Abstract
In addressing the problem of craniopharyngioma one is struck by the manysidedness of the disease, by the controversy that it has always generated, by the successes and, even more, by the unexpected failures of treatment, surgical and other, reported in this battle against an entity often inappropriately termed “benign.” Malis’ quip about meningiomas of the confluens sinuum “the one good thing about torcular meningiomas is their rarity” (1988) might be applied to craniopharyngiomas but for the unfortunate fact that they are not so rare and thus even this one small virtue is lacking. Wry humor aside, the patient who consults us about a space-occupying lesion of the sellar region that might be a craniopharyngioma always represents a matter to be faced with extreme caution, competence, flexibility, and the heightened awareness that demands total commitment from everyone before, during, and after the surgical act, which of course remains the crucial moment for the future of these patients.
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References
Amacher AL (1980) Craniopharyngioma: the controversy regarding radiotherapy. Childs Brain 6:57–64
Arita N, Mori S, Ikeda T, et al (1986) Removal of craniopharyngioma by a unilateral interhemispheric trans-lamina terminalis approach: operative procedures and postoperative management. In: Samii M (ed) Surgery in and around the brain stem and the third ventricle. Springer, Berlin, Heidelberg, New York, pp 389–395
Bartlett JR (1971) Craniopharyngiomas. An analysis of some aspects of symptomatology, radiology and histology. Brain 94:725–732
Baskin DS, Wilson CB (1986) Surgical management of craniopharyngiomas. A review of 74 cases. J Neurosurg 65:22–27
Carmel PW (1985) Craniopharyngiomas. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 905–916
Choux M, Lena G, Genitori L (1991) Le craniopharyngiome de l’ enfant. Neurochirurgie 37 (Suppl. 1):1–174
Grant DB, Lyen K (1982) Hypopituitarism after surgery for craniopharyngioma. Childs Brain 9:201–204
Hoffman HJ, Raffel C (1989) Craniopharyngiomas. In: McLaurin RL, Venes JL, Schut L, Epstein F (eds) Pediatric neurosurgery, 2nd edn. Saunders, Philadelphia, pp 399–408
Hoffman HJ, Chuang S, Ehrlich R, et al (1985) The microsurgical removal of craniopharyngiomas in childhood. Conc Pediatr Neurosurg 6: pp 52–62
Konovalov AN (1981) Operative management of craniopharyngiomas. Adv Tech Stand Neurosurg 8:291–318
Konovalov AN (1987) Technique and strategies of direct surgical management of craniopharyngioma. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams and Wilkins, Baltimore, pp 542–553
Matson DD, Crigler JF (1969) Management of craniopharyngioma in childhood. J Neurosurg 30:377–390
Richmond IL, Wara WM, Wilson CB (1980) Role of radiation therapy in the management of craniopharyngiomas in children. Neurosurgery 6:513–517
Ross HS, Rosenberg S, Friedman AH (1973) Delayed radiation necrosis of the optic nerve. Am J Ophthalmol 76:683–685
Suzuki J, Katakura R, Mori T (1984) Interhemispheric approach through the lamina terminalis to tumors of the anterior part of the third ventricle. Surg Neurol 22:157–163
Sweet WH (1976) Radical surgical treatment of craniopharyngioma. Clin Neurosurg 23:52–79
Symon L, Sprich W (1985) Radical excision of craniopharyngioma. Results in 20 patients. J Neurosurg 62:174–181
Thomsett MJ, Conte FA, Kaplan SL, et al (1980) Endocrine and neurologic outcome in childhood craniopharyngioma: review of effect of treatment in 42 patients. J Pediatr 97:728–735
Van Den Berge JH, Blaauw G, Breeman WAP, et al (1992) Intracavitary brachytherapy of cystic craniopharyngiomas. J Neurosurg 77:545–550
Yasargil MG, Curcic M, Kis M, et al (1990) Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients. J Neurosurg 73:3–11
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© 1995 Springer-Verlag Italia
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Giombini, S., Pluchino, F. (1995). Direct Microsurgery of Craniopharyngiomas: A Review of the Series of the Istituto Neurologico of Milan, Italy. In: Broggi, G. (eds) Craniopharyngioma. Springer, Milano. https://doi.org/10.1007/978-88-470-2291-1_5
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DOI: https://doi.org/10.1007/978-88-470-2291-1_5
Publisher Name: Springer, Milano
Print ISBN: 978-3-540-75001-7
Online ISBN: 978-88-470-2291-1
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