Abstract
Forty-eight consecutive children treated for craniopharyngioma at the Juan P. Garrahan National Paediatric Hospital (Buenos Aires, Argentina) from 1988 to 1994 are described. Complications of patients undergoing total resection alone and those undergoing subtotal or partial resection plus radiotherapy were compared. Survival time and quality of life proved more satisfactory in the former group, as there were no recurrences. In contrast, among the latter patients, 53% suffered relapses. Endocrinological complications were similar in the two groups. Postsurgical subdural haematomas were quite frequent and eight patients required treatment for intracranial hypertension. Vascular complications, though less common, led to high morbidity and mortality. There was a considerable incidence of shunt malfunction (80%), arguing against placement of a preoperative shunt, which tended besides to foster postsurgical subdural haematomas.
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References
Baskin DS, Wilson CB (1986) Surgical management of craniopharyngiomas: a review of 74 cases. J Neurosurg 65:22–27
Cabezudo Artero JM, Vaquero Crespo J, Bravo Zabalgoitia G (1984) Status of vision following surgical treatment of craniopharyngiomas. Acta Neurochir (Wien) 73:165–177
Fisher EG, Welch K, Shillito J, Winston KR, Tarbell NJ (1990) Craniopharyngiomas in children: long-term effects of conservative surgical procedures combined with radiation therapy. J Neurosurg 73:534–540
Hoffman HJ, De Silva M, Humphreys RP, Drake JM, Smith ML, Blaser SI (1992) Aggressive surgical management of craniopharyngiomas in children. J Neurosurg 76:47–52
Kinugasa K, Mandai S, Kamoto I, Sugiu K, Ohmoto T (1993) Surgical treatment of moyamoya disease: operative technique for encephalo-duro-arterio-myosynangiosis. Neurosurgery 32:527–531
Scott RM, Wolpert SM, Starnd R (1989) The moyamoya syndrome in chidren: variations in presentation and clinical course. In: Marlin AE (ed) Concepts in pediatric neurosurgery, vol 9, Karger, Basel, pp 185–197
Tomita T, McLone D (1993) Radical resections of childhood craniopharyngiomas. Pediatr Neurosurg 19:6–14
Yasargil MG, Curcic M, Kis M, Siegenthaler G, Teddy PJ, Roth P (1990) Total removal of craniopharyngiomas: approaches and long-term results in 144 patients. J Neurosurg 73:3–11
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Zuccaro, G., Jaimovich, R., Mantese, B. et al. Complications in paediatric craniopharyngioma treatment. Child's Nerv Syst 12, 385–390 (1996). https://doi.org/10.1007/BF00395090
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DOI: https://doi.org/10.1007/BF00395090