Authors
Matmusaev M.M. 1, 2, Kariev G.M.2, 3, 4, Yakubov J.B.2, Asadullaev U.M.2, Takeuchi K.1, Saito R.1
1 Nagoya University Graduate School of Medicine, Nagoya, Japan
2 Republican Specialized Scientific Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
3 Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
4 RUDN University, Moscow
Abstract
Introduction: The treatment of craniopharyngiomas is challenging due to their anatomical location. The extended endoscopic endonasal transsphenoidal surgery (EEETS) is indicated for sellar, suprasellar, and some intraventricular tumors in adults and pediatric patients.
Case presentation: A 51-year-old male with visual disturbances was admitted to our hospital. Preoperative computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated mainly a solid mass in the suprasellar region. The patient underwent EEETS. The patient’s postoperative course was uneventful. Histopathological diagnosis demonstrated adamantomatous craniopharyngioma. Postoperative CT, MRI with and without contrast enhancement demonstrated total removal of the tumour.
Conclusion: The extended endoscopic endonasal transsphenoidal surgery is a more effective and less traumatic surgical method and allows successful removal of craniopharyngioma without significant risk to the surrounding neurovascular structures.
Keywords: endoscopic transsphenoidal approach, craniopharyngiomas, pituitary function, visual disturbances.
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