Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review

We report on a case of a solid adamantinomatous variant of craniopharyngioma located entirely within the third ventricle causing asymmetric obstructive hydrocephalus in a 43-year-old male patient. The patient complaints included intermittent severe headache and progressive bilateral visual field los...

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Main Authors: Kehayov Ivo, Nakov Vladimir, Kitov Borislav, Zhelyazkov Hristo, Spiriev Toma
Format: Article
Language:English
Published: Pensoft Publishers 2019-03-01
Series:Folia Medica
Subjects:
Online Access:http://www.degruyter.com/view/j/folmed.2018.61.issue-1/folmed-2018-0049/folmed-2018-0049.xml?format=INT
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author Kehayov Ivo
Nakov Vladimir
Kitov Borislav
Zhelyazkov Hristo
Spiriev Toma
author_facet Kehayov Ivo
Nakov Vladimir
Kitov Borislav
Zhelyazkov Hristo
Spiriev Toma
author_sort Kehayov Ivo
collection DOAJ
description We report on a case of a solid adamantinomatous variant of craniopharyngioma located entirely within the third ventricle causing asymmetric obstructive hydrocephalus in a 43-year-old male patient. The patient complaints included intermittent severe headache and progressive bilateral visual field loss. Initially, the lesion was accessed via the bifrontal interhemispheric translamina terminalis approach but total removal was not possible due to short anterior communicating artery which limited the exposure. In the second stage, we used the right interhemispheric transcallosal transforaminal approach and achieved total tumor removal followed by microscopic third ventriculostomy. The present article discusses the selection of appropriate surgical approach based on concise literature review that provides favorable surgical management of these rare lesions.
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spelling doaj.art-0d074e6e32524a67af123130a87249422022-12-22T03:16:35ZengPensoft PublishersFolia Medica1314-21432019-03-0161114314710.2478/folmed-2018-0049folmed-2018-0049Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature ReviewKehayov Ivo0Nakov Vladimir1Kitov Borislav2Zhelyazkov Hristo3Spiriev Toma4Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BulgariaDepartment of Neurosurgery, Acibadem City Clinic Tokuda Hospital, Sofia, BulgariaDepartment of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BulgariaDepartment of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BulgariaDepartment of Neurosurgery, Acibadem City Clinic Tokuda Hospital, Sofia, BulgariaWe report on a case of a solid adamantinomatous variant of craniopharyngioma located entirely within the third ventricle causing asymmetric obstructive hydrocephalus in a 43-year-old male patient. The patient complaints included intermittent severe headache and progressive bilateral visual field loss. Initially, the lesion was accessed via the bifrontal interhemispheric translamina terminalis approach but total removal was not possible due to short anterior communicating artery which limited the exposure. In the second stage, we used the right interhemispheric transcallosal transforaminal approach and achieved total tumor removal followed by microscopic third ventriculostomy. The present article discusses the selection of appropriate surgical approach based on concise literature review that provides favorable surgical management of these rare lesions.http://www.degruyter.com/view/j/folmed.2018.61.issue-1/folmed-2018-0049/folmed-2018-0049.xml?format=INTcraniopharyngiomathird ventriclesurgeryapproach
spellingShingle Kehayov Ivo
Nakov Vladimir
Kitov Borislav
Zhelyazkov Hristo
Spiriev Toma
Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
Folia Medica
craniopharyngioma
third ventricle
surgery
approach
title Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
title_full Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
title_fullStr Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
title_full_unstemmed Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
title_short Interhemispheric Transcallosal Transforaminal Approach and Microscopic Third Ventriculostomy for Intraventricular Craniopharyngioma Associated with Asymmetric Hydrocephalus: Case Report and Literature Review
title_sort interhemispheric transcallosal transforaminal approach and microscopic third ventriculostomy for intraventricular craniopharyngioma associated with asymmetric hydrocephalus case report and literature review
topic craniopharyngioma
third ventricle
surgery
approach
url http://www.degruyter.com/view/j/folmed.2018.61.issue-1/folmed-2018-0049/folmed-2018-0049.xml?format=INT
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