Neurosurgical Review

, Volume 6, Issue 2, pp 43–49 | Cite as

Microsurgery of the hypothalamus with special reference to craniopharyngioma

  • L. Symon
Article

Summary

After a short survey of microanatomy, microtopography, neurophysiology and neuropathophysiology of the hypothalamus the surgical approaches to the hypothalamus with special reference to the craniopharyngiomas are described in detail. Based on 100 personal cases (1954–1979) the special procedure, depending on the site and extent of the tumour and its involvement of the hypothalamus, is discussed.

Primary radical excision (19 cases) with a mortality rate of 10.5% seems to be the method of choice, as late mortality recurrences and secondary operations are frequent after non-radical procedures. Modern microsurgical technique promises to achieve primary radical excision more frequently and with less risk.

Keywords

Craniopharyngiomas microsurgical treatment correlative microanatomy results 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Le Gros-Clarke, W. E., Beattie, J., Riddoch, G. and Dott, N. M.: “The Hypothalamus” Oliver and Boyd. 1938.Google Scholar
  2. 2.
    Crosby, E. C., Humphrey, T. and Lower, E. W.: Correlative anatomy of the nervous system. McMillan, New York, 1962.Google Scholar
  3. 3.
    Hoffman, H. J., Bendrick, E. B., Humphreys, R. P., Buncic, J. R., Armstrong, D. L. and Jenkin, R. D. T.: Management of craniopharyngioma in children. J. Neurosurg. 47: 218–227. 1974.Google Scholar
  4. 4.
    King, T. T.: Removal of intraventricular craniopharyngiomas through the lamina terminalis. Acta Neurochir. 45: 277–286. 1979.Google Scholar
  5. 5.
    Naidich, T. P., Pinto, R. S., Kushner, B. A., Lin, J. P., Kricheff, I. I., Leeds, N. E., Chase, N. E.: Evaluation of sellar and parasellar masses by computerised tomography. Radiology. 120: 19–99. 1976.Google Scholar
  6. 6.
    Ghatak, N. R., Hirano, A. and Zimmerman, H. M.: Ultrastructure of craniopharyngioma. Cancer, 27: 1465–1475. 1971.Google Scholar
  7. 7.
    Grcevic, N. and Yates, P. O.: Rosenthal fibers in tumors of the central nervous system. J. Pathol. 73: 467–472. 1957.Google Scholar
  8. 8.
    Zülch, K. J.: Brain Tumours. Their biology and pathology. 2nd American Edition, 326 pp. Springer Verlag, New York, pp. 228–233. 1965.Google Scholar
  9. 9.
    van der Bergh, R. and Brucher, J. K.: L'abord transventriculaire dans les craniopharyngiomes du troisième ventricule. Neurochirurgie, 16: 51–65. 1970.Google Scholar
  10. 10.
    Backlund, E.-O.: Stereotactic radiosurgery in intracranial tumours and vascular malformations. In: Advances and Technical standards in Neurosurgery. (Ed. H. Krayenbühl) Vol. 61 pp. 3–37, Springer Verlag, 1979.Google Scholar

Copyright information

© Verlag Walter de Gruyter & Co. 1983

Authors and Affiliations

  • L. Symon
    • 1
  1. 1.Gough Cooper Department of Neurological SurgeryInstitute of Neurology, National Hospital Queen SquareLondonUnited Kingdom

Personalised recommendations