Document Detail


Purely neuroendoscopic transventricular management of cystic craniopharyngiomas.
MedLine Citation:
PMID:  15322844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This paper reports our series of cystic craniopharyngiomas treated using a purely neuroendoscopic approach. METHODS: Drainage and wide marsupialization into CSF spaces (cysto-ventriculo-cisternostomy) were achieved to ensure mass effect control, continuous dilution, and reabsorption of the cyst's fluid. A steerable, flexible neuroendoscope and a pre-coronal approach were used in 7 patients harboring intra/paraventricular cysts (4 primary and 3 recurrent). RESULTS: These surgical goals were achieved in all but one case and no procedure-related complications were observed. During the follow-up period (range 6-72 months; average 38.3 months) one recurrence and one progression of undrained pouch were observed at 25 and 30 months. Both patients underwent successful repeat neuroendoscopy. CONCLUSIONS: In our hands, this technique has proven minimally invasive, safe, and effective; although oncologically palliative it can be implemented with other therapeutic modalities. Our preliminary experience should stimulate the recruitment of larger groups of patients in order to define the role of neuroendoscopy in the multimodal treatment of craniopharyngiomas.
Authors:
Alberto Delitala; Andrea Brunori; Francesco Chiappetta
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article     Date:  2004-08-19
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  20     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-25     Completed Date:  2005-02-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  858-62     Citation Subset:  IM    
Affiliation:
U.O. di Neurochirurgia, Dipartimento di Neuroscienze G.M. Lancisi, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Central Nervous System Cysts / pathology,  surgery*
Child
Craniopharyngioma / pathology,  surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neuroendoscopy / methods*
Neurosurgical Procedures
Retrospective Studies
Stereotaxic Techniques
Tomography, X-Ray Computed
Treatment Outcome
Ventriculostomy / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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