{"created":"2023-07-25T10:25:18.210477+00:00","id":5553,"links":{},"metadata":{"_buckets":{"deposit":"a340af46-d113-4ea0-9d9d-4afa3e09bf8f"},"_deposit":{"created_by":15,"id":"5553","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"5553"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00005553","sets":["611:939:940"]},"author_link":["15724","15646","15725","15726","15727","15728","9434"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"833","bibliographicPageStart":"827","bibliographicVolumeNumber":"8","bibliographic_titles":[{"bibliographic_title":"NMC Case Report Journal"}]}]},"item_10001_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"The Japan Neurosurgical Society"}]},"item_10001_relation_25":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2176/nmccrj.cr.2021-0274","subitem_relation_type_select":"DOI"}}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"© 2021 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives International License."}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1724099666130":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"2188-4226","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"作成者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"MATSUMOTO, Tomohiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15724","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ono, Takahiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15646","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"ONODERA, Tomo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15725","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"ODA, Masaya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15726","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"TAKAHASHI, Masataka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15727","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"OMAE, Tomoya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15728","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"SHIMIZU, Hiroaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9434","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-02-08"}],"displaytype":"detail","filename":"iA_2021_45.pdf","filesize":[{"value":"3.0 MB"}],"format":"application/pdf","licensefree":"CC BY-NC-ND 4.0","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"iA_2021_45","url":"https://air.repo.nii.ac.jp/record/5553/files/iA_2021_45.pdf"},"version_id":"f2e0025b-6a99-4956-a210-e74777d823f4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"giant pituitary adenoma","subitem_subject_scheme":"Other"},{"subitem_subject":"endoscopic transnasal surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"preforniceal approach","subitem_subject_scheme":"Other"},{"subitem_subject":"combined surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"stereotactic radiotherapy","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Transventricular Preforniceal Approach Combined with Endoscopic Transnasal Surgery for a Giant Pituitary Adenoma: A Case Report and Literature Review","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Transventricular Preforniceal Approach Combined with Endoscopic Transnasal Surgery for a Giant Pituitary Adenoma: A Case Report and Literature Review","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"15","path":["940"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-02-08"},"publish_date":"2022-02-08","publish_status":"0","recid":"5553","relation_version_is_last":true,"title":["Transventricular Preforniceal Approach Combined with Endoscopic Transnasal Surgery for a Giant Pituitary Adenoma: A Case Report and Literature Review"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2024-08-24T22:37:01.687454+00:00"}