내시경 경비강 접근법에 의한 시각경로 시상하부 교종 제거: 증례 보고

• 영문명: Endoscopic endonasal surgery for an optic pathway hypothalamic glioma: A case report
• 발행기관: 대한두개저학회
• 저자명: 김주성(Joo Sung Kim) 김세훈(Se Hoon Kim) 김의현(Eui Hyun Kim)
• 간행물 정보: 『대한두개저학회지』제19권 제2호, 131~136쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2024.10.31

국문 초록

Optic pathway hypothalamic gliomas (OPHGs) generally manifest as low-grade tumors, and conventional transcranial approaches remain the primary surgical corridors for tumor resection. Given the intuitive surgical view provided by endoscopic endonasal approaches for hypothalamic lesions, recent advancements have led to ongoing trials for debulking OPHGs. A 30-year-old female patient presented with transient left facial palsy and visual discomfort. Preoperative brain magnetic resonance imaging revealed a heterogeneously enhanced mass measuring approximately 3.3 cm within the third ventricle, accompanied by peritumoral edema in the optic nerve and optic tract. Pathological confirmation was obtained through endoscopy-guided biopsy, subsequently followed by endoscopic endonasal surgery for debulking the tumor mass. As optic pathway gliomas generally have favorable outcomes, postoperative complications significantly contribute to long-term morbidity. The utilization of the endoscopic endonasal approach for OPHGs may successfully alleviate the mass effect on nearby structures with relatively fewer postoperative complications.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONFLICT OF INTEREST

ORCID

REFERENCES

키워드

Endoscopic endosnasal surgery Optic pathway hypothalamic glioma Visual field defect