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Craniopharyngioma - Childhood

Grand Round Craniopharyngioma
Grand Round Craniopharyngioma administrator 3 Views • 2 years ago

Dwell into the intricacies of craniopharyngioma with this interesting case of Multiple Pituitary Hormone Deficiency. Dr Sayan Banerjee, Fellow, Regency CDER, MedEClasses Online Course in Pediatric Endocrinology
Craniopharyngioma ( Case 3 ) - Dr. Narayanan Janakiram.
Craniopharyngioma ( Case 3 ) - Dr. Narayanan Janakiram. administrator 1 Views • 2 years ago

Cystic Craniopharyngioma Neuroendoscopic Catheter Placement
Cystic Craniopharyngioma Neuroendoscopic Catheter Placement administrator 2 Views • 2 years ago

Though complete resection of craniopharyngioma is desirable
for lower recurrence rates, it is hindered by functional
preservation. Currently, a trend toward less radical surgical
approaches is observed. In a multicenter study of children and adolescents with craniopharyngioma, KRANIOPHARYNGEOM
2007, it was observed that the realized treatment was more
radical (p = 0.01) in patients recruited between 2001 and 2007
(38%) when compared with patients treated between 2007 and
2012 (18%).
Cystic craniopharyngiomas
present a unique challenge because of the possibility
of recurrence of cyst irrespective of the modality of initial
treatment. Almost 90% of craniopharyngiomas have a cystic
component.3 The presence of a cyst in craniopharyngioma
can account for major total bulk of the tumor, and a predominantly
cystic tumor is seen in 60% of craniopharyngiomas. The treatment of cystic craniopharyngioma in children is varied. The treatment ranges from radical excision to direct radiotherapy. As the morbidity of excision is high, more conservative approaches are used.
The traditional approach to cystic craniopharyngioma is a
variable extent of microsurgical resection. Ommaya reservoir
is often placed in the residual cyst for repeated aspiration or
intracavitary therapy. However, the malposition of reservoir
is not uncommon. In such circumstances, a neuroendoscopic
approach provides a less invasive and more accurate technique
to deal with cystic craniopharyngiomas. Since 2013, we follow
the endoscopic transventricular approach for intra- and
paraventricular cystic craniopharyngiomas.

Transventricular endoscopy is a minimally invasive treatment for cystic craniopharyngiomas. Endoscopic transventricular approach is a safe alternative for initial treatment of suprasellar cystic craniopharyngioma in children.

Konar S. Kulkarni AV, Shukla D, Mishra T, Devi BI, Peer S, Lanka V. Management options for suprasellar cystic craniopharyngioma: Endoscopic Transventricular Approach and Microsurgical Approach. J Neurosci Rural Pract 2021;12:121–127. DOI https://doi.org/10.1055/s-0041-1722839
Shukla D. Transcortical Transventricular Endoscopic Approach and Ommaya Reservoir Placement for Cystic Craniopharyngioma. Pediatr Neurosurg 2014–15;50:291–294 (DOI:10.1159/000433605)

Craniopharyngioma
Craniopharyngioma administrator 1 Views • 2 years ago

www.sinuscentro.com.br - Edited video showing an endoscopic ressection of a craniopharyngioma in a 8 year-old child.

New Approach for Craniopharyngioma Treatment
New Approach for Craniopharyngioma Treatment administrator 1 Views • 2 years ago

New Approach for Craniopharyngioma Treatment
Craniopharyngioma Current Evidence for Surgery Medical and Radiation Therapies
Craniopharyngioma Current Evidence for Surgery Medical and Radiation Therapies administrator 2 Views • 2 years ago

Learning Objectives:
Objective 1: At the end of this webinar, participants should understand the role of surgery in management of Craniopharyngioma, including indications, limitations and risks.

Objective 2: At the end of this webinar, participants should understand the role of radiation in management of Craniopharyngioma, including indications, limitations and risks.


Objective 3: At the end of this webinar, participants should understand the role of medical management of endocrine disorders associated with Craniopharyngioma.

