Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients.

Abstract:

: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.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Yaşargil MG,Curcic M,Kis M,Siegenthaler G,Teddy PJ,Roth P

doi

10.3171/jns.1990.73.1.0003

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

3-11

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

73

pub_type

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