Endoscopic endonasal resection of giant pediatric craniopharyngioma: impact on hypothalamic edema

An 8-year-old child presented with fatigue, weight loss, and visual deterioration. MRI demonstrated a craniopharyngioma with compression of the optic chiasm and extensive edema on the hypothalamus and optic radiations. The tumor was completely removed via an endoscopic endonasal approach. Postoperat...

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Detalles Bibliográficos
Autores principales: Gerges, Mina M., Youngerman, Brett, Anand, Vijay K., Greenfield, Jeffrey P., Schwartz, Theodore H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542307/
https://www.ncbi.nlm.nih.gov/pubmed/36284794
http://dx.doi.org/10.3171/2020.4.FocusVid.19926
Descripción
Sumario:An 8-year-old child presented with fatigue, weight loss, and visual deterioration. MRI demonstrated a craniopharyngioma with compression of the optic chiasm and extensive edema on the hypothalamus and optic radiations. The tumor was completely removed via an endoscopic endonasal approach. Postoperatively, vision improved and hypothalamic edema completely resolved within 5 days. This video demonstrates the technical nuances of the surgery and discusses the impact of surgery on the hypothalamic nuclei in pediatric patients. The video can be found here: https://youtu.be/wxkBmhTPi6c.

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