Noureldine Mohammad Hassan A, Khodmehr Sajjad, Sabahi Mohammadmahdi, Alikhani Puya, Jallo George I, Arjipour Mahdi
Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, USA.
Neurosurgery Research Group (NRG) Student Research Committee, Hamadan University of Medical Sciences, Hamadan, IRN.
Cureus. 2021 Sep 20;13(9):e18123. doi: 10.7759/cureus.18123. eCollection 2021 Sep.
The literature is rich with many studies reporting different treatment modalities and approaches for cystic craniopharyngioma (CC), including microsurgery, neuroendoscopic transventricular approach, endoscopic transnasal surgery, stereotactic drainage, and Ommaya reservoir insertion. The goals of this manuscript are to report the successful treatment of an atypical case of CC using the neuroendoscopic transventricular approach (NTVA) as well as discuss the different surgical modalities for these tumors following a comprehensive review of the literature. Our patient is a nine-year-old female with a large CC who was managed using the NTVA. No complications or recurrence occurred over two years of follow-up. Results of our literature review showed lower recurrence and complication rates of the NTVA compared to other surgical modalities.The NTVA is potentially efficient, reliable, and safe for managing CC and cystic-dominant craniopharyngiomas, with low recurrence and complication rates compared to microsurgery and Ommaya reservoir insertion. Future randomized clinical studies comparing the various treatment modalities of CC are needed to solidify these conclusions.
文献中有大量研究报告了囊性颅咽管瘤（CC）的不同治疗方式和方法，包括显微手术、神经内镜经脑室入路、内镜经鼻手术、立体定向引流以及置入Ommaya储液囊。本手稿的目的是报告使用神经内镜经脑室入路（NTVA）成功治疗一例非典型CC病例，并在全面回顾文献后讨论这些肿瘤的不同手术方式。我们的患者是一名患有大型CC的9岁女性，采用NTVA进行治疗。随访两年未发生并发症或复发。我们的文献综述结果显示，与其他手术方式相比，NTVA的复发率和并发症发生率更低。NTVA在治疗CC和以囊性为主的颅咽管瘤方面可能有效、可靠且安全，与显微手术和置入Ommaya储液囊相比，复发率和并发症发生率较低。需要开展未来的随机临床研究来比较CC的各种治疗方式，以巩固这些结论。
