神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大皮样囊肿1例并文献复习

目的 探讨神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大皮样囊肿的疗效及并发症.方法 回顾分析1例行神经内镜下扩大经鼻垂体移位切除三脑室-脚间池巨大皮样囊肿的女性患者的临床资料.并复习传统开颅手术及神经内镜下垂体移位切除中线区肿瘤的相关文献.结果 应用神经内镜扩大经鼻垂体移位完整切除了患者的三脑室-脚间池巨大皮样囊肿...

A case of resection of intracranial giant dermoid cyst in third ventricle and interpeduncular cistern by extended endoscopic endonasal pituitary transposition and literature review

Objective To study the curative effect of resection of intracranial giant dermoid cyst between the third ventricle and interpeduncular cistern by extended endoscopic endonasal pituitary transposition.Methods The clinical data,surgical effect and complications of a female patient whose dermoid cyst in the third ventricle and interpeduncular cistern resected by extended endoscopic endonasal pituitary transposition were analyzed retrospectively.The literature of traditional craniotomy and extended endoscopic endonasal pituitary transposition for the resection of midline tumors were reviewed.Results The giant dermoid cyst between the third ventricle and interpeduncular cistern was completely resected by extended endoscopic endonasal pituitary transposition.After the surgery,the patient had a transient diabetes insipidus and recovered without permanent diabetes insipidus and permanent pituitary dys-function.Conclusions Extended endoscopic endonasal pituitary transposition for resection of dermoid cyst in the third ventricle and interpeduncular cisternt which does not need to manipulate important brain tissues and blood vessels.It is a minimally invasive and effective surgical method.