{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:11:18Z","timestamp":1774476678395,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"S 03","license":[{"start":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T00:00:00Z","timestamp":1518998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 49-year-old female presented with intense headaches of 3 months duration. Brain magnetic resonance imaging (MRI) was performed and showed a sellar\u2013suprasellar lesion extending into the third ventricle. A presumptive diagnosis of a craniopharyngioma was made. Since the patient did not have any visual deficits, she opted for conservative management. Four months later, she started to have progressive deterioration of vision; thus, surgery was indicated.<\/jats:p><jats:p>The patient underwent endoscopic endonasal resection of the lesion through a transtuberculum sellae approach. The patient was positioned supine with the head slightly extended and the face turned to the right side. Following the essence of a binostril four-hand technique, a total gross resection of the lesion was achieved and multilayer skull base reconstruction was performed utilizing collagen matrix and nasoseptal flap; with no intraoperative complications.<\/jats:p><jats:p>The patient's postoperative course was uneventful with the improvement in her vision, and she was discharged on postoperative day 4 with no new neurological deficits. Histopathological examination confirmed the diagnosis of an epidermoid cyst. Postoperative pituitary gland function was within normal limits except for mild diabetes insipidus for which she is on DDAVP 0.1\u2009mg twice daily. At 4 years follow-up, the patient was doing well, her vision was normalized, and brain MRI revealed no evidence of residual or recurrent lesion.<\/jats:p><jats:p>The link to the video can be found at: https:\/\/youtu.be\/OqDFpa_Xq78.<\/jats:p>","DOI":"10.1055\/s-0038-1624590","type":"journal-article","created":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T23:49:42Z","timestamp":1519084182000},"page":"S279-S280","source":"Crossref","is-referenced-by-count":5,"special_numbering":"S","title":["Endoscopic Endonasal Transtuberculum Sellae Approach for the Resection of Suprasellar  Intrainfundibular Epidermoid Cyst"],"prefix":"10.1055","volume":"79","author":[{"given":"Alaa","family":"Montaser","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"},{"name":"Department of Neurological Surgery, Ain Shams University Faculty of Medicine, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Revuelta Barbero","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Shahein","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Todeschini","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Otto","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Carrau","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Prevedello","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,2,19]]},"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1624590.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T20:16:03Z","timestamp":1557173763000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1624590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,19]]},"references-count":0,"journal-issue":{"issue":"S 03","published-online":{"date-parts":[[2018,3,21]]},"published-print":{"date-parts":[[2018,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1624590","relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"value":"2193-6331","type":"print"},{"value":"2193-634X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,19]]}}}