Urgent Optic Nerve Decompression via an Endoscopic Endonasal Transsphenoidal Approach for Craniopharyngioma in a 12-Month-Old Infant: A Case Report

2018 ◽  
Vol 53 (3) ◽  
pp. 182-187 ◽  
Author(s):  
Teishiki Shibata ◽  
Motoki Tanikawa ◽  
Tomohiro Sakata ◽  
Mitsuhito Mase
Keyword(s):  
Case Report ◽  
Optic Nerve ◽  
Transsphenoidal Approach ◽  
Endoscopic Endonasal ◽  
Nerve Decompression ◽  
Optic Nerve Decompression

scholarly journals P.093 Visual outcomes after expanded endoscopic endonasal resection of suprasellar meningiomas and optic nerve decompression

2019 ◽  
Vol 46 (s1) ◽  
pp. S38
Author(s):  
K Yang ◽  
Y Ellenbogen ◽  
J Kim ◽  
A Rodriguez ◽  
D Sommer ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Optic Nerve ◽  
Visual Outcome ◽  
Symptom Duration ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Visual Symptoms ◽  
Nerve Decompression ◽  
Optic Nerve Decompression

Background: The Endoscopic endonasal approach (EEA) has become increasingly popular in the treatment of suprasellar meningiomas, which often cause visual symptoms due to compression of the anterior optic apparatus. Methods: We performed a retrospective chart review on patients who underwent EEA optic nerve decompression and resection of suprasellar meningiomas between January 1st 2005 and December 1st 2018 at McMaster University. Results: The mean age of our patients was 59.8 years. We treated 9 male and 23 female patients, with a mean follow up of 6.29 years. 23 patients (71.9%) presented with visual symptoms, with a mean duration of 8.65 months. In our patient cohort, 95.5% had stable or improved visual acuity postoperatively. Less than six months of visual decline was more likely to be associated with postoperative improvement of visual acuity, with an odds ratio (OR) of 0.0222 (95% CI: 0.0017–0.289, p<0.05); as well as visual field (OR:0.0625; 95% CI, 0.0042–0.915, p<0.05). Additionally, the absence of RAPD was associated with improved postoperative visual acuity (OR: 0.0675; 95% CI, 0.0354–0.706, p<0.05). Conclusions: Endoscopic endonasal approach can achieve good visual outcome in patients harboring suprasellar meningiomas. Symptom duration of less than six months and absence of RAPD were positive predictor of postoperative visual outcome.

scholarly journals Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature

2014 ◽  
Vol 37 (4) ◽  
pp. E19 ◽  
Author(s):  
Moncef Berhouma ◽  
Timothee Jacquesson ◽  
Lucie Abouaf ◽  
Alain Vighetto ◽  
Emmanuel Jouanneau ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Minimally Invasive ◽  
Invasive Technique ◽  
Ossifying Fibroma ◽  
Symptom Duration ◽  
Imaging Data ◽  
Orbital Apex ◽  
Endoscopic Endonasal ◽  
Nerve Decompression ◽  
Optic Nerve Decompression

