Endoscopic Endonasal Transtuberculum Sellae Approach for the Resection of Suprasellar  Intrainfundibular Epidermoid Cyst

Alaa S. Montaser; Juan M. Revuelta Barbero; Mostafa Shahein; Alexandre B. Todeschini; Bradley A. Otto; Ricardo L. Carrau; Daniel M. Prevedello

doi:10.1055/s-0038-1624590

Journal of Neurological Surgery Part B: Skull Base, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S279-S280
DOI: 10.1055/s-0038-1624590

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Endonasal Transtuberculum Sellae Approach for the Resection of Suprasellar Intrainfundibular Epidermoid Cyst

Alaa S. Montaser

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

²Department of Neurological Surgery, Ain Shams University Faculty of Medicine, Cairo, Egypt

,

Juan M. Revuelta Barbero

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

,

Mostafa Shahein

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

,

Alexandre B. Todeschini

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

,

Bradley A. Otto

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

³Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States

,

Ricardo L. Carrau

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

³Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States

,

Daniel M. Prevedello

¹Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States

³Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States

› Institutsangaben

Abstract

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Keywords

endoscopic endonasal - epidermoid cyst - suprasellar - transtuberculum approach

Fig. 1 Preoperative sagittal (A) and coronal (B) brain magnetic resonance imaging (MRI) with gadolinium contrast showing a sellar/suprasellar epidermoid cyst extending into the third ventricle. Postoperative sagittal (C) and coronal (D) brain MRI with gadolinium contrast demonstrating complete resection of the lesion. Note the enhancement of the nasoseptal flap used for skull base reconstruction.

Fig. 2 Intraoperative resection of the tumor. (A) Intrasellar resection is complete and the tumor is seen tracking through the pituitary stalk into the third ventricle. (B) The tumor is progressively resected from the third ventricle through a vertical incision in the pituitary stalk. (C) Complete resection of the tumor is achieved.

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Fig. 1 Preoperative sagittal (A) and coronal (B) brain magnetic resonance imaging (MRI) with gadolinium contrast showing a sellar/suprasellar epidermoid cyst extending into the third ventricle. Postoperative sagittal (C) and coronal (D) brain MRI with gadolinium contrast demonstrating complete resection of the lesion. Note the enhancement of the nasoseptal flap used for skull base reconstruction.

Fig. 2 Intraoperative resection of the tumor. (A) Intrasellar resection is complete and the tumor is seen tracking through the pituitary stalk into the third ventricle. (B) The tumor is progressively resected from the third ventricle through a vertical incision in the pituitary stalk. (C) Complete resection of the tumor is achieved.