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Published on: October 20, 2017
Synchronous ventriculoscopic and microsurgical resection of complex craniopharyngiomas
Andreas K Filis1, Karam Moon, Alan R Cohen
1Division of Pediatric Neurosurgery, Rainbow Babies and Children's Hospital, Neurological Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
Background:
Surgical resection of craniopharyngiomas may be challenging sometimes because of the size, location and tenacity. Simultaneous endoscopic and microsurgical resection is a novel way to approach such lesions. The aim of this report is to discuss the usefulness of combined endoscopic and microsurgical approaches in treating complex craniopharyngiomas along with a review of the literature.
Methods:
A child with hydrocephalus and a large suprasellar craniopharyngioma underwent synchronous endoscopic and microsurgical resection of the lesion.
Results:
Gross total resection of the tumor was achieved. There were no postoperative complications. Hydrocephalus was also treated successfully.
Conclusions:
Neuroendoscopy can complement microsurgery in approaching complex craniopharyngiomas particularly when these tumors are large and accompanied by hydrocephalus.
