Microsurgical Resection of a Parachiasmatic Craniopharyngioma via a Left-Sided Pterional Transsylvian Approach

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dc.authoridDogruel, Yucel/0000-0003-4314-5579
dc.authoridRahmanov, Serdar/0009-0000-5507-4734
dc.contributor.authorDogruel, Yucel
dc.contributor.authorRahmanov, Serdar
dc.contributor.authorGungor, Abuzer
dc.contributor.authorTure, Ugur
dc.date.accessioned2024-05-19T14:38:50Z
dc.date.available2024-05-19T14:38:50Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractCraniopharyngiomas are histologically benign tumors that originate from squamous rests along the pituitary stalk. They make up approximately 1.2% to 4.6% of all intracranial tumors and do not show significant differences in occurrence based on sex. Adamantinomatous craniopharyngiomas have 2 peaks of incidence, commonly observed in patients from ages 5 to 15 years and again from 45 to 60 years. In contrast, papillary craniopharyngiomas mainly affect adults in their fifth and sixth decades of life.1 The malignancy of craniopharyngiomas is attributed to their location and the challenges associated with achieving complete removal because they can manifest in the sellar, parachiasmatic, and intraventricular regions or a combination of these.2,3 Various approaches have been used to resect these tumors.4,5 Radical resection offers the most promising option for disease control, potential cure, and the ability to transform the disease from lethal to survivable in children, allowing for a functional adult life.2,3 Meticulous evaluation is crucial to determine the appropriate approach and side, with particular emphasis on closely examining the relationship between the tumor and optic pathways (nerve, chiasm, tract), which are frequently involved. This assessment should also include the tumor's relationship with other crucial structures, such as the hypothalamus and adjacent arteries, to ensure that the strategy is adjusted accordingly to further minimize the risk of postoperative morbidity. Video 1 demonstrates a left -sided pterional transsylvian approach to remove a parachiasmatic craniopharyngioma involving the left optic chiasm and tract.en_US
dc.identifier.doi10.1016/J.WNEU.2024.01.083
dc.identifier.endpage148en_US
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pmid38266994en_US
dc.identifier.scopus2-s2.0-85186765878en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage148en_US
dc.identifier.urihttps://doi.org10.1016/J.WNEU.2024.01.083
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4626
dc.identifier.volume184en_US
dc.identifier.wosWOS:001188840400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofWorld Neurosurgeryen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAdamantinomatous Craniopharyngiomaen_US
dc.subjectHypothalamusen_US
dc.subjectPapillary Craniopharyngiomaen_US
dc.subjectPituitaryen_US
dc.subjectSellaen_US
dc.subjectStalken_US
dc.titleMicrosurgical Resection of a Parachiasmatic Craniopharyngioma via a Left-Sided Pterional Transsylvian Approachen_US
dc.typeEditorialen_US

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