Neurological Surgery No Shinkei Geka Volume 33, Issue 12 (December 2005)

Neuroendoscopic Placement of the Reservoir in an Elderly Patient with Recurrenced Craniopharyngioma : Case Report Terukazu KURAMOTO 1 , Hisaaki UCHIKADO 1 , Yutaka TAJIMA 1 , Takashi TOKUTOMI 1 , Minoru SHIGEMORI 1 1Department of Neurosurgery,Kurume University School of Medicine Keyword: craniopharyngioma , obstructive hydrocephalus , neuroendoscope , cyst , elderly patient pp.1207-1212
Published Date 2005/12/1
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We report a case of recurrent craniopharyngioma in the third ventricle with obstructive hydrocephalus ,which was successfully treated by placement of the Ommaya reservoir by neuroendoscopic procedure. A 72-year-old male with disorientation and gait disturbance was adomitted to our hospital. He had been suffering chronic heart failure and arrhythmia due to mitral valve insufficiency,and panhypopituitarism after the first craniotomy for craniopharyngioma. MRI demonstrated obstructive hydrocephalus at the foramen of Monro by the cystic tumor. Cyst decompression and placement of Ommaya reservoir were successfully performed in local anesthesia. Postoperatively,his disorientation and gait disturbance were improvement ,and no chemical meningitis developed. Neuroendoscopic management for cystic craniopharyngioma with obstructive hydrocephalus was effective procedure for elderly patient with systemic risk factor.

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Neurological Surgery 脳神経外科
33巻12号 (2005年12月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院