Skip to main content

Role of the Transsphenoidal Approach in the Surgical Treatment of Craniopharyngiomas

  • Chapter
  • 64 Accesses

Abstract

During the first 10 years of this century the transsphenoidal (TNS) approach was developed to treat pituitary tumors (Cushin 1932), but the limitations of this route in removing tumors other than pituitary adenomas were soon recognized. Craniopharyngiomas are rarely confined to the sella turcica (Carmel 1985); their capsule is frequently firmly adherent to suprasellar vascular and nervous structures and their consistency is variable, but often quite hard. Today, the preferred treatment of craniopharyngiomas is radical surgical removal at the first attempt (Yasargil et al. 1990; Hoffman et al. 1992), and given these premises the question arises as to whether the TNS approach has a role in the treatment of these tumors.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Baskin DS, Wilson CB (1986) Surgical management of craniopharyngiomas. J Neurosurg 65:22–27

    Article  PubMed  CAS  Google Scholar 

  • Carmel PW (1985) Craniopharyngiomas. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. Mc Graw-Hill, New-York, p 905

    Google Scholar 

  • Choux M, Lena G, Genitori L (1991) Le craniopharyngiome de l’enfant. Neurochir, 37:[Suppl 1]

    Google Scholar 

  • Cushing H (1932) Pituitary body, hypothalamus and parasympathetic nervous system. Thomas, Springfield

    Google Scholar 

  • Grisoli F, Vincentelli F, Farnarier P et al (1982) Transsphenoidal microsurgery in the management of non-pituitary tumors of the sella turcica. In: Brock M (ed) Modern neurosurgery, vol 1. Springer, Berlin Heidelberg New York, pp 193–204

    Chapter  Google Scholar 

  • Hardy J, Vezina JL (1976) Transsphenoidal surgery of intracranial neoplasms. Adv Neurol 15:261–274

    PubMed  CAS  Google Scholar 

  • Hoffman HJ, De Silva M, Humphreys RP, et al (1992) Aggressive surgical management of craniopharyngiomas in children. J Neurosurg 76:47–52

    Article  PubMed  CAS  Google Scholar 

  • Konig A, Ludecke DK, Herrmann HD (1986) Transnasal surgery in the treatment of craniopharyngiomas. Acta Neurochir 83:1–7

    Article  PubMed  CAS  Google Scholar 

  • Laws ER Jr (1980) Transsphenoidal microsurgery in the management of craniopharyngioma. J Neurosurg 52:661–666

    Article  PubMed  Google Scholar 

  • Tanaka T, Kobayashi T (1989) The results of treatment of craniopharyngioma in 33 children. No Shinkei Geka 16:845–850

    Google Scholar 

  • Tomita T (1988) Management of craniopharyngiomas in children. Pediatr Neurosci 14:204–211

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Italia

About this chapter

Cite this chapter

Nicola, G., Lasio, G., Valentini, L., Visintini, S., Solero, C.L. (1995). Role of the Transsphenoidal Approach in the Surgical Treatment of Craniopharyngiomas. In: Broggi, G. (eds) Craniopharyngioma. Springer, Milano. https://doi.org/10.1007/978-88-470-2291-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2291-1_9

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75001-7

  • Online ISBN: 978-88-470-2291-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics