Abstract
Stereotactic treatment of craniopharyngiomas was developed in the 1960s in our department as a minimally invasive alternative to conventional large craniotomy with attempts to radically extirpate the tumor (Backlund et al. 1972; Backlund 1973a, 1973b; Bosch and Beekhuis 1979; Julow et al. 1985). Before the complete development of microsurgery as it is known today major surgical interventions were often accompanied by postoperative complications and dramatic intensive care, with a high risk of mortality and morbidity. Consequently, it was a great step forward to be able to control these tumors by stereotactic procedures, which can be carried out under local anesthesia and the patient released from the hospital the following day. With stereotactic treatment the tumor is not extirpated, but in the long term, the tumor remnant has been quiescent in many cases and offered the patient a possibility to maintain a good quality of life.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Amendola BE, Gebarski SS, Bermudez AG (1985) Analysis of treatment results in craniopharyngioma. J Clin Oncol 3:252–258
Backlund EO (1973a) Studies on craniopharyngiomas III. Stereotaxic treatment with intracystic yttrium-90. Acta Chir Scand 139:237–247
Backlund EO (1973b) Studies on craniopharyngiomas IV. Stereotaxic treatment with radiosurgery. Acta Chir Scand 139:344–351
Backlund EO, Johansson L, Sarby B (1972) Studies on craniopharyngiomas II. Treatment by stereotaxis and radiosurgery. Acta Chir Scand 138:749–759
Backlund EO, Axelsson B, Bergstrand CG, Eriksson A-L, Norén G, Ribbesjö E, Rähn T, Schnell PO, Tallstedt L, Sääf M, Thorén M (1989) Treatment of craniopharyngiomas — the stereotactic approach in a ten to twenty-three years’ perspective. I. Surgical, radiological and ophthalmological aspects. Acta Neurochir (Wien) 99:11–19
Bosch DA, Beekhuis H (1979) Stereotactic application of 90Yttrium in cystic brain tumors. Neuropädiatrie 10:414–415
Cavazutti V, Fischer EG, Welch K, Belli JA, Winston KR (1983) Neurological and psychophysiological sequelae following treatment of craniopharyngioma in children. J Neurosurg 59:409–417
Clopper RR, Meyer WJ, Udvarhelyi GB, Money J, Aarabi B, Mulvihill J J, Piasio M (1977) Postsurgical IQ and behavioral data on twenty patients with a history of childhood craniopharyngioma. Psychoneuroendocrinology 2:365–377
Danoff BF, Cowchock FS, Kramer S (1983) Childhood craniopharyngioma: survival, local control, endocrine and neurologic function following radiotherapy. Int J Radiat Oncol Biol Phys 9:171–175
Flick TH, Michel M (1986) Rehabilitation jugendlicher Kraniopharyngeom-Patienten. Rehabilitation 25:45–52
Galatzer A, Nofar E, Beit-Halachmi N, Aran O, Shalit M, Roitman A, Laron Z (1981) Intellectual and psychosocial functions in children, adolescents and young adults before and after operation for craniopharyngioma. Child Care Health Dev 7:307–316
Galatzer A, Aran O, Beit-Halachmi N, Nofar E, Rubitchek J, Pertzelan A, Laron Z (1987) The impact of long-term therapy by a multi-disciplinary team on the education, occupation and marital status of growth hormone deficient patients after termination of therapy. Clin Endocrinol 27:191–196
Julow J, Lanyi F, Hajda M, et al (1985) The radiotherapy of cystic craniopharyngiomas with intracystic instillation of 90Y silicate colloid. Acta Neurochir (Wien) 74:94–99
Lapras C, Patet JD, Mottolese C, Gharbi S, Lapras Ch (1987) Craniopharyngiomas in childhood: analysis of 42 cases. Prog Exp Tumor Res 30:350–358
Lindqvist G (1966) Mental changes after transsphenoidal hypophysectomy. Acta Phsychiatr Scand Suppl 42:190
Mori K, Handa H, Murata T, Takeuchi T, Miwa S, Osaka K (1980) Results of treat ment of craniopharyngioma. Childs Brain 6:303–312
Stelling MW, McKay SE, Carr WA, Walsh JW, Baumann RJ (1986) Frontal lobe lesions and cognitive function in craniopharyngioma survivors. Am J Dis Child 140:710–714
Symon L, Sprich W (1985) Radical excision of craniopharyngioma. Results in 20 patients. J Neurosurg 62:174–181
Sääf M, Thorén M, Bergstrand CG, Norén G, Rähn T, Tallstedt L, Backlund EO (1989) Treatment of craniopharyngiomas — the stereotactic approach in a ten to twenty-three years perspective. II. Psychosocial situation and pituitary function. Acta Neurochir (Wien) 99:97–103
Thomsett MJ, Conte FA, Kaplan SL, Grumbach MM (1980) Endocrine and neurologic outcome in childhood craniopharyngioma: Review of effect of treatment in 42 patients. J Pediatr 97:728–735
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Italia
About this chapter
Cite this chapter
Rähn, T. (1995). Gamma Knife Radiosurgery and Intracystic Colloidal Isotope Treatment of Craniopharyngiomas. In: Broggi, G. (eds) Craniopharyngioma. Springer, Milano. https://doi.org/10.1007/978-88-470-2291-1_12
Download citation
DOI: https://doi.org/10.1007/978-88-470-2291-1_12
Publisher Name: Springer, Milano
Print ISBN: 978-3-540-75001-7
Online ISBN: 978-88-470-2291-1
eBook Packages: Springer Book Archive