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Innovative Neurosurgery

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Repeated neuroendoscopic palliative surgery in elderly patients with predominantly cystic craniopharyngioma in the third ventricle: three case reports

Kimitoshi Sato / Hidehiro Oka / Satoshi Utsuki / Kiyotaka Fujii
Published Online: 2012-12-18 | DOI: https://doi.org/10.1515/ins-2012-0010


Objective: The management of craniopharyngioma in the elderly remains controversial. We sought to better characterize the outcomes of elderly patients treated with neuroendoscopic palliative surgery (NPS).

Methods: We report the cases of three patients older than 80 years, whose cystic craniopharyngioma was treated by repeated NPS.

Results: One male and two female patients, ranging in age from 80 to 83 years (mean=81.3 years) had predominantly cystic lesions in the third ventricle and a suprasellar enhanced mass. Two patients underwent two NPS procedures and the other received three. The operating time ranged from 40 to 140 min (mean=93.4 min), and the interval between operations ranged from 2 to 24 months (mean=11.3 months). The length of postoperative hospitalization ranged from 4 to 28 days (mean=11.1 days). There were no perioperative complications, and all patients experienced symptom improvement immediately after the operation.

Conclusion: Repeated NPS can be an effective alternative treatment for cystic craniopharyngioma in the third ventricle, especially in elderly patients.

Keywords: Craniopharyngioma; cyst; elderly; endoscopy; palliation

About the article

Corresponding author: Kimitoshi Sato, MD, Department of Neurosurgery, Kitasato University School of Medicine, 1–15–1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0374, Japan, Tel.: +81-42-778-9337, Fax: +81-42-778-7788

Received: 2012-10-22

Accepted: 2012-11-09

Published Online: 2012-12-18

Published in Print: 2013-02-01

Citation Information: Innovative Neurosurgery, Volume 1, Issue 1, Pages 67–72, ISSN (Online) 2193-5238, ISSN (Print) 2193-522X, DOI: https://doi.org/10.1515/ins-2012-0010.

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©2013 by Walter de Gruyter Berlin Boston.Get Permission

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