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. 2011 Dec 23;2:96. doi: 10.3389/fendo.2011.00096

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Copyright © 2011 Flitsch, Müller and Burkhardt.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non Commercial License, which permits non-commercial use, distribution, and reproduction in other forums, provided the original authors and source are credited.

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(A) Preoperative contrast enhanced MRI showing an infradiaphragmatic tumor rest after a previous transcranial surgery of a large craniopharyngioma. (B) Intraoperative fluoroscopy showing the surgical approach prior to opening of the sellar floor. Notice the catheter connected to a Rickham reservoir reaching the suprasellar region, which was implanted during the previous procedure. (C) Intraoperative microscopic view showing the catheter tip from the sella using a special mirror technique (Lüdecke technique). (D) Early postoperative MRI showing the extent of tumor resection. Up to today, no recurrence is reported.