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J Neurol Surg B Skull Base 2016; 77(04): 326-332
DOI: 10.1055/s-0036-1571333
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Visual Outcomes after Endoscopic Endonasal Approach for Craniopharyngioma: The Pittsburgh Experience

S. Tonya Stefko
1   UPMC Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Carl Snyderman
2   UPMC Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Juan Fernandez-Miranda
3   UPMC Department of Neurosurgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
,
Elizabeth Tyler-Kabara
3   UPMC Department of Neurosurgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
,
Eric Wang
2   UPMC Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Lance Bodily
1   UPMC Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Richard A. Bilonick
1   UPMC Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Paul A. Gardner
3   UPMC Department of Neurosurgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
› Author Affiliations
Further Information

Publication History

30 January 2015

06 December 2015

Publication Date:
09 February 2016 (online)

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Abstract

This series of patients has been published in the neurosurgical literature earlier this year, detailing multiple aspects of both the surgical technique and postoperative outcomes. Our aim in this series is not to revisit all the aspects of this publication, but rather to analyze more specifically the benefits of this procedure as it pertains to the preservation of neurological structures of vision—specifically the optic chiasm—and provide a more detailed analysis of visual outcomes in these patients.

Keywords

craniopharyngioma - vision - expanded endonasal approach - outcome

Supplementary Material

 

  • References

  • 1 Dolecek TA, Propp JM, Stroup NE, Kruchko C. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009. Neuro-oncol 2012; 14 (Suppl. 05) v1-v49
    PubMedGoogle Scholar
  • 2 Fahlbusch R, Honegger J, Paulus W, Huk W, Buchfelder M. Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg 1999; 90 (2) 237-250
    Google Scholar
  • 3 Prabhu VC, Brown HG. The pathogenesis of craniopharyngiomas. Childs Nerv Syst 2005; 21 (8–9) 622-627
    CrossrefPubMedGoogle Scholar
  • 4 Elliott RE, Jane Jr JA, Wisoff JH. Surgical management of craniopharyngiomas in children: meta-analysis and comparison of transcranial and transsphenoidal approaches. Neurosurgery 2011; 69 (3) 630-643 , discussion 643
    CrossrefPubMedGoogle Scholar
  • 5 Puget S, Garnett M, Wray A , et al. Pediatric craniopharyngiomas: classification and treatment according to the degree of hypothalamic involvement. J Neurosurg 2007; 106 (1, Suppl) 3-12
    PubMedGoogle Scholar
  • 6 Udvarhelyi GB, Walsh FB. Complications involving the optic nerves and chiasm during the early period after neurosurgical operations. J Neurosurg 1962; 19: 51-64
    CrossrefPubMedGoogle Scholar
  • 7 Wilson CB, Dempsey LC. Transsphenoidal microsurgical removal of 250 pituitary adenomas. J Neurosurg 1978; 48 (1) 13-22
    CrossrefPubMedGoogle Scholar
  • 8 Im SH, Wang KC, Kim SK , et al. Transsphenoidal microsurgery for pediatric craniopharyngioma: special considerations regarding indications and method. Pediatr Neurosurg 2003; 39 (2) 97-103
    CrossrefPubMedGoogle Scholar
  • 9 Kaptain GJ, Vincent DA, Sheehan JP, Laws Jr ER. Transsphenoidal approaches for the extracapsular resection of midline suprasellar and anterior cranial base lesions. Neurosurgery 2001; 49 (1) 94-100 , discussion 100–101
    CrossrefPubMedGoogle Scholar
  • 10 Gardner PA, Kassam AB, Snyderman CH , et al. Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. J Neurosurg 2008; 109 (1) 6-16
    Google Scholar
  • 11 Kassam AB, Gardner PA, Snyderman CH, Carrau RL, Mintz AH, Prevedello DM. Expanded endonasal approach, a fully endoscopic transnasal approach for the resection of midline suprasellar craniopharyngiomas: a new classification based on the infundibulum. J Neurosurg 2008; 108 (4) 715-728
    Google Scholar
  • 12 Koutourousiou M, Gardner PA, Fernandez-Miranda JC, Tyler-Kabara EC, Wang EW, Snyderman CH. Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients. J Neurosurg 2013; 119 (5) 1194-1207
    CrossrefPubMedGoogle Scholar
  • 13 Okamoto Y, Okamoto F, Yamada S, Honda M, Hiraoka T, Oshika T. Vision-related quality of life after transsphenoidal surgery for pituitary adenoma. Invest Ophthalmol Vis Sci 2010; 51 (7) 3405-3410
    CrossrefPubMedGoogle Scholar
  • 14 R Development Core Team (2012). R: A language and environment for statistical computing. Vienna, Austria: The R Foundation for Statistical Computing. ISBN: 3–900051–07–0. Available at: http://www.R-project.org/ . Accessed February 1, 2014
    PubMedGoogle Scholar
  • 15 Boker S, Neale M, Maes H , et al. OpenMx: An Open Source Extended Structural Equation Modeling Framework. Psychometrika 2011; 76 (2) 306-317
    CrossrefPubMedGoogle Scholar
  • 16 Hadad G, Bassagasteguy L, Carrau RL , et al. A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 2006; 116 (10) 1882-1886
    CrossrefPubMedGoogle Scholar
  • 17 Hofmann BM, Höllig A, Strauss C, Buslei R, Buchfelder M, Fahlbusch R. Results after treatment of craniopharyngiomas: further experiences with 73 patients since 1997. J Neurosurg 2012; 116 (2) 373-384
    CrossrefPubMedGoogle Scholar
  • 18 Hoffman HJ, De Silva M, Humphreys RP, Drake JM, Smith ML, Blaser SI. Aggressive surgical management of craniopharyngiomas in children. J Neurosurg 1992; 76 (1) 47-52
    Google Scholar
  • 19 Hardy J. Transsphenoidal hypophysectomy. J Neurosurg 1971; 34 (4) 582-594
    CrossrefPubMedGoogle Scholar
  • 20 Karavitaki N, Brufani C, Warner JT , et al. Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up. Clin Endocrinol (Oxf) 2005; 62 (4) 397-409
    CrossrefPubMedGoogle Scholar
  • 21 Repka MX, Miller NR, Miller M. Visual outcome after surgical removal of craniopharyngiomas. Ophthalmology 1989; 96 (2) 195-199
    CrossrefPubMedGoogle Scholar
  • 22 Abrams LS, Repka MX. Visual outcome of craniopharyngioma in children. J Pediatr Ophthalmol Strabismus 1997; 34 (4) 223-228
    PubMedGoogle Scholar
  • 23 Chen C, Okera S, Davies PE, Selva D, Crompton JL. Craniopharyngioma: a review of long-term visual outcome. Clin Experiment Ophthalmol 2003; 31 (3) 220-228
    CrossrefPubMedGoogle Scholar