Eyebrow Incision and Supraorbital Craniotomy: craniopharingioma

A 6 year-old boy presented with progressive decrease of visual acuity in his left eye. Neurological examination revealed a left third nerve palsy. His ophthalmological assessment showed left amaurosis and right temporal hemianopia. Head magnetic resonance scans revealed a suprasellar parachiasmatic...

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Autores principales: Dinark Conceição Viana, Matheus Fernando Manzolli Ballestero, Ricardo Santos de Oliveira
Formato: article
Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2019
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Acceso en línea:https://doaj.org/article/f4429a5f57f042c0acdea0b2b6a30652
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Sumario:A 6 year-old boy presented with progressive decrease of visual acuity in his left eye. Neurological examination revealed a left third nerve palsy. His ophthalmological assessment showed left amaurosis and right temporal hemianopia. Head magnetic resonance scans revealed a suprasellar parachiasmatic lesion causing compression of optic chiasm. The boy underwent a supraorbital craniotomy through a left eyebrow incision; gross total resection was achieved. Postoperatively, the patient was neurologically stable, with visual improvement and no additional neurological deficits. Pathology confirmed the diagnosis of craniopharyngioma.