← Back to Previous Page

 

V065: EXPANDED ENDOSCOPIC ENDONASAL (EEA) APPROACH FOR RESECTION OF A PARTLY CALCIFIED PEDIATRIC CYSTIC CRANIOPHARYNGIOMA
Mahmoud Asad, MD, FRCS¹; Camille K Milton, MD²; Cristina Cernei, MD, MRCS¹; Evangelos Drosos, MD¹; Will Singleton, MD, PhD, FRCS¹; Richard Edwards, MD, FRCS¹; Warren Bennett, MD, FRCS¹; Kumar Abhinav, MD, FRCS¹; ¹Bristol Institute of Clinical Neurosciences, Department of Neurosurgery, Southmead Hospital, Bristol, UK; ²University of Tennessee, Semmes Murphey Clinic, Department of Neurosurgery, Tennessee, USA

A 6-year-old boy presented with progressive visual decline and behavioural changes. Pre-operative MRI demonstrated a large cystic sellar and suprasellar lesion compressing the optic chiasm, consistent with craniopharyngioma. An image-guided Ommaya reservoir was inserted for cyst decompression and optic apparatus relief. Definitive resection was performed two months later via an expanded endoscopic endonasal approach, achieving near-total resection. Postoperatively, vision improved, and the patient developed new diabetes insipidus following planned pituitary stalk sacrifice.

 

 

← Back to Previous Page