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Endoscopic endonasal resection of a craniopharyngioma in a 23-month-old patient: illustrative case.
J Neurosurg Case Lessons
December 2024
Departments of Neurological Surgery, University of Washington, Seattle, Washington.
Background: Treatment of pediatric craniopharyngioma requires a multidisciplinary approach to counsel patients and families on the spectrum of treatment options, including biopsy, radiation, and/or resection. Gross-total resection can avoid radiation and its long-term comorbidities. In very young patients, this is of particular importance but is especially challenging because of anatomical considerations.
View Article and Find Full Text PDFEndoscopic Anatomy of the Skull Base.
Adv Tech Stand Neurosurg
July 2024
Department of Neurological Surgery, The Ohio State University Wexner Medical Center and James Cancer Institute, Columbus, OH, USA.
Presently, endoscopic skull base surgery has undergone significant advancements since its inception over two decades ago. Nevertheless, it is imperative to underscore that the fundamental basis of all surgical procedures lies in the meticulous understanding of anatomy, with particular emphasis on the ventral anatomy. This facet has recently garnered increased attention.
View Article and Find Full Text PDFComplete and Immediate Resolution of See-Saw Nystagmus Following Pituitary Macroadenoma Resection: Case Report and Review of the Literature.
Neuroophthalmology
January 2024
Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA.
See-saw nystagmus (SSN) is a rare form of nystagmus characterised by alternating elevation with incyclotorsion of one eye and concomitant depression with excyclotorsion of the other eye, often due to abnormalities involving the midbrain and parasellar region. Herein, we highlight a rare case of pendular SSN, which demonstrated complete resolution following resection of a pituitary macroadenoma. A patient in their 40s was identified to have SSN and was diagnosed with a pituitary macroadenoma.
View Article and Find Full Text PDFEndoscopic endonasal resection of Rathke cleft cysts: a single-institution analysis of 148 consecutive patients.
J Neurosurg
November 2024
Departments of2Neurological Surgery and.
Objective: The traditional treatment of sellar Rathke cleft cysts (RCCs) generally involves transsellar drainage; however, suprasellar RCCs present unique challenges to appropriate management and technical complexity. Reports on overall outcomes for the endoscopic endonasal approach (EEA) for this pathology are limited. The EEA for RCCs allows three surgical techniques: marsupialization, fenestration, and fenestration with cyst wall resection.
View Article and Find Full Text PDFThe Predictors of Postoperative Cerebrospinal Fluid Leak in Endoscopic Endonasal Pituitary Surgery: The Role of Tumor Volume.
J Neurol Surg B Skull Base
June 2024
Department of Neurosurgery, Cukurova University Faculty of Medicine, Adana, Türkiye.
Postoperative cerebrospinal fluid (Po-CSF) leak is still a challenging complication of endoscopic endonasal skull base surgery. However, data describing the predictive factors of Po-CSF leak in pure pituitary adenomas is lacking. Aim of this study is to determine the risk factors of Po-CSF leak in a pituitary adenoma group operated via pure transsellar endoscopic approach.
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