Resection of a Retrochiasmatic Craniopharyngioma by Combined Modified Orbital Craniotomy and Transnasal Endoscopic Techniques
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Patel, Nirav J.
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Harvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St,BTM4,4196, Boston, MA 02115 USAHarvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St,BTM4,4196, Boston, MA 02115 USA
Patel, Nirav J.
[1
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Dunn, Ian
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Harvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St,BTM4,4196, Boston, MA 02115 USAHarvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St,BTM4,4196, Boston, MA 02115 USA
Dunn, Ian
[1
]
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[1] Harvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St,BTM4,4196, Boston, MA 02115 USA
A 20-year-old patient presented with hydrocephalus but intact vision and hormone function. The MRI showed a large seller, suprasellar and third ventricular mass. We chose a combined approach utilizing the translyvian, lamina terminals route, with a possible interhemispheric approach. But, we also utilized a transnasal endoscopic approach for the tumor that remained below the diaphragma sellae. The patient did well, with complete tumor resection via a staged approach, but did require hormone replacement. The link to the video can be found at: https://youtu.be/yzpfOxzI4cQ .