Craniopharyngioma - contributions to management

ABSTRACT

1. A new operative technique for the surgical management of craniopharyngioma is presented. The procedure is relatively easy to perform and affords a safe control of post-operative and radiation increase in intracystic tension as well as later on in the course of its growth2. Our experience in five cases in the past eight years is reported in detail. There was no operative mortality. Future management following primary surgery is simplified. The procedure is advised in cases where total extirpation is not feasible3. A safe method of aspiration of the cyst contents or its replacement with air, saline or tumor destroying agents is described. It opens an avenue of investigation on the behavior of craniopharyngioma under various conditions4. Local radiation of the tumor with a pure beta emitting isotope in one of our cases is reported. Considerations in this method of treatment are discussed. Early results on this case are encouraging. (Summary and Conclusions)