Suprasellar and recurrent pediatric craniopharyngiomas: expanding indications for the extended endoscopic transsphenoidal approach
نویسندگان
چکیده
منابع مشابه
Outcome of Endoscopy-Assisted Microscopic Extended Transsphenoidal Surgery for Suprasellar Adult Craniopharyngiomas
Craniopharyngiomas are difficult to treat. The extended transsphenoidal approach has recently been described in several small series. We describe the usefulness of microscopy-assisted angled endoscopy for visualizing vital structures such as tumor attachment or tumor invasion to the pituitary stalk to achieve confident radical tumor removal. Between 2006 and 2010, 15 patients underwent the micr...
متن کاملThe endoscopic endonasal transsphenoidal approach to the suprasellar cistern.
The transsphenoidal transplanum, transtuberculum approach to the suprasellar cistern, also called the “extended” transsphenoidal approach, has been used during the past 10 years by experienced transsphenoidal surgeons to remove a limited number of well-circumscribed suprasellar lesions (7, 8, 10, 17, 20–23, 29). Initially, a sublabial approach was generally used and visualization was provided w...
متن کاملEndoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions.
OBJECT The extended transsphenoidal approach is a less invasive method for removing purely suprasellar lesions compared with traditional transcranial approaches. Most advocates have used a sublabial incision and a microscope and have reported a significant risk of cerebrospinal fluid (CSF) leakage. The authors report on a series of purely endoscopic endonasal surgeries for resection of suprasel...
متن کاملSuprasellar Hemangioblastoma Mimicking a Craniopharyngioma: Result of Extended Endoscopic Transsphenoidal Approach—Case Report
Hemangioblastoma in the suprasellar region is rare. We present a case of a suprasellar hemangioblastoma that underwent surgical resection using an extended endoscopic transsphenoidal approach. A 64-year-old female patient presented with headache and decreased visual acuity for the last four years, computed tomography (CT) and magnetic resonance imaging (MRI) revealed a 2.5 cm irregular lesion i...
متن کاملIndication and Limitations of Endoscopic Extended Transsphenoidal Surgery for Craniopharyngioma
The transsphenoidal approach has been utilized in intrasellar craniopharyngioma surgeries. However, the advent of endoscopic extended transsphenoidal approach (EETSA) has expanded its indication to suprasellar craniopharyngiomas. We compared the indication and limitations of EETSA to those of unilateral basal interhemispheric approach (UBIHA), which presents similar indications for surgery. We ...
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ژورنال
عنوان ژورنال: Journal of Neurosurgery: Pediatrics
سال: 2018
ISSN: 1933-0707,1933-0715
DOI: 10.3171/2017.7.peds17295