Endoscopic Transsphenoidal Salvage Surgery for Symptomatic Residual Cystic Craniopharyngioma after Radiotherapy

Enzo Emanuelli; Giuliana Frasson; Diego Cazzador; Daniele Borsetto; Luca Denaro

doi:10.1055/s-0038-1636504

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): S256-S258
DOI: 10.1055/s-0038-1636504

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Transsphenoidal Salvage Surgery for Symptomatic Residual Cystic Craniopharyngioma after Radiotherapy

Enzo Emanuelli

¹Department of Neurosciences, Otorhinolaryngology Section, University of Padua, Padua, Italy

,

Giuliana Frasson

¹Department of Neurosciences, Otorhinolaryngology Section, University of Padua, Padua, Italy

,

Diego Cazzador

¹Department of Neurosciences, Otorhinolaryngology Section, University of Padua, Padua, Italy

,

Daniele Borsetto

¹Department of Neurosciences, Otorhinolaryngology Section, University of Padua, Padua, Italy

,

Luca Denaro

²Department of Neurosciences, Neurosurgery Section, University of Padua, Padua, Italy

› Institutsangaben

Abstract

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Keywords

cystic craniopharyngioma - childhood brain tumor - endoscopic transsphenoidal surgery - anterior skull base

Fig. 1 Coronal CT scan (A) and coronal contrast-enhanced T1-weighted MRI scan (B) showing the cystic component of craniopharyngioma occupying the third ventricle, with biventricular hydrocephalus. Sagittal contrast-enhanced T1-weighted MRI scan (C) evidenced a solid component in the sellar region, displacing anteriorly the optic chiasm (D). CT, computed tomography; MRI, magnetic resonance imaging.

Fig. 2 Intraoperative view with 0-degree endoscope showing the dehiscence of the anterior sellar wall (A) and the removal of the tumor capsule (B) with an endoscopic transsphenoidal approach. Intraoperative view with 45-degree endoscope after tumor removal through the third ventricle, evidencing the placement of the external ventricular shunt in the left lateral ventricule (C). Postoperative sagittal contrast-enhanced T1-weighted MRI (D). MRI, magnetic resonance imaging.

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Fig. 1 Coronal CT scan (A) and coronal contrast-enhanced T1-weighted MRI scan (B) showing the cystic component of craniopharyngioma occupying the third ventricle, with biventricular hydrocephalus. Sagittal contrast-enhanced T1-weighted MRI scan (C) evidenced a solid component in the sellar region, displacing anteriorly the optic chiasm (D). CT, computed tomography; MRI, magnetic resonance imaging.

Fig. 2 Intraoperative view with 0-degree endoscope showing the dehiscence of the anterior sellar wall (A) and the removal of the tumor capsule (B) with an endoscopic transsphenoidal approach. Intraoperative view with 45-degree endoscope after tumor removal through the third ventricle, evidencing the placement of the external ventricular shunt in the left lateral ventricule (C). Postoperative sagittal contrast-enhanced T1-weighted MRI (D). MRI, magnetic resonance imaging.