title: [Neuroendoscopic placement of the reservoir in an elderly patient with recurrenced craniopharyngioma: case report].
abstract: We report a case of recurrent craniopharyngioma in the third ventricle with obstructive hydrocephalus, which was successfully treated by placement of the Ommaya reservoir by neuroendoscopic procedure. A 72-year-old male with disorientation and gait disturbance was admitted to our hospital. He had been suffering chronic heart failure and arrhythmia due to mitral valve insufficiency, and panhypopituitarism after the first craniotomy for craniopharyngioma. MRI demonstrated obstructive hydrocephalus at the foramen of Monro by the cystic tumor. Cyst decompression and placement of Ommaya reservoir were successfully performed in local anesthesia. Postoperatively, his disorientation and gait disturbance were improvement, and no chemical meningitis developed. Neuroendoscopic management for cystic craniopharyngioma with obstructive hydrocephalus was effective procedure for elderly patient with systemic risk factor.
authors.affiliation: Department of Neurosurgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume City, Fukuoka 830-0011, Japan.
authors.forename: Terukazu
authors.initials: T
authors.lastname: Kuramoto
authors.forename: Hisaaki
authors.initials: H
authors.lastname: Uchikado
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Tajima
authors.forename: Takashi
authors.initials: T
authors.lastname: Tokutomi
authors.forename: Minoru
authors.initials: M
authors.lastname: Shigemori
mesh_terms: D000368:Aged; D003397:Craniopharyngioma / Q000175:diagnosis / Q000601:surgery*; D003560:Cysts / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D044583:Neuroendoscopy; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D015898:Tomography Scanners, X-Ray Computed