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- Department of Neurosurgery, Centre for Skull Base and Pituitary Neurosurgery, Bristol Institute of Clinical Neuroscience, Southmead Hospital, Bristol, United Kingdom.
Correspondence Address:
Kumar Abhinav, Department of Neurosurgery, Centre for Skull Base and Pituitary Neurosurgery, Bristol Institute of Clinical Neuroscience, Southmead Hospital, Bristol, United Kingdom.
DOI:10.25259/SNI_1182_2021
Copyright: © 2022 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Patricio Gimenez, Mahmoud Asad, Karin Bradley, Natasha Thorogood, Warren Bennett, Kumar Abhinav. Surgical resection of giant extrasellar thyrotropinoma: Use of orbitozygomatic and endoscopic endonasal approach. 31-Mar-2022;13:119
How to cite this URL: Patricio Gimenez, Mahmoud Asad, Karin Bradley, Natasha Thorogood, Warren Bennett, Kumar Abhinav. Surgical resection of giant extrasellar thyrotropinoma: Use of orbitozygomatic and endoscopic endonasal approach. 31-Mar-2022;13:119. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=11509
Date of Submission
27-Nov-2021
Date of Acceptance
10-Mar-2022
Date of Web Publication
31-Mar-2022
Abstract
Background: Thyrotropinomas (TSHoma) are rare pituitary adenomas.
Case Description: A 34-year-old female presented with mild bitemporal field defect in third trimester with intact pituitary function. MRI demonstrated an enhancing lesion from the posterior planum to suprasellar, interpeduncular and prepontine cisterns with chiasmal compression and right fetal posterior communicating artery encasement. With no sellar expansion, the differentials included meningioma or craniopharyngioma. She underwent a postpartum expanded endoscopic endonasal transtuberculum transchiasmatic sulcus approach [
Conclusion: Operative treatment strategy is presented for a rare large challenging multicompartmental extrasellar TSHoma using endoscopic endonasal and open skull base approaches.
Keywords: Endoscopic endonasal, Giant, Orbitozygomatic, Thyrotropinoma
Video 1
Annotations
00:00: Clinical presentation 01:08: Intraoperative findings during endoscopic procedure 02:33: Set up and positioning 03:38: Operative video 08:24: Disease background and clinical outcome.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
