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Cyst fenestration and Ommaya reservoir placement in endoscopic transcortical transventricular approach for recurrent suprasellar cystic craniopharyngioma without ventriculomegaly |
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| Affiliation: | 1. Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan;2. Unit of Neurosurgery, Memfys Hospital for Neurosurgery, Enugu, Nigeria;1. Division of Urology, Department of Surgery, McGill University, Montreal, Quebec, Canada;2. Division of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada;1. Department of Neurosurgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA;2. Neuroscience Institute, Maine Medical Center, Portland, ME, USA;3. Division of Neurosurgery, University of Vermont, Medical Center, Burlington, VT, USA;1. Departments of Neurosurgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan;2. Departments of Ophthalmology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan;3. Departments of Radiology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan;4. Department of Neurosurgery, Junwakai Memorial Hospital, Miyazaki, Japan |
| Abstract: | The efficacy of the endoscopic transcortical transventricular approach (ETTA) for craniopharyngioma in the third ventricle with hydrocephalus has been reported focusing on its reduced invasiveness. On the other hand, suprasellar craniopharyngioma without ventriculomegaly is generally surgically managed by craniotomy or the endoscopic endonasal approach (EEA). Here, we report an elderly patient who received cyst fenestration and Ommaya reservoir placement in ETTA for recurrent suprasellar cystic craniopharyngioma without ventriculomegaly. The ETTA as a less invasive procedure is feasible in patients not only with intraventricular craniopharyngioma but also with suprasellar craniopharyngioma without hydrocephalus provided a navigational system is applied and the surgeon has ample experience with transcranial endoscopic procedures. |
| Keywords: | Craniopharyngioma Neuroendoscopy Suprasellar tumor Hydrocephalus Ommaya reservoir |
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