Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1399
7
1
gregorian
2020
10
1
6
4
online
1
fulltext
en
Purely Neuro-endoscopic Transventricular Approach for Cystic Craniopharyngiomas
Brain Tumors
Case Series
<div style="text-align:justify"><strong>Background and Importance: </strong>Craniopharyngiomas are tumors made up of mixed components which can present intraventricular cystic portion. The aim of our work is to evaluate the outcome of the endoscopic marsupialization as a surgical approach.<br>
<strong>Methods and Materials/Patients: </strong>We report 11 cases presenting craniopharyngioma with intraventricular cystic portion inducing hydrocephalus managed at Neurosurgery Unit of Fann Hospital between June 2013 and June 2017. Endoscopic marsupialization was realized for all patients with a rigid neuroendoscope Karl Storz.</div>
<div style="text-align:justify"><strong>Results: </strong>The mean age of cases was 30.18 years with a ranged 07-69. There was a male predominance with a sex ratio of 1.75. All patients were suffering from an intracranial pressure syndrome. Lowering visual acuity including two (02) blindness cases was found in patients under 15 years. Frontal lobe syndrome was found in all patients of more than 50 years. A cerebral CT scan was realized for 9 patients and an MRI for 4 patients. A cystic marsupialization with biopsy was realized by precoronal approach. Fluid looked like “waste oil” for 9 patients. Ventriculocisternostomy of the 3rd ventricle was realized in 2 cases. Progress was favorable with intracranial pressure signs disappearance in 8 cases. We noticed 3 failures with cyst persistence at control CT Scan. Three patients had a recurrence, requiring revised marsupialization complicated by death in 1 case.<br>
<strong>Conclusion:</strong> Endoscopic marsupialization represents a seductive technique which is an easy and reproducible treatment for intraventricular cystic craniopharyngioma.</div>
Craniopharyngioma, Endoscopic marsupialization, Intraventricular cyst, Cyst, 3rd ventricle
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218
http://irjns.org/browse.php?a_code=A-10-373-1&slc_lang=en&sid=1
Sagar
Diop
sagardiop19@hotmail.fr
10031947532846006189
10031947532846006189
Yes
Department of Neurosurgery, Principal Hospital of Dakar, Dakar, Senegal.
El Hadji Cheikh Ndiaye
SY
10031947532846006190
10031947532846006190
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Mbaye
Thioub
10031947532846006191
10031947532846006191
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Maguette
Mbaye
10031947532846006192
10031947532846006192
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Alioune Badara
Thiam
10031947532846006193
10031947532846006193
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Mouhamed Abdoulaye
Cisse
10031947532846006194
10031947532846006194
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Momar Codé
BA
10031947532846006195
10031947532846006195
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.
Seydou Boubakar
Badiane
10031947532846006196
10031947532846006196
No
Department of Neurosurgery, National University Hospital of Fann, Dakar, Senegal.