| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-02-08 |
| タイトル |
|
|
タイトル |
Transventricular Preforniceal Approach Combined with Endoscopic Transnasal Surgery for a Giant Pituitary Adenoma: A Case Report and Literature Review |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
giant pituitary adenoma |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
endoscopic transnasal surgery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
preforniceal approach |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
combined surgery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
stereotactic radiotherapy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 作成者 |
MATSUMOTO, Tomohiro
Ono, Takahiro
ONODERA, Tomo
ODA, Masaya
TAKAHASHI, Masataka
OMAE, Tomoya
SHIMIZU, Hiroaki
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Giant pituitary adenomas carry significant surgical risks when treated with transsphenoidal approaches or the transcranial approach alone. Combined transsphenoidal and transcranial approaches have been reported; however, removing adenomas extending into the third ventricle may still be challenging. We report a case of giant pituitary adenoma expanding into the third ventricle, which was removed using a combined transventricular preforniceal approach and an endoscopic endonasal transsphenoidal surgery (ETSS). A 41-year-old man with headache, nausea, and a 1-week history of a visual field defect was transferred to our hospital. He had a disturbed left visual acuity, right homonymous hemianopia, and choked disc in both eyes. Preoperative magnetic resonance imaging revealed a giant pituitary adenoma with a maximum diameter of 55 mm extending from the intrasellar to the suprasellar region, thus occupying the entire third ventricle and causing hydrocephalus. The space between the anterior commissure and the fornix was expanded. The foramen of Monro was shifted backward due to compression by the tumor. He underwent maximum surgical resection using a combined transventricular preforniceal approach and ETSS. Considering technical demands and reliability, the intra- to suprasellar parts were removed by ETSS while the intraventricular part was removed through the preforniceal approach. The residual tumor in the right cavernous sinus and behind the anterior communicating artery was treated with stereotactic radiotherapy. One year after the operation, the patient leads an independent life. The combined technique of the preforniceal approach and ETSS provided a direct view of the entire third ventricle and hemostasis in the present case. |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
NMC Case Report Journal
巻 8,
号 1,
p. 827-833,
発行日 2021
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| 収録物識別子 |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2188-4226 |
| 出版者 |
|
|
出版者 |
The Japan Neurosurgical Society |
| 関連情報 |
|
|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.2176/nmccrj.cr.2021-0274 |
| 権利情報 |
|
|
権利情報 |
© 2021 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives International License. |
iA_2021_45 (3.0 MB)