Presenter Bio:

Dr. Zachary Litvack is Co-Chair of Neurosurgery and Director of Skull Base and Endoscopic Neurosurgery at the Swedish Neuroscience Institute in Seattle, WA. He completed his both his Bachelor of Science in Bioorganic Chemistry/Molecular Biology and Medical Degrees at Brown University. Dr. Litvack then moved to Portland, OR to attend Oregon Health & Science University where he completed an Internship in General Surgery, Residency in Neurosurgery, and a Master’s Degree in Clinical Research from the NIH Supported Oregon Clinical & Translational Research Institute. Following his General Neurosurgery training, he spent an additional year in Pituitary Surgery and Neuro-Endocrinology under the direction of Dr. Edward Laws in Boston, MA. Dr. Litvack has performed over 300 pituitary operations, and participated in over 600 endoscopic endonasal operations in his career. He has been an invited presenter on endoscopic skull base surgery at multiple universities, hospitals and international conferences. At Swedish, he trains one neurosurgical fellow each year in Skull Base and Minimally Invasive Cranial Surgery (including pituitary surgery).
Endoscopic endonasal resection of pediatric craniopharyngioma
Endoscopic endonasal resection of pediatric craniopharyngioma administrator 2 Views • 2 years ago

The video provides an example of a gross total resection for pediatric craniopharyngioma in a 4-year old girl with progressive visual loss
Endoscopic resection of a craniopharyngioma.
Endoscopic resection of a craniopharyngioma. administrator 1 Views • 2 years ago

Philip Theodosopoulos, M.D., Professor and Vice-Chair of Neurological Surgery at the University of California, San Francisco is the Director of the Skull Base Tumor Program and has extensive experience performing endoscopic transsphenoidal pituitary surgery for pituitary tumors (over 1000 operations) and other disease processes as well as tumors of the base of the skull. In this video, Dr. Theodosopoulos illustrates portions of an endoscopic resection of a craniopharyngioma.
Radiology Spotter| Pituitary macroadenoma| Craniopharyngioma| #pituitaryadenoma #radiologyspotter
Radiology Spotter| Pituitary macroadenoma| Craniopharyngioma| #pituitaryadenoma #radiologyspotter administrator 1 Views • 2 years ago

Observation:
A well-defined, predominantly sellar mass is seen expanding the sella. The lesion appears hyperdense measuring~ 48 x 36 in max cross sectional diameter. There is evidence of non enhancing cystic areas seen right supero-lateral and infero-anterior aspect. Few calcific foci are seen in the lesion. It is eroding the sellar floor and dorsum sellae with extension into the posterior aspect of sphenoid sinus.

A pedunculated extension is also seen extending superiorly from the Right lateral aspect of the mass. It is extending into the cavernous sinus and the suprasellar cistern. There is indentation of the optic chiasm.
On post-contrast images, the mass and the extensions show moderate, heterogeneous enhancement. Right ICA is seen to encased by the lesion.


Interpretation: Findings suggestive of Sellar heterogeneously enhancing mass with cystic areas and extension as described likely of 

                                     Pituitary Macroadenoma

                            D/D : Craniopharyngioma
Craniopharyngioma, papillary
Craniopharyngioma, papillary administrator 1 Views • 2 years ago

54-year-old female with chronic headaches and homonymous hemianopsia. There is a heterogeneous T1-hyper- and hypointense mass arising from the sella turcica and extending into the suprasellar compartment. Focal regions of central hemorrhage with more peripheral hemosiderin staining are identified. Nodular components of the lesion demonstrate diffusion restriction. The lesion abuts, elevates, and distorts the undersurface of the optic chiasm and prechiasmatic segments of the optic nerves superiorly. There is heterogeneous postcontrast enhancement. The findings are most compatible with a craniopharyngioma. Craniopharyngioma represent benign, partially cystic sellar/suprasellar lesions. 90% are cystic, have calcifications, and/or enhance. The adamantinomatous subtype are more common in children, with the papillary type more common in adults. NMR181

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