1 / 12

Domagoj Jugović Peter Spazzapan Andrej Porčnik Borut Prestor

Partial recover of blindness after e ndoscopic treatment of suprasellar cystic craniopharyngioma: case report. Domagoj Jugović Peter Spazzapan Andrej Porčnik Borut Prestor University M edical C enter Ljubljana. 2007 Right sided temporal hemianopsia

noble-kidd
Download Presentation

Domagoj Jugović Peter Spazzapan Andrej Porčnik Borut Prestor

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Partial recover of blindness after endoscopic treatment of suprasellar cystic craniopharyngioma: case report Domagoj Jugović Peter Spazzapan Andrej Porčnik Borut Prestor University Medical Center Ljubljana

  2. 2007 Right sided temporal hemianopsia MRI: 10mm cystic lesion in the suprasellar space with no compression of optic nerves and chiasm No endocrinological abnormalities 2010 Worsening of right sided temporal hemianopsia MRI: increase in cyst’s size (20 mm) with upward compression of optical chiasma Refusal of surgery CASE REPORT

  3. Visual evoked potentials in 2011

  4. CASE REPORT 2012 • Acute onset of blindness • Pupils fixed and dilated • Optic disc bilaterally pale • MRI: further increase in size to 30x40 mm

  5. 2007 2008 2010 2012 2012

  6. Transventricular endoscopic approach

  7. Transventricular endoscopic approach • Cysto-cisterno-ventriculostomy • Decompression of optic nerves and chiasm • Fast procedure • Low morbidity and mortality reported in literature

  8. Superior part of the cyst through the right foramen of Monroe Cystoventriculostomy Ventriculostomy Cystocisternostomy

  9. POSTOPERATIVE MRI

  10. Postoperative visual evoked potentials

  11. OCTOPUS Right eye 2012 Left eye 2012 Right eye 2013 Left eye 2013

  12. CONCLUSIONS • Blindness due to COMPRESSION of optic nerves and chiasm can be reverseble • Importance of early decompression • Surgical decision depends on location, structure and clinical picture

More Related