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Surgical Craniopharyngioma Treatment

  • V. V. Dolenc
  • G. Mariniello
  • A. Horvat
  • J. Sustersic
  • B. P. Prestor
  • R. Pregelj

Abstract

Craniopharyngiomas are histologically benign tumors of maldevelopmental origin, occurring mainly in the intra- and suprasellar regions. These neoplasms arise from epithelial remnants of squamous cells of Rathke’s pouch stomodeal epithelium. Craniopharyngiomas represent 2.5%-3% of all intracranial tumors. About 50% of them occur in childhood. These tumors may be predominantly cystic (with no significant solid portion), mixed (cystic and solid components), or predominantly solid. The fluid in the cysts varies but is usually brownish, containing cholesterol crystals. In all cases craniopharyngiomas have a stratified squamous epithelium resting on a collagenous basement membrane.

Keywords

Cavernous Sinus Pituitary Stalk Optic Canal Superior Orbital Fissure Fourth Cranial Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Al-Mefty O, Hassaounah M, Weaver P (1985) Microsurgery for giant craniopharyngiomas in children. Neurosurgery 17:585–595PubMedCrossRefGoogle Scholar
  2. Apuzzo MLJ, Chikovani OK, Gott PS (1982) Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences. Neurosurgery 10:547–554PubMedCrossRefGoogle Scholar
  3. Apuzzo MLJ, Zee C, Breeze RE (1987) Anterior and mid-third ventricular lesions: a surgical overview. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams and Wilkins, Baltimore, pp 518–520Google Scholar
  4. Backlund EO (1973) Studies on craniopharyngiomas. III. Stereotaxic treatment with intracystic yttrium-90. Acta Chir Scand 139:237–247PubMedGoogle Scholar
  5. Backlund EO (1987) Role of stereotaxis in the management of midline cerebral lesions. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams and Wilkins, Baltimore, pp 802–805Google Scholar
  6. Baskin DS, Wilson CB (1986) Surgical management of cramopharyngiomas. A review of 74 cases. J Neurosurg 65:22–27PubMedCrossRefGoogle Scholar
  7. Bucci MN, Chin LS, Hoff JT (1987) Perioperative morbidity associated with operative resection of craniopharyngioma: a review of ten years experience. Neurochirurgia 30:135–138PubMedGoogle Scholar
  8. Dolenc VV (1985) A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62:667–672PubMedCrossRefGoogle Scholar
  9. Dolenc VV (1989) Anatomy and surgery of the cavernous sinus. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  10. Dolenc VV, Skrap M, Sustersic J, Skrbec M, Morina A (198 7) A trancavernoustranssellar approach to the basilar tip aneurysms. BJN 1:251–259Google Scholar
  11. Dolenc VV, Prestor BP, Sustersic J, Pregelj R (1994) Transclinoid-transsellartranscavernous approach to basilar tip aneurysms. In: Pasqualin A, Da Pian R (eds) New trends in management of cerebro-vascular malformations. Springer, Vienna, pp 231–237CrossRefGoogle Scholar
  12. Konovalov AN (1981) Operative management of craniopharyngiomas. Adv Tech St<b>and</b> Neurosurg 8:291–318Google Scholar
  13. 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 542–553Google Scholar
  14. Kramer S (1976) Craniopharyngioma: the best treatment is conservative surgery and postoperative radiation therapy. In: Morley TP (ed) Current controversies in neurosurgery. Saunders, Philadelphia, pp 336–343Google Scholar
  15. Laws ER (1980) Transsphenoidal microsurgery in the management of craniopharyngiomas. J Neurosurg 52:661–666PubMedCrossRefGoogle Scholar
  16. Patterson RH, Danylevich A (1980) Surgical removal of craniopharyngiomas by a transcranial approach through the lamina terminalis and sphenoid sinus. Neurosurgery 7:111–117PubMedCrossRefGoogle Scholar
  17. Richmond IL, Wara WM, Wilson CB (1980) Role of radiation therapy in the management of craniopharyngiomas in children Neurosurgery 6:513–517PubMedCrossRefGoogle Scholar
  18. Rougerie J (1979) What we can expect from the surgical treatment of craniopharyngiomas in children. Report of 92 cases. Childs Brain 5:433–449PubMedGoogle Scholar
  19. Sweet WH (1979) Recurrent craniopharyngiomas: therapeutic alternatives. Clin Neurosurg 27:206–229Google Scholar
  20. Symon L, Sprich W (1985) Radical excision of craniopharyngiomas. Results in 20 patients. J Neurosurg 62:174–181PubMedCrossRefGoogle Scholar
  21. Yasargil MG, Teddy PJ, Roth P (1987) Combined approaches. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams and Wilkins, Baltimore, pp 462–475Google Scholar
  22. Yasargil MG, Curcic M, Kis M (1990) Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients. J Neurosurg 73:3–11PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1995

Authors and Affiliations

  • V. V. Dolenc
    • 1
  • G. Mariniello
    • 1
  • A. Horvat
    • 1
  • J. Sustersic
    • 1
  • B. P. Prestor
    • 1
  • R. Pregelj
    • 1
  1. 1.Department of NeurosurgeryUniversity Hospital CenterLjubljanaSlovenia

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