Endoscopic Endonasal Approach for a Suprasellar Craniopharyngioma

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Abstract

Objectives

The current video presents the nuances of an endoscopic endonasal approach to a suprasellar craniopharyngioma.

Design

The video analyzes the presentation, preoperative workup and imaging, surgical steps and technical nuances of the surgery, the clinical outcome, and follow-up imaging.

Setting

The patient was treated by a skull base team consisting of a neurosurgeon and an ENT surgeon, at a teaching academic institution.

Participants

The case refers to a 67-year-old man who presented with vision loss and headaches, and was found to have a suprasellar mass, with imaging characteristics consistent with a craniopharyngioma.

Main Outcome Measures

The main outcome measures consistent of the reversal of the patient symptoms (vision loss and headaches), the recurrence-free survival based on imaging, as well as the absence of any complications.

Results

The patient's vision improved after the surgery; at his last follow-up there was no evidence of recurrence on imaging.

Conclusions

The endoscopic endonasal approach is safe and effective in treating suprasellar craniopharyngiomas.

Conclusions

The link to the video can be found at: https://youtu.be/p1VXbwnAWCo.

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