Strictly Intraventricular Craniopharyngioma: Case Report and Literature Review

Abstract

Strictly intraventricular craniopharyngiomas are a rare topographical variety of craniopharyngiomas. The correct diagnosis is important in order to define the surgical planning, as the surgical access is different for suprasellar tumors with secondary invasion of the third ventricle. An image diagnosis may be difficult, though suggestive patterns exist. The aim of the present case report and literature review is to add to the scarce literature on strictly intraventricular craniopharyngiomas, as well as to remind the neurosurgeon of this rare diagnosis so that the proper treatment is provided.

Keywords

strictly intraventricular craniopharyngioma - third ventricle - transcallosal approach

• References

• 1 Pascual JM, Prieto R, Carrasco R. Infundibulo-tuberal or not strictly intraventricular craniopharyngioma: evidence for a major topographical category. Acta Neurochir (Wien) 2011; 153 (12) 2403-2425 , discussion 2426
• 2 Pascual JM, González-Llanos F, Barrios L, Roda JM. Intraventricular craniopharyngiomas: topographical classification and surgical approach selection based on an extensive overview. Acta Neurochir (Wien) 2004; 146 (08) 785-802
• 3 Zanon-Collange N. Craniofaringioma: atualização terapêutica. Sociedade de Neurocirurgia de São Paulo; 2006
• 4 Sartoretti-Schefer S, Wichmann W, Aguzzi A, Valavanis A. MR differentiation of adamantinous and squamous-papillary craniopharyngiomas. AJNR Am J Neuroradiol 1997; 18 (01) 77-87
• 5 Behari S, Banerji D, Mishra A. , et al. Intrinsic third ventricular craniopharyngiomas: report on six cases and a review of the literature. Surg Neurol 2003; 60 (03) 245-252 , discussion 252–253
• 6 Tayari N, Etemadifar M, Hekmatnia A, Mahzouni P, Maghzi AH, Rouzbahani R. Intrinsic third ventricular craniopharyngioma: A case report. Int J Prev Med 2011; 2 (03) 178-185
• 7 Arbit E, Galicich JH. Importance of image-guided stereotactic biopsy to confirm diagnosis in an oncological setting. Ann Surg Oncol 1994; 1 (05) 368-372
• 8 Pittella JEH. Biópsia estereotáxica no diagnóstico de tumores cerebrais e lesões não neoplásicas: indicações, acurácia e dificuldades diagnósticas. J Bras Patol Med Lab 2008; 44 (05) 343-354
• 9 Curran JG, O'Connor E. Imaging of craniopharyngioma. Childs Nerv Syst 2005; 21 (8-9): 635-639
• 10 Steno J, Malácek M, Bízik I. Tumor-third ventricular relationships in supradiaphragmatic craniopharyngiomas: correlation of morphological, magnetic resonance imaging, and operative findings. Neurosurgery 2004; 54 (05) 1051-1058 , discussion 1058–1060
• 11 Tomita T, Bowman RM. Craniopharyngiomas in children: surgical experience at Children's Memorial Hospital. Childs Nerv Syst 2005; 21 (8-9): 729-746
• 12 Zuccaro G. Radical resection of craniopharyngioma. Childs Nerv Syst 2005; 21 (8-9): 679-690
• 13 Lena G, Paz Paredes A, Scavarda D, Giusiano B. Craniopharyngioma in children: Marseille experience. Childs Nerv Syst 2005; 21 (8-9): 778-784
• 14 Shi XE, Wu B, Zhou ZQ, Fan T, Zhang YL. Microsurgical treatment of craniopharyngiomas: report of 284 patients. Chin Med J (Engl) 2006; 119 (19) 1653-1663
• 15 de Divitiis E, Cappabianca P, Cavallo LM, Esposito F, de Divitiis O, Messina A. Extended endoscopic transsphenoidal approach for extrasellar craniopharyngiomas. Neurosurgery 2007; 61 (05) (Suppl. 02) 219-227 , discussion 228
• 16 Zhang YQ, Ma ZY, Wu ZB, Luo SQ, Wang ZC. Radical resection of 202 pediatric craniopharyngiomas with special reference to the surgical approaches and hypothalamic protection. Pediatr Neurosurg 2008; 44 (06) 435-443
• 17 Pan J, Qi S, Lu Y. , et al. Intraventricular craniopharyngioma: morphological analysis and outcome evaluation of 17 cases. Acta Neurochir (Wien) 2011; 153 (04) 773-784