Eyebrow Incision and Supraorbital Craniotomy: craniopharingioma

  • Dinark Conceição Viana Division of Pediatric Neurosurgery, Department of Surgery and Anatomy, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
  • Matheus Fernando Manzolli Ballestero Division of Pediatric Neurosurgery, Department of Surgery and Anatomy, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; Department of Medicine, Federal University of São Carlos, São Carlos, Brazil
  • Ricardo Santos de Oliveira Division of Pediatric Neurosurgery, Department of Surgery and Anatomy, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
Keywords: craniopharingioma, minimally invasive surgery, Supraorbital eyebrow approach

Abstract

A 6 year-old boy presented with progressive decrease of visual acuity in his left eye. Neurological examination revealed a left third nerve palsy. His ophthalmological assessment showed left amaurosis and right temporal hemianopia. Head magnetic resonance scans revealed a suprasellar parachiasmatic lesion causing compression of optic chiasm. The boy underwent a supraorbital craniotomy through a left eyebrow incision; gross total resection was achieved. Postoperatively, the patient was neurologically stable, with visual improvement and no additional neurological deficits. Pathology  confirmed the diagnosis of craniopharyngioma.

References

de Oliveira RS, Viana DC, Augusto LP, Santos MV, Machado HR. The supraorbital eyebrow approach for removal of craniopharyngioma in children: a case series. Child's Nervous System. 2018 Mar 1;34(3):547-53.

Jallo GI, Bognár L. Eyebrow surgery: the supraciliary craniotomy. Operative Neurosurgery. 2006 Jul 1;59(suppl-1):ONS-E157.

Published
2019-11-05