Frontal burr hole approach for neuroendoscopic resection of craniopharyngioma with the NICO Myriad device: report of two cases

Moore, Reilin J.; Scherer, Andrea; Fulkerson, Daniel H.

doi:10.1007/s00381-017-3386-1

Cited by 6 publications

(3 citation statements)

References 24 publications

(33 reference statements)

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“…We found 17 reports that utilized the NTVA (with and without Ommaya reservoir insertion) for the treatment of CC in 67 patients, with a follow-up period ranging from six to 73 months; the recurrence rate ranged between nil to 54% (Table 1) [2][3][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. The surgical modality of choice may differ depending on patient-and/or tumor-related factors.…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

Noureldine

Khodmehr

Sabahi

et al. 2021

Cureus

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The literature is rich with many studies reporting different treatment modalities and approaches for cystic craniopharyngioma (CC), including microsurgery, neuroendoscopic transventricular approach, endoscopic transnasal surgery, stereotactic drainage, and Ommaya reservoir insertion. The goals of this manuscript are to report the successful treatment of an atypical case of CC using the neuroendoscopic transventricular approach (NTVA) as well as discuss the different surgical modalities for these tumors following a comprehensive review of the literature. Our patient is a nine-year-old female with a large CC who was managed using the NTVA. No complications or recurrence occurred over two years of follow-up. Results of our literature review showed lower recurrence and complication rates of the NTVA compared to other surgical modalities. The NTVA is potentially efficient, reliable, and safe for managing CC and cysticdominant craniopharyngiomas, with low recurrence and complication rates compared to microsurgery and Ommaya reservoir insertion. Future randomized clinical studies comparing the various treatment modalities of CC are needed to solidify these conclusions.

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Section: Discussionmentioning

confidence: 99%

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

Noureldine

Khodmehr

Sabahi

et al. 2021

Cureus

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“…Transventricular trans-endoscopic approach was minimally invasive, safe and effective in this selected case. This approach for giant cystic craniopharyngiomas has already been described in a few cases, alone or in combination with further microsurgical removal [12][13][14][15][16][17] . In our case, it allowed not only decompression through creation of a wide communication between liquor spaces, but also a near-total resection of the lesion.…”

Section: Discussionmentioning

confidence: 99%

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

Jugović

Spazzapan

Porčnik

et al. 2020

ACC

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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.

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“…Transnasal microscopic instruments were used for dissection and resection. The NICO Myriad device (NICO Corp.), an aspiration device designed for the neuroendoscope, 27 was not utilized based on surgeon preference and experience with adult cases at our institution.…”

Section: Surgical Instrumentsmentioning

confidence: 99%

Transnasal endoscopic approach for pediatric skull base lesions: a case series

Quon¹,

Kim²,

Hwang

et al. 2019

Journal of Neurosurgery: Pediatrics

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OBJECTIVETransnasal endoscopic transsphenoidal approaches constitute an essential technique for the resection of skull base tumors in adults. However, in the pediatric population, sellar and suprasellar lesions have historically been treated by craniotomy. Transnasal endoscopic approaches are less invasive and thus may be preferable to craniotomy, especially in children. In this case series, the authors present their institutional experience with transnasal endoscopic transsphenoidal approaches for pediatric skull base tumors.METHODSThe authors retrospectively reviewed pediatric patients (age ≤ 18 years) who had undergone transnasal endoscopic transsphenoidal approaches for either biopsy or resection of sellar or suprasellar lesions between 2007 and 2016. All operations were performed jointly by a team of pediatric neurosurgeons and skull base otolaryngologists, except for 8 cases performed by one neurosurgeon.RESULTSThe series included 42 patients between 4 and 18 years old (average 12.5 years) who underwent 51 operations. Headache (45%), visual symptoms (69%), and symptoms related to hormonal abnormalities (71%) were the predominant presenting symptoms. Improvement in preoperative symptoms was seen in 92% of cases. Most patients had craniopharyngiomas (n = 16), followed by pituitary adenomas (n = 12), Rathke cleft cysts (n = 4), germinomas (n = 4), chordomas (n = 2), and other lesion subtypes (n = 4). Lesions ranged from 0.3 to 6.2 cm (median 2.5 cm) in their greatest dimension. Gross-total resection was primarily performed (63% of cases), with 5 subsequent recurrences. Nasoseptal flaps were used in 47% of cases, fat grafts in 37%, and lumbar drains in 47%. CSF space was entered intraoperatively in 15 cases, and postoperative CSF was observed only in lesions with suprasellar extension. There were 8 cases of new hormonal deficits and 3 cases of new cranial nerve deficits. Length of hospital stay ranged from 1 to 61 days (median 5 days). Patients were clinically followed up for a median of 46 months (range 1–120 months), accompanied by a median radiological follow-up period of 45 months (range 3.8–120 months). Most patients (76%) were offered adjuvant therapy.CONCLUSIONSIn this single-institution report of the transnasal endoscopic transsphenoidal approach, the authors demonstrated that this technique is generally safe and effective for different types of pediatric skull base lesions. Favorable effects of surgery were sustained during a follow-up period of 4 years. Further refinement in technology will allow for more widespread use in the pediatric population.

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Frontal burr hole approach for neuroendoscopic resection of craniopharyngioma with the NICO Myriad device: report of two cases

Cited by 6 publications

References 24 publications

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

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

Transnasal endoscopic approach for pediatric skull base lesions: a case series

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