Object While several approaches have been described for optic nerve decompression, the endoscopic endonasal route is gaining favor because it provides excellent exposure of the optic canal and the orbital apex in a minimally invasive manner. Very few studies have detailed the experience with nontraumatic optic nerve decompressions, whereas traumatic cases have been widely documented. Herein, the authors describe their preliminary experience with endoscopic endonasal decompression for nontraumatic optic neuropathies (NONs) to determine the procedure’s efficacy and delineate its potential indications and limits. Methods The medical reports of patients who had undergone endoscopic endonasal optic nerve and orbital apex decompression for NONs at the Lyon University Neurosurgical Hospital in the period from January 2012 to March 2014 were reviewed. For all cases, clinical and imaging data on the underlying pathology and the patient, including demographics, preoperative and 6-month postoperative ophthalmological assessment results, symptom duration, operative details with video debriefing, as well as the immediate and delayed postoperative course, were collected from the medical records. Results Eleven patients underwent endoscopic endonasal decompression for NON in the multidisciplinary skull base surgery unit of the Lyon University Neurosurgical Hospital during the 27-month study period. The mean patient age was 53.4 years, and there was a clear female predominance (8 females and 3 males). Among the underlying pathologies were 4 sphenoorbital meningiomas (36%), 3 optic nerve meningiomas (27%), and 1 each of trigeminal neuroma (9%), orbital apex meningioma (9%), ossifying fibroma (9%), and inflammatory pseudotumor of the orbit (9%). Fifty-four percent of the patients had improved visual acuity at the 6-month follow-up. Only 1 patient whose sphenoorbital meningioma had been treated at the optic nerve atrophy stage continued to worsen despite surgical decompression. The 2 patients presenting with preoperative papilledema totally recovered. One case of postoperative epistaxis was successfully treated using balloon inflation, and 1 case of air swelling of the orbit spontaneously resolved. Conclusions Endoscopic endonasal optic nerve decompression is a safe, effective, and minimally invasive technique affording the restoration of visual function in patients with nontraumatic compressive processes of the orbital apex and optic nerve. The timing of decompression remains crucial, and patients should undergo such a procedure early in the disease course before optic atrophy.

Endoscopic Endonasal Optic Nerve Decompression with Durotomy: Pis Aller in the Mind of a Blind

2020 ◽  
Vol 68 (1) ◽  
pp. 54 ◽  
Author(s):  
ArunK Srivastava ◽  
Suyash Singh ◽  
Deepak Khatri ◽  
AwadheshK Jaiswal ◽  
Ravi Sankar ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Endoscopic Endonasal ◽  
Nerve Decompression ◽  
Optic Nerve Decompression ◽  
The Mind

scholarly journals Endoscopic Trans-ethmo-sphenoidal Optic Nerve Decompression for Traumatic Optic Neuropathy: Case Series and Review

2015 ◽  
Vol 8 (3) ◽  
pp. 99-103
Author(s):  
Manish Gupta ◽  
Gavinder Singh Bindra ◽  
Ravi Vohra
Keyword(s):  
Optic Nerve ◽  
Optic Neuropathy ◽  
Case Series ◽  
Visual Outcome ◽  
Traumatic Optic Neuropathy ◽  
Nasal Endoscope ◽  
Endoscopic Endonasal ◽  
Tertiary Referral Center ◽  
Nerve Decompression ◽  
Optic Nerve Decompression

ABSTRACT Objective To assess the visual outcome after endoscopic, endonasal trans-ethmo-sphenoidal optic nerve decompression in patients with traumatic optic neuropathy. Materials and methods Prospective study, at tertiary referral center. Study included 12 patients with post-traumatic indirect unilateral optic nerve injury, not responding to medical management with methylprednisolone. These patients underwent optic nerve decompression via trans-ethmo-sphenoidal route using nasal endoscope. Main outcome measure was postoperative visual acuity. Results Out of the 12 cases of traumatic optic neuropathy (TON) operated upon, nine had good visual outcome. Conclusion The endoscopic endonasal trans-sphenoidal approach can decompress the traumatized and swollen optic nerve with excellent visualization of the orbital apex and optic canal, without the morbidity associated with brain retraction as in the conventional transcranial decompression. How to cite this article Gupta M, Bindra GS, Vohra R. Endoscopic Trans-ethmo-sphenoidal Optic Nerve Decompression for Traumatic Optic Neuropathy: Case Series and Review. Clin Rhinol An Int J 2015;8(3):99-103.

Endoscopic Endonasal Optic Nerve Decompression for Benign Pathology of the Optic Canal

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
T. Deklotz ◽  
S. Stefko ◽  
J. Fernandez-Miranda ◽  
P. Gardner ◽  
C. Snyderman ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Optic Canal ◽  
Endoscopic Endonasal ◽  
Nerve Decompression ◽  
Optic Nerve Decompression ◽  
Benign Pathology
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