Removal of Craniopharyngioma by a Unilateral Interhemispheric Trans-Lamina Terminalis Approach: Operative Procedures and Postoperative Management

We believe that the surgeon must determine a preoperative plan that maximizes the chance for a gross total removal of the craniopharyngioma. The biggest challenge intraoperatively is to determine whether to continue with the attempt at gross total removal or stop short of that goal before producing a significant irreversible neurological deficit. A staged removal using different operative corridors also needs to be considered.

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Total removal of craniopharyngiomas

Yaşargil¹,

Curcic²,

Kis³

et al. 1990

Journal of Neurosurgery

716

150

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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.

show abstract

Removal of Craniopharyngioma by a Unilateral Interhemispheric Trans-Lamina Terminalis Approach: Operative Procedures and Postoperative Management

Cited by 3 publications

References 9 publications

Direct Microsurgery of Craniopharyngiomas: A Review of the Series of the Istituto Neurologico of Milan, Italy

Direct Microsurgery of Craniopharyngiomas: A Review of the Series of the Istituto Neurologico of Milan, Italy

Craniopharyngiomas of childhood: the CHLA experience

Total removal of craniopharyngiomas

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