CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S278
DOI: 10.1055/s-0038-1624588
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Interhemispheric, Translamina Terminalis Approach for the Resection of Suprasellar Cavernous Malformation

Georgios A. Zenonos
1   Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Paul A. Gardner
1   Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
› Author Affiliations
Further Information

Address for correspondence

Paul A. Gardner, MD
Department of Neurosurgery, University of Pittsburgh Medical Center
200 Lothrop Street, Suite B400, Pittsburgh, PA 15213
United States   

Publication History

15 October 2017

14 December 2017

Publication Date:
07 March 2018 (online)

 

    Abstract

    Objectives The current video presents the nuances of an interhemispheric, translamina terminalis approach for the resection of suprasellar cavernous malformation.

    Design The video analyzes the presentation, preoperative workup and imaging, surgical steps and technical nuances of the surgery, the clinical outcome, and follow-up imaging.

    Setting The patient was treated by a skull base team at a teaching academic institution.

    Participants The case refers to a 64-year-old female who presented with vision loss and confusion, and was found to have a suprasellar mass, with imaging characteristics consistent with a cavernous malformation of the third ventricle.

    Main Outcome Measures The main outcome measures consist of the reversal of the patient symptoms (vision loss and confusion), the recurrence-free survival based on imaging, as well as the absence of any complications.

    Results The patient's mental status improved slightly after surgery. There was no evidence of recurrence.

    Conclusions The interhemispheric, translamina terminalis approach is safe and effective for the resection of suprasellar cavernous malformations.

    The link to the video can be found at: https://youtu.be/z6RSAM_GnBA.


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    Quality:

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    Conflict of Interest

    None.

    Address for correspondence

    Paul A. Gardner, MD
    Department of Neurosurgery, University of Pittsburgh Medical Center
    200 Lothrop Street, Suite B400, Pittsburgh, PA 15213
    United States