Experiences of Bifrontal Interhemispheric Approach in Craniopharyngioma Surgery
Journal of Korean Neurosurgical Society
;
: 6-10, 2006.
Article
in English
| WPRIM
| ID: wpr-161299
ABSTRACT
OBJECTIVE:
The purpose of this study is to evaluate the surgical outcomes of bifrontal interhemispheric(BIH) approach and compare them to those of the pterional approach for the treatment of craniopharyngioma.METHODS:
Seventeen patients had their first operation for the resection of craniopharyngiomas between 2000 and 2004 at our medical center. Eleven patients who had the pterional approach and 6 with the BIH approach were enrolled. The age range at the time of surgery was 5 to 80 years (mean age 35.6 years old). The presenting symptoms were visual disturbance in 12 patients and signs of increased intracranial pressure in 5 patients.RESULTS:
The tumors were totally removed in 3(27 %) and subtotally in 8(73 %) patients with the pterional approach. Total tumor removal was achieved in 5 out of 6(83%) patients by the BIH approach, except 1 patient with a subchiasmatic lesion. Vision was improved in 4(36 %) patients treated with the pterional approach and in all patients treated by the BIH approachCONCLUSION:
The BIH approach for craniopharyngioma surgery may be an effective and safe approach for tumors that extend outside of the sellar-suprasellar region with acceptable outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Intracranial Pressure
/
Craniopharyngioma
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2006
Type:
Article
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