Surgical Management of Craniopharyngiomas
Craniopharyngiomas are benign, slowly growing tumors in the area of the hypothalamopituitary axis. According to data from the Japanese Brain Tumor Registry,1 in the 10-year period between 1969 and 1978 these tumors constituted 5.8% of all primary intracranial neoplasms (15,839 cases) (Fig. 1). They are seen fairly evenly at all ages, with some preponderance between the ages of 5 and 10 years (Fig. 2). Despite the advent of sophisticated microsurgical techniques, surgical management of craniopharyngiomas remains one of the most difficult and challenging subjects in neurosurgery. Although a wide variety of operative methods have been described, the optimum surgical approach continues to be a controversial issue. This report deals with our recent experience with the microsurgical treatment of 21 craniopharyngioma cases, and discussion will focus upon the comparison of our operative results by different surgical approaches and on the radicality of tumor resection.
KeywordsDiabetes Insipidus Germ Inoma Lamina Terminalis Subtotal Removal Optimum Surgical Approach
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