| Title: |
Operative Procedure in a Suprasellar Paediatric Lesion of the Optic Chiasm with Hydrocephalus Caused by a Papillary Glioneuronal Tumour |
| Authors: |
Saratziotis, Athanasios; Zanotti, Claudia; Munari, Sara; Pavone, Chiara; Cazzador, Diego; Denaro, Luca; Emanuelli, Enzo |
| Source: |
Pediatric Neurosurgery ; volume 56, issue 6, page 569-577 ; ISSN 1016-2291 1423-0305 |
| Publisher Information: |
S. Karger AG |
| Publication Year: |
2021 |
| Description: |
Introduction: Paediatric tumours in the sellar and parasellar regions present clinical and surgical challenges due to anatomical position and behaviour. We illustrate a rare case which caused obstructive hydrocephalus. Case Presentation: The study included a 14-year-old girl with a glioneuronal tumour (40 mm) originating from the optic chiasm, obliterating the aqueduct, with consequent triventricular hydrocephalus. The patient underwent extended endoscopic endonasal surgery and repair of the skull-base deficiency using a multi-layer technique with fascia lata. The 12-month follow-up showed no complications or recurrences, with recovery in visual acuity. Conclusion: The immediate placement of external ventricular drainage, in combination with an extended trans-sphenoidal approach, is a safe and feasible option to treat suprasellar paediatric lesions with hydrocephalus. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1159/000516184 |
| Availability: |
https://doi.org/10.1159/000516184; https://www.karger.com/Article/Pdf/516184 |
| Rights: |
https://www.karger.com/Services/SiteLicenses ; https://www.karger.com/Services/SiteLicenses |
| Accession Number: |
edsbas.E7BFBA94 |
| Database: |
BASE |