Endoscopic Excision of Craniopharyngioma

560 560 Henry Schroeder

Endoscopic 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
Pre op
Post op
CONTRIBUTOR

Henry Schroeder

Chairman, Department of Neurosurgery, Ernst-Moritz-Arndt University, Greifswald, Germany

All cases by: Henry Schroeder