颅咽管瘤
医学
Ommaya水库
心室肥大
第三脑室
外科
开颅术
囊肿
脑积水
第四脑室
放射科
解剖
胎儿
化疗
生物
怀孕
遗传学
作者
Kelechi Onyenekeya Ndukuba,Toshihiro Ogiwara,Takuya Nakamura,Daishiro Abe,Shunsuke Ichinose,Tetsuyoshi Horiuchi,Samuel C. Ohaegbulam,Kazuhiro Hongo
标识
DOI:10.1016/j.jocn.2019.12.060
摘要
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.
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