Annals of African Medicine
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Year : 2015  |  Volume : 14  |  Issue : 3  |  Page : 155-158

Combined microsurgical extra-axial and transcortical transventricular endoscopic excision of parasellar tumors with ventricular extension

1 Department of Neurological Surgery, UCH; Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
2 Department of Neurological Surgery, UCH, University of Ibadan, Ibadan, Nigeria

Correspondence Address:
Augustine A Adeolu
Department of Neurological Surgery, UCH, Ibadan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1596-3519.149891

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Sella/parasellar tumors with intraventricular extension present unique neurosurgical challenges in achieving gross total resection with minimal morbidity and mortality. Firm attachment of large tumors, especially craniopharyngiomas, in this location to critical structures, makes the goal of complete microsurgical resection more difficult to attain. Several traditional surgical approaches are available. We report two patients who had novel combination of the traditional extra-axial microsurgical and transcortical transventricular endoscopic approaches to resect sellar/suprasellar tumors with intraventricular extension as either staged or simultaneous procedures.

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