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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 846-855
DOI: 10.4103/ajns.AJNS_252_20
Original Article

Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center

Somil Jaiswal
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Manish Jaiswal
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Pooja Jaiswal
1   Department of Pathology, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh
,
Ankur Bajaj
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Chhitij Srivastava
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Anil Chandra
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Bal Ojha
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Janu Vikas
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
,
Awadhesh Yadav
Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh
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Background: Microsurgical resection has been considered the gold standard treatment of craniopharyngioma, but lately, it has found less favor due to its morbidity and is being replaced by minimally invasive cyst drainage procedures. We present our experience of transventricular endoscopy and cyst drainage along with its technique and have analyzed its results. Materials and Methods: Clinical and radiological data of all cystic craniopharyngioma patients treated by transventricular endoscopic cyst drainage and Ommaya placement were retrieved and analyzed Results: Thirty-two patients underwent endoscopic cyst drainage during the study period. All patients had immediate clinical and radiological improvement. No significant complications were seen. All patients underwent adjuvant radiotherapy and six patients (18.7%) showed recurrence. Three patients died in the follow-up period. Conclusions: Endoscopic transcortical transventricular cyst drainage with Ommaya reservoir along with adjuvant radiotherapy is a simple, safe, and effective treatment modality.

Key-words:

Cystic craniopharyngioma - cystocisternostomy - endoscopic transcortical transventricular - Ommaya - radiotherapy

Financial support and sponsorship

Nil.




Publication History

Received: 24 May 2020

Accepted: 26 August 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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