Skip to main content
Log in

Craniopharyngioma: the pendulum of surgical management

  • Special Annual Issue
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Background

For a long time, craniopharyngiomas have been considered surgically attractive tumours. The fact that they are rare, histologically benign, and located in a challenging (but considered accessible) area made them worthy surgical prizes.

Methods

As we have saved vision and “cured” many of these tumours, the insidious and devastating effects on quality of life for these children has become evident.

Discussion

The state-of-the-art in the surgical management of craniopharyngioma is now turning to multi-modality treatment strategies (combination surgery and radiotherapy) aiming to limit morbidity. Questions remain—what factors influence our surgical decision making? Do we understand the long-term effects of the radiotherapy now being employed? We review a series of craniopharyngiomas looking for variables that correlated with outcome as perceived in terms of quality of life and we review briefly the history of craniopharyngioma surgery and the relevant literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Brauner R, Malandry F, Rappaport R, Pierre-Kahn A, Hirsch JF (1987) Craniopharyngiomes de l’enfant, A propos de 37 cas. Arch Fr Pediatr 44:765–769

    PubMed  Google Scholar 

  2. Caldarelli M, Di Rocco C, Papacci F, Colosimo C Jr (1998) Management of recurrent craniopharyngioma. Acta Neurochir 140:447–454

    Article  Google Scholar 

  3. Carpentieri SC, Waber DP, Scott RM, Goumnerova LC, Kieran MW, Cohen LE, Kim F, Billett AL, Tarbell NJ, Pomeroy SL (2001) Memory deficits among children with craniopharyngiomas. Neurosurgery 49 (5):1053–1058

    Article  PubMed  Google Scholar 

  4. Cavazzuti V, Fischer EG, Welch K, Belli JA, Winston KR (1983) Neurological and psychological sequelae following different treatments of craniopharyngioma in children. J Neurosurg 59:409–417

    PubMed  Google Scholar 

  5. Choux M, Lena G, Genitori L (1991) Rapport de la société française de neurochirurgie, craniopharyngiomes de l’enfant. Neurochirurgie 37:Suppl 1

    Google Scholar 

  6. De Vile CJ, Grant DB, Kendall BE, Neville BGR, Stanhope R, Watkins KE, Hayward RD (1996) Management of childhood craniopharyngioma: can the morbidity of radical surgery be predicted? J Neurosurg 85:73–81

    PubMed  Google Scholar 

  7. De Vile CJ, Grant DB, Hayward RD, Kendall BE, Neville BGR, Stanhope R (1996) Obesity in childhood craniopharyngioma: relation to post-operative hypothalamic damage shown by magnetic resonance imaging. J Clin Endocrinol 81:2734–2737

    Article  Google Scholar 

  8. Epstein FJ, Handler MH (1994) Craniopharyngioma: the answer. Proc Symposium, New York, NY, December 17–19, 1993. Pediatr Neurosurg 21(Suppl 1):1–132

    PubMed  Google Scholar 

  9. Fischer EG, Welch K, Shillito J Jr, Winston KR, Tarbell NJ (1990) Craniopharyngiomas in children. Long term effects of conservative surgical procedures combined with radiation therapy. J Neurosurg 73:534–540

    PubMed  Google Scholar 

  10. Habrand J-L, Ganry O, Couanet D, Rouxel V, Levy-Piedbois C, Pierre-Kahn A, Kalifa C (1999) The role of radiation therapy in the management of craniopharyngioma: a 25-year experience and review of the literature. Int J Radiat Oncol Biol Phys 44:255–263

    Article  PubMed  Google Scholar 

  11. Hayward R (1999) The present and future management of childhood craniopharygioma. Childs Nerv Syst 15:764–769

    Article  PubMed  Google Scholar 

  12. Hetelekidis S, Barnes PD, Tao ML, Fischer EG, Schneider L, Scott RM, Tarbell NJ (1993) 20-year experience in childhood craniopharyngioma. Int J Radiat Oncol Biol Phys 27(2):189–195

