Extended endoscopic transsphenoidal approach for suprasellar craniopharyngiomas

Background Craniopharyngiomas are benign sellar lesions. Surgical excision of craniopharyngiomas is difficult because of the surrounding important neurovascular structures. The choice of surgery depends on the histological type, location, hormonal status, and size of the craniopharyngioma, surroundi...

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Bibliographic Details
Published in:Acta neurochirurgica 2023-03, Vol.165 (3), p.677-683
Main Authors: Khalil, Wassim, Salle, Laurence, Bresson, Damien, Salle, Henri
Format: Article
Language:English
Subjects:
Brain cancer
Brain tumors
Carotid arteries
Craniopharyngioma - surgery
Dissection
Endoscopy
How I Do it - Brain Tumors
Humans
Hypothalamus
Interventional Radiology
Magnetic resonance imaging
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neoplasia
Neuroendoscopy
Neurology
Neuroradiology
Neurosurgery
Neurosurgical Procedures
Nose
Parenchyma
Pituitary
Pituitary gland
Pituitary Neoplasms - surgery
Sinuses
Surgical Orthopedics
Tumors
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Summary:Background Craniopharyngiomas are benign sellar lesions. Surgical excision of craniopharyngiomas is difficult because of the surrounding important neurovascular structures. The choice of surgery depends on the histological type, location, hormonal status, and size of the craniopharyngioma, surrounding neurovascular structures, and invasion of the brain parenchyma. Methods We describe the resection of an adamantinomatous craniopharyngioma using an extended endoscopic endonasal approach and discuss the relevant surgical anatomy, indications, limitations, and possible complications. Conclusions The extended endoscopic endonasal approach allows successful removal of the craniopharyngioma and poses little risk to surrounding neurovascular structures.
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-022-05423-3