Endoscopic Endonasal Technique in the Treatment of Craniopharyngiomas

Česká verzia

Authors: V. Masopust; D. Netuka; V. Beneš
Authors place of work: Neurochirurgická klinika 1. LF UK a ÚVN – VFN Praha
Published in the journal: Cesk Slov Neurol N 2014; 77/110(5): 614-619
Category: Short Communication

Podpořeno grantem IGA NT 14256.

Summary

Introduction:
We reviewed our results in order to evaluate safety of endoscopic endonasal technique in the treatment of craniopharyngiomas.

Material and methods:
Since 2008, endoscopic endonasal approach was used in 14 patients with typical suprasellar extraventricular craniopharyngioma. This cohort consisted of 11 males and three females (age 17 to 60 years, average age 38 years). Eleven patients had preoperative visual field deficit ranging from small deficit in the outer quadrant to blindness on one eye and a severe deficit of the second eye. Endoscopic endonasal four hands technique was used with intraoperative 3.0 T MRI.

Results:
In seven cases, the radical resection was achieved. Subtotal resection was performed in four cases. The resection was partial in two cases. In one case, a cyst was drained. Resection after iMRI was performed in three cases. Visual field deficit improved in five cases. Postoperative diabetes insipidus developed in three cases. Reoperation for CSF leakage was necessary in three cases.

Conclusion:
Endoscopic technique in the treatment of craniopharyngioma is safe. However, this approach is associated with a risk postoperative cerebrospinal fluid leakage.

Key words:
craniophyryngioma – endonasal endoscopic technique – intraoperative magnetic resonance

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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