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https://doi.org/10.20471/acc.2020.59.03.22

Trans-Endoscopic Treatment of Craniopharyngioma and Recovery from Blindness in Adult Patient – a Case Report

Domagoj Jugović ; Department of Neurosurgery, Bamberg General Hospital, Bamberg, Germany; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia
Peter Spazzapan ; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia; Department of Neurosurgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
Andrej Porčnik ; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia; Department of Neurosurgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
Borut Prestor ; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia; Department of Neurosurgery, University Medical Centre Ljubljana, Ljubljana, Slovenia


Puni tekst: engleski pdf 404 Kb

str. 549-554

preuzimanja: 224

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Sažetak

We report a case of trans-endoscopic transventricular approach to a large cystic craniopharyngioma. Surgery was performed three days after visual acuity on both eyes deteriorated to blindness. Magnetic resonance imaging before surgery revealed a large lesion in the suprasellar region that severely compressed the optic chiasm and displaced the third ventricle upward. The lesion was operated through the trans-endoscopic transventricular approach, with the aim of urgent decompression of the optic apparatus. At first, wide ventriculo-cysto-cisternostomy was performed, and then tumor tissue was removed. Postoperatively, visual acuity significantly improved on one eye. Our case shows that this minimally invasive technique is safe and effective and can be an alternative treatment for large cystic craniopharyngiomas. The reported case also shows that loss of vision can still be recovered even after the 72-hour period in adults.

Ključne riječi

Craniopharyngioma, Blindness, Endoscopy

Hrčak ID:

247646

URI

https://hrcak.srce.hr/247646

Podaci na drugim jezicima: hrvatski

Posjeta: 630 *