Bypass surgery to treat symptomatic fusiform dilation of the internal carotid artery following craniopharyngioma resection: report of 2 cases.
Neurosurg Focus
; 41(6): E17, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27903112
ABSTRACT
Fusiform dilation of the internal carotid artery (FDICA) is an infrequent vascular complication following resection of suprasellar lesions in the pediatric population, and its course appears to be benign without apparent clinical symptoms. However, data correlating symptomatic FDICA with bypass surgery are scarce. The authors here report 2 symptomatic cases that were treated using internal maxillary artery bypass more than 5 years after total removal of a craniopharyngioma at an outside institution. Both cases of FDICA were resected to relieve the mass effect and to expose the craniopharyngioma. The postoperative course was uneventful, and radiological imaging revealed graft conduit patency. To the authors' knowledge, this is the first reported use of extracranial to intracranial bypass to treat FDICA following removal of a suprasellar lesion. Their findings suggest that bypass surgery is a useful therapeutic approach for symptomatic cases of FDICA and total removal of recurrent craniopharyngioma. Moreover, the indications for surgical intervention and treatment modalities are discussed in the context of previous relevant cases.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Hipofisárias
/
Complicações Pós-Operatórias
/
Artéria Carótida Interna
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Procedimentos Neurocirúrgicos
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Craniofaringioma
/
Aneurisma
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adolescent
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Female
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Humans
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Male
Idioma:
En
Revista:
Neurosurg Focus
Assunto da revista:
NEUROCIRURGIA
Ano de publicação:
2016
Tipo de documento:
Article