Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center
| Autor: | Bal Krishna Ojha, Ankur Bajaj, Pooja Jaiswal, Manish Jaiswal, Chhitij Srivastava, Somil Jaiswal, Awadhesh Yadav, Anil Chandra, Janu Vikas |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Cystic craniopharyngioma 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine cystocisternostomy Ommaya reservoir medicine radiotherapy medicine.diagnostic_test business.industry Gold standard endoscopic transcortical transventricular Transventricular General Medicine medicine.disease Craniopharyngioma Endoscopy Surgery Radiation therapy Radiological weapon Original Article Ommaya business 030217 neurology & neurosurgery |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 2248-9614 1793-5482 |
| DOI: | 10.4103/ajns.ajns_252_20 |
| Popis: | Background: Microsurgical resection has been considered the gold standard treatment of craniopharyngioma, but lately, it has found less favor due to its morbidity and is being replaced by minimally invasive cyst drainage procedures. We present our experience of transventricular endoscopy and cyst drainage along with its technique and have analyzed its results. Materials and Methods: Clinical and radiological data of all cystic craniopharyngioma patients treated by transventricular endoscopic cyst drainage and Ommaya placement were retrieved and analyzed Results: Thirty-two patients underwent endoscopic cyst drainage during the study period. All patients had immediate clinical and radiological improvement. No significant complications were seen. All patients underwent adjuvant radiotherapy and six patients (18.7%) showed recurrence. Three patients died in the follow-up period. Conclusions: Endoscopic transcortical transventricular cyst drainage with Ommaya reservoir along with adjuvant radiotherapy is a simple, safe, and effective treatment modality. |
| Databáze: | OpenAIRE |
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