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Schädelbasischirurgie pp 173–202Cite as

Kraniopharyngeome

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Zusammenfassung

Kraniopharyngeome sind relativ seltene, langsam wachsende, extraaxiale, benigne, teils zystische epitheliale Tumoren der Sellaregion. Symptome entwickeln sich häufig schleichend und werden durch Kompression der Hypophyse, des Thalamus, des dritten Ventrikels und des optischen Systems verursacht. Die radikale chirurgische Resektion ist eine große Herausforderung und kann schwere Komplikationen verursachen. Die Behandlung wird teils kontrovers diskutiert, die beiden hauptsächlich durchgeführten Optionen sind entweder eine makroskopisch vollständige Resektion oder eine geplante Teilresektion mit anschließender Radiatio. Es gibt eine Fülle chirurgischer Zugänge, von denen keiner grundsätzlich überlegen ist, jedoch sind sie in ihrer Gesamtheit nützlich, um einen fallspezifischen Zugang auszuwählen.

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Authors and Affiliations

  1. Rikshospitalet, Nevrokirurgisk avdeling, Sognsvannsveien 20, 0372, Oslo, Norwegen

    Prof. Dr. T. Meling

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  1. Prof. Dr. T. Meling
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Correspondence to T. Meling .

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  1. Karlsruhe, Deutschland

    Alexander König

  2. Karlsruhe, Deutschland

    Uwe Spetzger

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Meling, T. (2018). Kraniopharyngeome. In: König, A., Spetzger, U. (eds) Schädelbasischirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54672-7_10

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  • DOI: https://doi.org/10.1007/978-3-662-54672-7_10

  • Publisher Name: Springer, Berlin, Heidelberg

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