Document Detail


Transcortical-transforaminal microscopic approach for purely intraventricular craniopharyngioma.
MedLine Citation:
PMID:  23282157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Purely intraventricular craniopharyngiomas are rare and pose particular surgical challenges. The two main surgical approaches to these lesions based in the anterior third ventricle are the frontal transventricular approach (through a transcortical or transcallosal approach) and the trans-lamina terminalis approach. The authors note that the pituitary stalk in many of these cases is located in a normal position, which suggests that the third ventricular floor is intact. In such cases, the senior author chooses an approach to avoid disruption of the floor of the third ventricle. Specifically, a traditional frontotemporal approach is not used; we have found that in such cases, a frontal transventricular approach through the usually dilated foramen of Monro provides an optimal visualization of the tumor while minimizing the risks of injury to the hypothalamus and pituitary stalk. The endoscope can be very helpful in exploring blind angles, hidden from the microscopic view. Recognition of this rare location variant of craniopharyngioma is helpful in preoperative planning in an effort to reduce hypothalamic pituitary axis damage. Two patients presenting with craniopharyngiomas that were entirely intraventricular are shown in the video. The patients underwent removal of their tumors without incurring new long-term endocrine deficits. The video can be found here: http://youtu.be/VFlhm_lsrGY. (http://thejns.org/doi/abs/10.3171/2013.V1.FOCUS12347)
Authors:
Roukoz Chamoun; William T Couldwell
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Publication Detail:
Type:  Video-Audio Media    
Journal Detail:
Title:  Neurosurgical focus     Volume:  34     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-03     Completed Date:  2013-08-06     Revised Date:  2014-09-15    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  Video 4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Cerebral Cortex / surgery
Cerebral Ventricles / pathology,  surgery*
Craniopharyngioma / pathology,  surgery*
Humans
Hypophysectomy / methods*
Intraoperative Complications / prevention & control
Microsurgery / methods*
Neoplasm Invasiveness
Pituitary Neoplasms / pathology,  surgery*
Comments/Corrections
Comment In:
Neurosurg Focus. 2014 Aug;37(2):1-7   [PMID:  25081957 ]
Neurosurg Focus. 2014 Aug;37(2):8

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


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