Zenonos GA, Snyderman CH, Gardner PA. Endoscopic Endonasal Approach for a Suprasellar Craniopharyngioma.
J Neurol Surg B Skull Base 2018;
79:S241-2. [PMID:
29588882 DOI:
10.1055/s-0038-1623522]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 12/07/2017] [Indexed: 11/26/2022] Open
Abstract
Objectives
The current video presents the nuances of an endoscopic endonasal approach to a suprasellar craniopharyngioma.
Design
The video analyzes the presentation, preoperative workup and imaging, surgical steps and technical nuances of the surgery, the clinical outcome, and follow-up imaging.
Setting
The patient was treated by a skull base team consisting of a neurosurgeon and an ENT surgeon, at a teaching academic institution.
Participants
The case refers to a 67-year-old man who presented with vision loss and headaches, and was found to have a suprasellar mass, with imaging characteristics consistent with a craniopharyngioma.
Main Outcome Measures
The main outcome measures consistent of the reversal of the patient symptoms (vision loss and headaches), the recurrence-free survival based on imaging, as well as the absence of any complications.
Results
The patient's vision improved after the surgery; at his last follow-up there was no evidence of recurrence on imaging.
Conclusions
The endoscopic endonasal approach is safe and effective in treating suprasellar craniopharyngiomas.
The link to the video can be found at:
https://youtu.be/p1VXbwnAWCo
.
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