Letter to the Editor

Conquest of third ventricle craniopharyngiomas

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Article Information

Please include this information when citing this paper: published online March 26, 2010; DOI: 10.3171/2009.8.JNS091094.

© AANS, except where prohibited by US copyright law.



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    A: Photograph of a midsagittal section of a brain showing a strictly intraventricular papillary infundibular cyst identified at autopsy. From Cushing, 1912. B: Midsagittal photograph of a not–strictly intraventricular craniopharyngioma of the squamous-papillary type. From Cushing, 1922. C: Schematic drawing showing a solid-cystic not–strictly intraventricular craniopharyngioma infiltrating the infundibular and tuberal portion of the third ventricle floor and extending toward the upper pituitary stalk. From Cushing, 1932. D: Schematic drawing showing a strictly intravetricular squamous-papillary craniopharyngioma on a sagittal brain section. From Erdheim, 1904. E: Schematic drawing showing a not–strictly intraventricular squamous-papillary craniopharyngioma on a sagittal brain section. From Bailey et al., 1939. F: Preoperative diagram of a retrochiasmatic, not– strictly intraventricular hypophysial epidermoid cyst, showing the basal, solid portion of the lesion immediately behind the optic chiasm replacing the third ventricle floor. From Dott, 1938. G: Schematic drawings (II and III) illustrating the surgical stages for removal of a retrochiasmatic-intraventricular craniopharyngioma approached transfrontally. II. Puncture and evacuation of the cystic content through the lamina terminalis; III. Severing of the optic chiasm to have access to the basal and solid retrochiasmatic portion of the lesion. From Cushing, 1930. H: Schematic illustration showing the removal of a strictly intraventricular craniopharyngioma using the trans–lamina terminalis approach. Reprinted with permission from King TT: Acta Neurochir (Wien) 45:277–286, 1979. I1–I3: Schematics illustrating the surgical stages of removal of a retrochiasmatic-intraventricular craniopharyngioma approached transfrontally. Identification of the infrachiasmatic portion of a retrochiasmatic-intraventricular craniopharyngioma after severing the right optic nerve (I1). Dissection of the tumor capsule under the optic chiasm through the floor of the third ventricle (I2). Surgical view of the sectioned pituitary stalk after the removal of the lesion (I3). (From Dott, 1938).


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