Introduction. Cystic craniopharyngiomas are the most common form of craniopharyngiomas. The treatment is still debated. The less aggressive and multidisciplinary approach is more recommended. Methods. We describe 4 cases of cystic craniopharyngiomas managed in our department by implantation of an Ommaya reservoir. The diagnosis was retained on imaging and in front of the appearance of the cyst puncture fluid. Intracystic chemotherapy with bleomycin was performed in 2 cases. Results. Patient’s age was 3, 34, 51 and 65 years. There were 2 female and 2 male patients. Clinical signs were dominated by headache (4 cases) and visual disturbances (4 cases). The Ommaya reservoir was placed with an endoscope in 2 cases. Postoperative insipid diabetes was noted in these 2 cases. A puncture of the Ommaya reservoir was performed on average every 3 weeks (2 cases) in the absence of Bleomycin. Infection was noted in these 2 cases. The evolution was favorable in 3 cases including the 2 cases of Bleomycin injection. Conclusion. Ommaya reservoir implantation was a satisfactory alternative to surgical excision of craniopharyngiomas. The use of the endoscope increased the risk of developing insipid diabetes. Close punctures of the reservoir increased the risk of infection. Intra-cystic Bleomycin stopped the punctures of the reservoir.
| Published in | International Journal of Neurosurgery (Volume 7, Issue 1) |
| DOI | 10.11648/j.ijn.20230701.12 |
| Page(s) | 7-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Craniopharyngioma, Ommaya Reservoir, Bleomycin
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APA Style
Denléwendé Sylvain Zabsonre, Eustache Kienou, Joseph Biogo, Louis Junior Comboigo, Wendlasida Serge Pacome Arnauld Yameogo, et al. (2023). Cystic Craniopharyngiomas Treated by Ommaya Reservoir Implantation About 4 Cases Including 2 Cases of Intracystic Injection of Bleomycin. International Journal of Neurosurgery, 7(1), 7-12. https://doi.org/10.11648/j.ijn.20230701.12
ACS Style
Denléwendé Sylvain Zabsonre; Eustache Kienou; Joseph Biogo; Louis Junior Comboigo; Wendlasida Serge Pacome Arnauld Yameogo, et al. Cystic Craniopharyngiomas Treated by Ommaya Reservoir Implantation About 4 Cases Including 2 Cases of Intracystic Injection of Bleomycin. Int. J. Neurosurg. 2023, 7(1), 7-12. doi: 10.11648/j.ijn.20230701.12
AMA Style
Denléwendé Sylvain Zabsonre, Eustache Kienou, Joseph Biogo, Louis Junior Comboigo, Wendlasida Serge Pacome Arnauld Yameogo, et al. Cystic Craniopharyngiomas Treated by Ommaya Reservoir Implantation About 4 Cases Including 2 Cases of Intracystic Injection of Bleomycin. Int J Neurosurg. 2023;7(1):7-12. doi: 10.11648/j.ijn.20230701.12
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Download@article{10.11648/j.ijn.20230701.12,
author = {Denléwendé Sylvain Zabsonre and Eustache Kienou and Joseph Biogo and Louis Junior Comboigo and Wendlasida Serge Pacome Arnauld Yameogo and Henri Lankoande and Abdoulaye Thiombiano and Abdoulaye Sanou and Yacouba Haro and Inoussa Zoungrana and Abel Kabre},
title = {Cystic Craniopharyngiomas Treated by Ommaya Reservoir Implantation About 4 Cases Including 2 Cases of Intracystic Injection of Bleomycin},
journal = {International Journal of Neurosurgery},
volume = {7},
number = {1},
pages = {7-12},
doi = {10.11648/j.ijn.20230701.12},
url = {https://doi.org/10.11648/j.ijn.20230701.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230701.12},
abstract = {Introduction. Cystic craniopharyngiomas are the most common form of craniopharyngiomas. The treatment is still debated. The less aggressive and multidisciplinary approach is more recommended. Methods. We describe 4 cases of cystic craniopharyngiomas managed in our department by implantation of an Ommaya reservoir. The diagnosis was retained on imaging and in front of the appearance of the cyst puncture fluid. Intracystic chemotherapy with bleomycin was performed in 2 cases. Results. Patient’s age was 3, 34, 51 and 65 years. There were 2 female and 2 male patients. Clinical signs were dominated by headache (4 cases) and visual disturbances (4 cases). The Ommaya reservoir was placed with an endoscope in 2 cases. Postoperative insipid diabetes was noted in these 2 cases. A puncture of the Ommaya reservoir was performed on average every 3 weeks (2 cases) in the absence of Bleomycin. Infection was noted in these 2 cases. The evolution was favorable in 3 cases including the 2 cases of Bleomycin injection. Conclusion. Ommaya reservoir implantation was a satisfactory alternative to surgical excision of craniopharyngiomas. The use of the endoscope increased the risk of developing insipid diabetes. Close punctures of the reservoir increased the risk of infection. Intra-cystic Bleomycin stopped the punctures of the reservoir.},
year = {2023}
}
TY - JOUR T1 - Cystic Craniopharyngiomas Treated by Ommaya Reservoir Implantation About 4 Cases Including 2 Cases of Intracystic Injection of Bleomycin AU - Denléwendé Sylvain Zabsonre AU - Eustache Kienou AU - Joseph Biogo AU - Louis Junior Comboigo AU - Wendlasida Serge Pacome Arnauld Yameogo AU - Henri Lankoande AU - Abdoulaye Thiombiano AU - Abdoulaye Sanou AU - Yacouba Haro AU - Inoussa Zoungrana AU - Abel Kabre Y1 - 2023/05/10 PY - 2023 N1 - https://doi.org/10.11648/j.ijn.20230701.12 DO - 10.11648/j.ijn.20230701.12 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 7 EP - 12 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20230701.12 AB - Introduction. Cystic craniopharyngiomas are the most common form of craniopharyngiomas. The treatment is still debated. The less aggressive and multidisciplinary approach is more recommended. Methods. We describe 4 cases of cystic craniopharyngiomas managed in our department by implantation of an Ommaya reservoir. The diagnosis was retained on imaging and in front of the appearance of the cyst puncture fluid. Intracystic chemotherapy with bleomycin was performed in 2 cases. Results. Patient’s age was 3, 34, 51 and 65 years. There were 2 female and 2 male patients. Clinical signs were dominated by headache (4 cases) and visual disturbances (4 cases). The Ommaya reservoir was placed with an endoscope in 2 cases. Postoperative insipid diabetes was noted in these 2 cases. A puncture of the Ommaya reservoir was performed on average every 3 weeks (2 cases) in the absence of Bleomycin. Infection was noted in these 2 cases. The evolution was favorable in 3 cases including the 2 cases of Bleomycin injection. Conclusion. Ommaya reservoir implantation was a satisfactory alternative to surgical excision of craniopharyngiomas. The use of the endoscope increased the risk of developing insipid diabetes. Close punctures of the reservoir increased the risk of infection. Intra-cystic Bleomycin stopped the punctures of the reservoir. VL - 7 IS - 1 ER -
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