Total removal of craniopharyngiomas
Autor: | G Siegenthaler, Peter Roth, M Kis, M Curcic, M. G. Yasargil, P. J. Teddy |
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Rok vydání: | 1990 |
Předmět: |
Adult
Male Microsurgery medicine.medical_specialty Adolescent medicine.medical_treatment Vision Disorders Endocrine System Diseases Craniopharyngioma medicine Humans Stage (cooking) Child Aged medicine.diagnostic_test Brain Neoplasms business.industry Childhood Craniopharyngioma Brain Infant Magnetic resonance imaging Long term results Perioperative Middle Aged Prognosis medicine.disease Magnetic Resonance Imaging Surgery Child Preschool Total removal Female business Hydrocephalus |
Zdroj: | Journal of Neurosurgery. 73:3-11 |
ISSN: | 0022-3085 |
DOI: | 10.3171/jns.1990.73.1.0003 |
Popis: | ✓ The clinical features, perioperative course, and postoperative outcomes of 144 patients who underwent microsurgical resection of craniopharyngioma were reviewed. Overall, 90% of the tumors were completely resected and 7% recurred. Evaluation of those patients who underwent primary resection revealed much better results. The operative techniques and approaches are reviewed in detail. The results of this series suggest that primary total removal of craniopharyngiomas yields the best long-term outcome for the patient. Experience has shown that the larger the tumor the greater will be the damage, both preoperatively and intraoperatively, to vital intracranial structures. Consequently, early diagnosis, at a stage when the tumor is still small, improves the chances of accomplishing complete removal and of achieving good operative results. The early diagnosis of craniopharyngioma, before it can produce devastating neurological defects, continues to be the principal goal of our medical and pediatric colleagues. |
Databáze: | OpenAIRE |
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