Search for


search for




 

Endoscopic endonasal surgery for an optic pathway hypothalamic glioma: A case report
J Korean Skull Base Soc 2024;19(2):131-136
Published online October 31, 2024
© 2024 Korean Skull Base Society.

Joo Sung Kim1, Se Hoon Kim2,3, Eui Hyun Kim1,3,4

1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea
2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
3Brain Tumor Center, Severance Hospital, Seoul, Korea
4Endoscopic Skull Base Center, Severance Hospital, Seoul, Korea
Correspondence to: Eui Hyun Kim
E-mail euihyunkim@yuhs.ac
ORCID https://orcid.org/0000-0002-2523-7122
Received September 5, 2024; Accepted September 20, 2024.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords : Endoscopic endosnasal surgery, Optic pathway hypothalamic glioma, Visual field defect

October 2024, 19 (2)
Full Text(PDF) Free

Social Network Service
Services

Cited By Articles
  • CrossRef (0)

Author ORCID Information