Andreas K Filis1, Karam Moon, Alan R Cohen. 1. Division of Pediatric Neurosurgery, Rainbow Babies and Children's Hospital, Neurological Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
Abstract
BACKGROUND: Surgical resection of craniopharyngiomas may be challenging sometimes because of the size, location and tenacity. Simultaneous endoscopic and microsurgical resection is a novel way to approach such lesions. The aim of this report is to discuss the usefulness of combined endoscopic and microsurgical approaches in treating complex craniopharyngiomas along with a review of the literature. METHODS: A child with hydrocephalus and a large suprasellar craniopharyngioma underwent synchronous endoscopic and microsurgical resection of the lesion. RESULTS: Gross total resection of the tumor was achieved. There were no postoperative complications. Hydrocephalus was also treated successfully. CONCLUSIONS: Neuroendoscopy can complement microsurgery in approaching complex craniopharyngiomas particularly when these tumors are large and accompanied by hydrocephalus. Copyright 2010 S. Karger AG, Basel.
BACKGROUND: Surgical resection of craniopharyngiomas may be challenging sometimes because of the size, location and tenacity. Simultaneous endoscopic and microsurgical resection is a novel way to approach such lesions. The aim of this report is to discuss the usefulness of combined endoscopic and microsurgical approaches in treating complex craniopharyngiomas along with a review of the literature. METHODS: A child with hydrocephalus and a large suprasellar craniopharyngioma underwent synchronous endoscopic and microsurgical resection of the lesion. RESULTS: Gross total resection of the tumor was achieved. There were no postoperative complications. Hydrocephalus was also treated successfully. CONCLUSIONS: Neuroendoscopy can complement microsurgery in approaching complex craniopharyngiomas particularly when these tumors are large and accompanied by hydrocephalus. Copyright 2010 S. Karger AG, Basel.
Authors: Aaron J Clark; Tene A Cage; Derick Aranda; Andrew T Parsa; Peter P Sun; Kurtis I Auguste; Nalin Gupta Journal: Childs Nerv Syst Date: 2012-10-23 Impact factor: 1.475