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Trans-eyebrow supraorbital endoscope-assisted keyhole approach to suprasellar meningioma in pediatric patient:case report and literature review

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Chinese Neurosurgical Journal 2023年第1期9卷 65-74页

作者： elizaveta i.safronova Suzanna A.Galstyan Yury V.Kushel Pediatric Neurosurgery Department Burdenko Neurosurgical Center164th Tverskaya-Yamskaya StMoscowRussia Pathology Department Burdenko Neurosurgical Center164th Tverskaya-Yamskaya StMoscowRussia

Background:Meningiomas are rather uncommon tumors in the pediatric population,differing significantly from those found in adults by their atypical location,higher rate of more malignant types,consequently higher risk of recurrence and a less favorable *** in children,suprasellar meningiomas without dural matrix are rare findings mimicking more common suprasellar *** presentation:Here we describe a case of a 12-year-old girl who presented with a rapidly progressing chiasmal syndrome and was diagnosed by MRi with an unusual suprasellar tumor that could not fit the diagnoses expected in a case of a parasellar mass in a child,similar to a craniopharyngioma or optic pathway *** multiple clinical investigations,the tumor etiology was still unclear,so the preferred option of treatment was surgical *** endoscope-assisted gross total resection through a supraorbital keyhole approach was performed uneventfully,with total vision recovery in a short *** meningiomas located in the skull base without dural attachment appear to be rare,even in pediatric ***:Differential diagnoses of suprasellar and para sellar tumor lesions in pediatric patients can be *** are peculiar features of pediatric tumor diseases that should be considered while working out the management *** main principle of meningioma treatment is the highest possible extent of resection minimally affecting the quality of life.

关键词： Pediatric meningioma Suprasellar tumor Chiasmal syndrome Pediatric neurosurgery Keyhole supraorbital approach Endoscopic assistance

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