm and tracts, the pituitary stalk. Abbreviations. AComA, anterior communicating artery; OptCh, optic chiasm; ON: optic nerve, OT, optic tract.