| ORIGINAL ARTICLE |
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| Year : 2020 | Volume
: 15
| Issue : 4 | Page : 846-855 |
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Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center
Somil Jaiswal1, Manish Jaiswal1, Pooja Jaiswal2, Ankur Bajaj1, Chhitij Srivastava1, Anil Chandra1, Bal Krishna Ojha1, Janu Vikas1, Awadhesh Yadav1
1 Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Pathology, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh, India
Correspondence Address:
Dr. Somil Jaiswal
Associate Professor, Department of Neurosurgery, King George's Medical University, Lucknow - 226 003, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ajns.AJNS_252_20
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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. |
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