Cystic Craniopharyngioma Neuroendoscopic Treatment скачать в хорошем качестве

Cystic Craniopharyngioma Neuroendoscopic Treatment

This was presented at Neuroendocon 2021. Though complete resection of craniopharyngioma is desirable for lower recurrence rates, it is hindered by functional preservation. Currently, a trend toward less radical surgical approaches is observed. In a multicenter study of children and adolescents with craniopharyngioma, KRANIOPHARYNGEOM 2007, it was observed that the realized treatment was more radical (p = 0.01) in patients recruited between 2001 and 2007 (38%) when compared with patients treated between 2007 and 2012 (18%). Cystic craniopharyngiomas present a unique challenge because of the possibility of recurrence of cyst irrespective of the modality of initial treatment. Almost 90% of craniopharyngiomas have a cystic component.3 The presence of a cyst in craniopharyngioma can account for major total bulk of the tumor, and a predominantly cystic tumor is seen in 60% of craniopharyngiomas. The treatment of cystic craniopharyngioma in children is varied. The treatment ranges from radical excision to direct radiotherapy. As the morbidity of excision is high, more conservative approaches are used. The traditional approach to cystic craniopharyngioma is a variable extent of microsurgical resection. Ommaya reservoir is often placed in the residual cyst for repeated aspiration or intracavitary therapy. However, the malposition of reservoir is not uncommon. In such circumstances, a neuroendoscopic approach provides a less invasive and more accurate technique to deal with cystic craniopharyngiomas. Since 2013, we follow the endoscopic transventricular approach for intra- and paraventricular cystic craniopharyngiomas. Transventricular endoscopy is a minimally invasive treatment for cystic craniopharyngiomas. Endoscopic transventricular approach is a safe alternative for initial treatment of suprasellar cystic craniopharyngioma in children. Konar S. Kulkarni AV, Shukla D, Mishra T, Devi BI, Peer S, Lanka V. Management options for suprasellar cystic craniopharyngioma: Endoscopic Transventricular Approach and Microsurgical Approach. J Neurosci Rural Pract 2021;12:121–127. DOI https://doi.org/10.1055/s-0041-1722839