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Endonasal ultrasonography-assisted neuroendoscopic transsphenoidal surgery

  • Case Report - Brain Tumors
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Abstract

We report endonasal ultrasonography (US)-assisted neuroendoscopic transsphenoidal surgery (TSS) in seven patients. With sagittal and coronal US images, internal carotid arteries, anterior cerebral arteries, residual tumor, and lateral ventricles were recognized, and the tumors were removed without leakage of cerebrospinal fluid in patients with pituitary adenoma. US images clearly depicted the carotid arteries, anterior cerebral arteries, middle cerebral arteries, chiasmatic cistern, and residual tumor. Endonasal US images can provide real-time animated information and may help neuroendoscopic TSS, whenever needed during TSS.

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Conflict of interest

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Authors and Affiliations

  1. Department of Neurosurgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiyaku, Saitamashi, Saitama, 330-8503, Japan

    Mami Ishikawa & Yuichi Tanaka

  2. Department of ENT Surgery, Sakura Hospital, Toho Medical Center, Chiba, Japan

    Yasushi Ota

  3. Department of ENT Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiyaku, Saitamashi, Saitama, 330-8503, Japan

    Naohiro Yoshida & Yukiko Iino

  4. Department of Neurosurgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsukeshi, Tochigi, 329-0498, Japan

    Eiju Watanabe

Authors
  1. Mami Ishikawa
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  2. Yasushi Ota
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  3. Naohiro Yoshida
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  4. Yukiko Iino
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  5. Yuichi Tanaka
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  6. Eiju Watanabe
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Corresponding author

Correspondence to Mami Ishikawa.

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Comment

Applying old technology in a new setting is how pituitary endoscopy came about. Many old-style microscope trans-sphenoidalists had difficulty believing Jho and his colleagues. Some have predicted ultrasound guidance would be the new way forward, so this intriguing paper could be a progenitor of a new TSS school.

Michael Powell

London, UK

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Ishikawa, M., Ota, Y., Yoshida, N. et al. Endonasal ultrasonography-assisted neuroendoscopic transsphenoidal surgery. Acta Neurochir 157, 863–868 (2015). https://doi.org/10.1007/s00701-015-2382-z

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  • DOI: https://doi.org/10.1007/s00701-015-2382-z

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