CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S241-S242
DOI: 10.1055/s-0038-1623522
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Endonasal Approach for a Suprasellar Craniopharyngioma

Georgios A. Zenonos
1   Department of Neurosugery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Carl H. Snyderman
2   Department of Otolaryngology, University of Pittsburgh Medical Center, Pennsylvania, United States
,
Paul A. Gardner
1   Department of Neurosugery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
› Author Affiliations
Further Information

Address for correspondence

Paul A. Gardner, MD
Center for Cranial Base Surgery, University of Pittsburgh Medical Center
200 Lothrop Street, Suite B400, Pittsburgh, PA 15213
United States   

Publication History

15 October 2017

07 December 2017

Publication Date:
25 January 2018 (online)

 

    Abstract

    Objectives The current video presents the nuances of an endoscopic endonasal approach to a suprasellar craniopharyngioma.

    Design The video analyzes the presentation, preoperative workup and imaging, surgical steps and technical nuances of the surgery, the clinical outcome, and follow-up imaging.

    Setting The patient was treated by a skull base team consisting of a neurosurgeon and an ENT surgeon, at a teaching academic institution.

    Participants The case refers to a 67-year-old man who presented with vision loss and headaches, and was found to have a suprasellar mass, with imaging characteristics consistent with a craniopharyngioma.

    Main Outcome Measures The main outcome measures consistent of the reversal of the patient symptoms (vision loss and headaches), the recurrence-free survival based on imaging, as well as the absence of any complications.

    Results The patient's vision improved after the surgery; at his last follow-up there was no evidence of recurrence on imaging.

    Conclusions The endoscopic endonasal approach is safe and effective in treating suprasellar craniopharyngiomas.

    The link to the video can be found at: https://youtu.be/p1VXbwnAWCo.


    #
    Zoom Image
    Fig. 1 (A) Preoperative imaging showing a suprasellar cystic lesion consistent with a craniopharyngioma (the patient could not have a magnetic resonance imaging because of shrapnel). (B) Preoperative visual fields showing some right inferior quadrantanopia. (C) Intraoperative image showing the suprasellar exposure and the dissection of the tumor off the pituitary stalk. (DE) Postoperative imaging at one year of follow-up showing no evidence of recurrence.

    www.thieme.com/skullbasevideos

    www.thieme.com/jnlsbvideos


    Quality:

    #

    Conflict of Interest

    None.

    Address for correspondence

    Paul A. Gardner, MD
    Center for Cranial Base Surgery, University of Pittsburgh Medical Center
    200 Lothrop Street, Suite B400, Pittsburgh, PA 15213
    United States   

    Zoom Image
    Fig. 1 (A) Preoperative imaging showing a suprasellar cystic lesion consistent with a craniopharyngioma (the patient could not have a magnetic resonance imaging because of shrapnel). (B) Preoperative visual fields showing some right inferior quadrantanopia. (C) Intraoperative image showing the suprasellar exposure and the dissection of the tumor off the pituitary stalk. (DE) Postoperative imaging at one year of follow-up showing no evidence of recurrence.