    PubMed  Google Scholar 

  13. Hoffman HJ, Hendrick EB, Humphreys RP, Buncic JR, Amstrong DL, Jenkin RDT (1977) Management of craniopharyngioma in children. J Neurosurg 47:218–227

    PubMed  Google Scholar 

  14. 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

    PubMed  Google Scholar 

  15. Honegger J, Buchfelder M, Fahlbusch R (1999) Surgical treatment of craniopharyngiomas: endocrinological results. J Neurosurg 90:251–257

    PubMed  Google Scholar 

  16. Islas Cruz G, Vite Vargas JA, Hernandez Marin I, Aguirre Ramirez A, Tovar Rodriguez JM, Ayala Ruiz AR (2004) Craniopharyngioma and its impact upon human reproduction: analysis of 15 cases at the Hospital Juarez de Mexico. Ginecol Obstet Mex 72:345–348

    PubMed  Google Scholar 

  17. Merchant TE, Kiehna EN, Sanford RA, Mulhern RK, Thompson SJ, Wilson MW, Lustig RH, Kun LE (2002) Craniopharyngioma: the St Jude Children’s Research Hospital experience. Int J Radiat Oncol Biol Phys 53:533–542

    Article  PubMed  Google Scholar 

  18. Muller HL, Gebhardt U, Etvard-Gorris N, Korenke E, Warmuth-Metz M, Kolb R, Sorensen N, Calaminus G (2004) Prognosis and sequela in patients with childhood craniopharyngioma—results of HIT-ENDO and update on KRANIOPHARYNGEOM 2000. Klin Padiatr 216(6):343–348

    Article  PubMed  Google Scholar 

  19. Pierre-Kahn A, Brauner R, Renier D, Sainte-Rose C, Gangemi MA, Rappaport R, Hirsch JF (1988) Traitement des craniopharyngiomes de l’enfant. Analyse rétrospectives de 50 observations. Arch Fr Pediatr 45:163–167

    PubMed  Google Scholar 

  20. Pierre-Kahn A, Sainte-Rose C, Renier D (1994) Surgical approach to children with craniopharyngiomas and severely impaired vision: special considerations. Pediatr Neurosurg 21(Suppl 1):50–56

    Google Scholar 

  21. Poretti A, Grotzer MA, Ribi K, Schonle E, Boltshauser E (2004) Outcome of craniopharyngioma in children: long-term complications and quality of life. Dev Med Child Neurol 46(4):220–229

    Article  PubMed  Google Scholar 

  22. Rutka JT (2002) Craniopharyngioma. J Neurosurg 97:1–2

    Google Scholar 

  23. Takahashi H, Nakazawa S, Shimura T (1985) Evaluation of postoperative intratumoral injection of Bleomycin for craniopharyngioma in children. J Neurosurg 62:120–127

    PubMed  Google Scholar 

  24. Villani RM, Tomei G, Bello L, Sganzerla E, Ambrosi B, Re T, Barilari MG (1997) Long-term results of treatment for craniopharyngioma in children. Childs Nerv Syst 13:397–405

    Article  PubMed  Google Scholar 

  25. Voges J, Sturm V, Lehrke R, Treuer H, Gauss C, Berthold F (1997) Cystic craniopharyngioma: long-term results after intracavitary irradiation with stereotactically applied colloidal beta-emitting radioactive sources. Neurosurgery 40(2):263–270

    Article  PubMed  Google Scholar 

  26. Yasargil MG, Curcic M, Kis M, Siegenthaler G, Teddy PJ, Roth P (1990) Total removal of craniopharyngiomas. Approach and long-term results in 144 patients. J Neurosurg 73:3–11

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian Sainte-Rose.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sainte-Rose, C., Puget, S., Wray, A. et al. Craniopharyngioma: the pendulum of surgical management. Childs Nerv Syst 21, 691–695 (2005). https://doi.org/10.1007/s00381-005-1209-2

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-005-1209-2

Keywords

Navigation