CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S243-S244
DOI: 10.1055/s-0038-1623519
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Resection of a Retrochiasmatic Craniopharyngioma by Combined Modified Orbital Craniotomy and Transnasal Endoscopic Techniques

Nirav J. Patel
1   Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States
,
Ian Dunn
1   Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States
› Author Affiliations
Funding None.
Further Information

Address for correspondence

Nirav J. Patel, MD
Department of Neurosurgery, Brigham and Women's Hospital
Harvard Medical School
75 Francis Street, BTM4, #4196, Boston, MA 02115
United States   

Publication History

29 October 2017

29 November 2017

Publication Date:
28 February 2018 (online)

 

Abstract

A 20-year-old patient presented with hydrocephalus but intact vision and hormone function. The MRI showed a large seller, suprasellar and third ventricular mass. We chose a combined approach utilizing the translyvian, lamina terminals route, with a possible interhemispheric approach. But, we also utilized a transnasal endoscopic approach for the tumor that remained below the diaphragma sellae. The patient did well, with complete tumor resection via a staged approach, but did require hormone replacement.

The link to the video can be found at: https://youtu.be/yzpfOxzI4cQ.


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Zoom Image
Fig. 1(A) Through a right transylvian approach, the tumor is removed from the lamina terminals (arrowhead). The right A1 (white arrow) and chiasma (black arrow) are seen. The CT scan shows the approximate trajectory to access the third ventricular component. (B) The supraseller component is seen in the MRI (arrow) and removed between the ICA and PCOM (arrow). CT, computed tomography; ICA, internal carotid artery; MRI, magnetic resonance imaging; PCOM, posterior communicating artery.

www.thieme.com/skullbasevideos

www.thieme.com/jnlsbvideos


Quality:

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Conflict of Interest

None.


Address for correspondence

Nirav J. Patel, MD
Department of Neurosurgery, Brigham and Women's Hospital
Harvard Medical School
75 Francis Street, BTM4, #4196, Boston, MA 02115
United States   


Zoom Image
Fig. 1(A) Through a right transylvian approach, the tumor is removed from the lamina terminals (arrowhead). The right A1 (white arrow) and chiasma (black arrow) are seen. The CT scan shows the approximate trajectory to access the third ventricular component. (B) The supraseller component is seen in the MRI (arrow) and removed between the ICA and PCOM (arrow). CT, computed tomography; ICA, internal carotid artery; MRI, magnetic resonance imaging; PCOM, posterior communicating artery.