Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review

Autor: Kehayov Ivo, Nakov Vladimir, Kitov Borislav, Zhelyazkov Hristo, Spiriev Toma
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Folia Medica, Vol 61, Iss 1, Pp 143-147 (2019)
Druh dokumentu: article
ISSN: 1314-2143
DOI: 10.2478/folmed-2018-0049
Popis: We report on a case of a solid adamantinomatous variant of craniopharyngioma located entirely within the third ventricle causing asymmetric obstructive hydrocephalus in a 43-year-old male patient. The patient complaints included intermittent severe headache and progressive bilateral visual field loss. Initially, the lesion was accessed via the bifrontal interhemispheric translamina terminalis approach but total removal was not possible due to short anterior communicating artery which limited the exposure. In the second stage, we used the right interhemispheric transcallosal transforaminal approach and achieved total tumor removal followed by microscopic third ventriculostomy. The present article discusses the selection of appropriate surgical approach based on concise literature review that provides favorable surgical management of these rare lesions.
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