| Popis: |
The challenging perioperative management of craniopharyngiomas requires a multidisciplinary team approach. Though histologically benign, craniopharyngiomas are aggressive with local invasion and frequent recurrences. Significant morbidity maybe there at presentation. Treatment can worsen. Common perioperative concerns include hypothalamic dysfunction, tumor size and its effects on intracranial pressure, as well as the close proximity to nearby vessels and neural structures. Optimal anesthetic management includes thorough preoperative evaluation and planning with detailed knowledge of the tumor extent and symptomology. Management of hypothalamo-pituitary dysfunction plays a major role in achieving a successful outcome and should feature collaborative input from the endocrinology service. |
