Craniopharyngioma
https://www.neuroendo.net/wp-content/uploads/2017/10/Craniopharyngioma_-feature.jpg 560 560 Giuseppe Cinalli Giuseppe Cinalli http://www.neuroendo.net/wp-content/uploads/2017/10/cinalli-96x96.jpgCraniopharyngioma
• 12-year-old boy
• Presentation MR scan: large tumour in the suprasellar region extending in the 3rd ventricle, with variable contrast uptake, and hydrocephalus
• The Endoscopic CUSA was used to remove the tumour completely thourgh the endoscope
EQUIPMENT USED
• Storz Gaab Endoscope
• Soering endoscopic Cavitron Ultrasonic Surgical Aspirator
• Medtronic neuro-navigation
SURGICAL TIPS
• Use endoscope with a large enough central channel to accept the endoscopic CUSA (e.g. Storz Gaab)
• Use navigation to plan and execute the trajectory of access to the ventricle
• Enter the 3rd ventricle through the larger lateral ventricle
Pre op
Post op
