R ecent clinical experience has established that the purely endoscopic removal of colloid cysts is a valid and advantageous surgical approach. Benefits associated with endoscopic removal have been reported for length of stay, operating times, and perioperative complications. 3 , 10 , 12 The features and outcomes associated with endoscopic treatment are derived from reports of patients being treated for a newly diagnosed or primary colloid cyst. Whether the same therapeutic benefit of endoscopic surgery can be extrapolated to patients who present with cyst
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Jacques J. Lara-Reyna, Rafael Uribe-Cardenas, Imali Perera, Nicholas Szerlip, Anastasios Giamouriadis, Nicole Savage, Therese Haussner, and Mark M. Souweidane
Edward S. Ahn and Archis R. Bhandarkar
Transcript 0:23 We are presenting single-incision endoscopic strip craniectomy for the treatment of sagittal craniosynostosis. 0:33 The case is a standard presentation of a young infant who is 5 weeks old with scaphocephaly and a palpable midline ridge at the vertex. The physical examination is consistent with sagittal craniosynostosis. The measured cephalic index is 66. No imaging studies were performed. The baby's weight is 4.6 kg. We recommended endoscopic surgery followed by helmeting. 1:01 For this procedure, the baby was positioned
John A. Jane Jr., Erin Kiehna, Spencer C. Payne, Stephen V. Early, and Edward R. Laws Jr.
because the expanded sella provides a widened aperture to the suprasellar compartment and also diaphragmatic protection from pial invasion. 11 , 19 Although there is limited experience using the transsphenoidal approach for suprasellar tumors, 1 , 2 , 5 , 6 endoscopic transsphenoidal approaches introduced over the past decade are being increasingly used. 3 , 4 , 8–10 , 23 We describe our experience using the endoscopic transsphenoidal technique for adults with craniopharyngiomas and describe the neurological, endocrinological, and visual outcomes. Methods
Ema Zubovic, Gary B. Skolnick, Sybill D. Naidoo, Mark Bellanger, Matthew D. Smyth, and Kamlesh B. Patel
, followed by correction of the metopic synostosis by fronto-orbital advancement at 10–12 months of age, allowing for a more stable fronto-orbital bandeau reconstruction. 3 More recently, Dobbs et al. published the first report of single-stage open repair for combined metopic-sagittal synostosis. 1 The risk of potential surgical and anesthetic morbidity is increased with multiple open transcranial operations in the 1st year of life. For single-suture craniosynostosis, endoscopic procedures have been shown to decrease blood loss, operating time, length of hospital stay
Tracy M. Flanders, Rachel Blue, Sanford Roberts, Brendan J. McShane, Bryan Wilent, Vijay Tambi, Dmitriy Petrov, and John Y. K. Lee
the posterior fossa, there are limited data on fully endoscopic microvascular decompression (E-MVD) for HFS. The current study aimed to present one surgeon’s case series of HFS patients undergoing fully E-MVD to illustrate the safety and efficacy of the fully endoscopic technique. Methods Study Participants The University of Pennsylvania institutional review board approved this study, and a waiver of HIPAA Authorization was obtained as data were retrospectively analyzed. Between January 2013 and October 2016, 27 patients with a preoperative diagnosis of HFS
Henry Ruiz-Garcia, Kelly Gassie, Lina Marenco-Hillembrand, Angela M. Donaldson, and Kaisorn L. Chaichana
Transcript In this video we will discuss the endonasal endoscopic approach used to perform an odontoidectomy in a patient with basilar invagination. The relevant anatomy and technical nuances will also be presented. 0:33 Case illustration. This is the case of a 65-year-old woman who presented with progressive quadriparesis. She started her symptoms with bilateral upper extremities weakness 6 months ago, and this progressed until she was wheelchair bound. She was not able to perform any ADL at the time of her visit. She also presented with dysphagia and urinary
Andrew R. Conger, M.S., Joshua Lucas, Gabriel Zada, Theodore H. Schwartz, and Aaron A. Cohen-Gadol
extending to extrasellar locations were approached via the transcranial routes. As endoscopic technology, instrumentation, and relevant anatomical mastery have improved, the indications for transsphenoidal craniopharyngioma surgery have broadened, 13 and an emerging body of literature suggests that for most craniopharyngiomas, the degree of resection via the endonasal endoscopic approach in experienced hands is comparable or superior to those of transcranial routes, 7 , 12 , 18 , 21 , 23 but less invasive, potentially leading to improved visual outcome and shorter
Han Yan, Taylor J. Abel, Naif M. Alotaibi, Melanie Anderson, Toba N. Niazi, Alexander G. Weil, Aria Fallah, John H. Phillips, Christopher R. Forrest, Abhaya V. Kulkarni, James M. Drake, and George M. Ibrahim
A lthough emerging data from the endoscopic treatment of sagittal synostosis suggest more favorable perioperative outcomes, there is substantially less data to inform decisions for the surgical treatment of nonsagittal single-suture craniosynostosis. Metopic craniosynostosis, or trigonocephaly, is often characterized by a triangular anterior cranial vault, bitemporal narrowing with biparietal expansion, or midline forehead ridging. The incidence of metopic synostosis has been estimated to be as high as 1 in 5000 births, 23 and accounts for 10% of all
Peter J. Wilson, Sacit B. Omay, Ashutosh Kacker, Vijay K. Anand, and Theodore H. Schwartz
the natural history of the disease. Nevertheless, non–hormone producing pituitary tumors are benign slow-growing tumors and cause morbidity primarily from mass effect. In the absence of symptoms, the decision to operate rests on a careful weighing of the risks and benefits of surgery. Several publications have outlined the risks of surgery in the elderly population using the operative microscope, but with the advent of the endonasal endoscopic approach, the risks of surgery may have changed. Few publications have examined the risks of endonasal endoscopic pituitary
Kunal S. Patel, Shaan M. Raza, Edward D. McCoul, Aikaterini Patrona, Jeffrey P. Greenfield, Mark M. Souweidane, Vijay K. Anand, and Theodore H. Schwartz
treatment paradigm may be associated with delayed long-term sequelae. 16 Likewise, transsphenoidal surgery has also been shown retrospectively to result in fewer acute complications. 32 In light of these issues, there is no consensus on a balanced treatment strategy considering open versus endoscopic approaches, subtotal versus aggressive resection, and the role of radiotherapy. 39 A recent survey has shown a wide diversity in treatment preferences among practicing neurosurgeons. 19 Even more so, there is extremely limited data on posttreatment QOL, which would most
