Endoscopic Excision of Craniopharyngioma
https://www.neuroendo.net/wp-content/uploads/2018/01/Endoscopic-Excision-of-Craniopharyngioma-feature-img.jpg 560 560 Henry Schroeder Henry Schroeder http://www.neuroendo.net/wp-content/uploads/2017/10/SchroederH-96x96.jpgEndoscopic Excision of Craniopharyngioma
Diagnosis: Craniopharyngioma
- 53-year-old male
- Progressive visual loss for 6 weeks
- Bitemporal hemianopsia, reduced visual acuity of RT eye
- MR scan: suprasellartumour displacing the optic chiasm upwards, appearance of craniopharyngioma
- Transnasal transphenoidal endoscopic total resection
- Histology: craniopharyngioma
- Vision improved to normal within 3 months
Equipment Used
- Storz 0° and 30° 4 mm rod lens endoscope
Surgical Tips
- Endonasal transtuberculum-transplanum (transphenoidal) approach
- Two-nostril approach
- Total tumour removal with pituitary stalk preservation
- Repair of sellar floor with fat, nasoseptal flap, fibrin glue and tamponade for 5 days