Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Neurol India. 2022 Jan-Feb;70(1):57-62. doi: 10.4103/0028-3886.338652.
Complex craniopharyngiomas pose a significant surgical challenge owing to its proximity to critical structures and its intrinsic nature to resist radical excision.
To show that endoscopic endonasal approach (EEA) is potentially a better alternative to transcranial approach in tumors that have been operated multiple times by transcranial route for achieving radical excision with minimal morbidity.
A 32-year-old male previously operated twice through interhemispheric approach for craniopharyngioma presented with blurring of vision accompanied by headache and intermittent diplopia. Imaging revealed a large lobulated suprasellar recurrence with a large calcified part adjacent to left internal carotid artery. The tumor was resected by an extended endonasal approach. The patient experienced improvement in his vision with no significant endocrine complication.
This case demonstrates the surgical technique and various operative nuances of endoscopic endonasal resection of a complex craniopharyngioma.
复杂颅咽管瘤由于其与关键结构的毗邻关系及其内在的抗拒彻底切除的特性，给手术带来了巨大的挑战。
通过内镜经鼻入路（EEA）显示，对于已经通过颅径路多次手术的肿瘤，EEA 是一种比颅径路更好的选择，可以实现最小的发病率的激进切除。
一名 32 岁男性，因颅咽管瘤曾两次通过大脑半球间入路手术，出现视力模糊，伴有头痛和间歇性复视。影像学显示鞍上有一个大的分叶状复发性肿瘤，有一个大的钙化部分毗邻左侧颈内动脉。肿瘤通过扩大经鼻入路切除。患者的视力有所改善，无明显内分泌并发症。
本病例展示了内镜经鼻切除复杂颅咽管瘤的手术技术和各种操作细节。
Zotero 插件