The neurological abnormalities and operative findings in the transcallosal approach for large juxtasellar-ventricular craniopharyngiomas

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Han-Jung Chen

Abstract

From February 1994 to June 1999, there were 36 patients who underwent microsurgical resection for craniopharyngiomas. Of6 adult patients, large tumours (>4 cm) with extension from intrasellar or parasellar space to the foramen of Monro were found. There were 4 male and 2 female patients with ages from 18 to 44 years (mean 32.4 years). All of them underwent one-stage interhemispheric transcallosal total exc ision of tumours. This approach affords good overhead view of tumours and surrounding structures.Preoperatively, decreased visual acuity and restriction in the visual field was found in 5 patients. Studies of anterior pituitary function revealed far below the normal range in all patients. Polyuria was noted in 4 patients. All of 6 patients showed abnormally high levels of blood cholesterol and triglyceride and 4 patients were obese. Tumours with extension into the pituitary fossa were found in 2 cases. A relatively caudal location in the third Ventricle was found in case 6, who showed better preoperative visual function and no polyuria. There were no major surgical complications encountered. One patient with high cholesterol (731 mg%) died of acute pancreatitis 6 months after surgery. For large craniopharyngiomas without pre-...Continue Reading

References

Jan 1, 1976·Clinical Neurosurgery·W H Sweet
Jul 1, 1990·Journal of Neurosurgery·M G YaşargilP Roth
Aug 1, 1987·AJR. American Journal of Roentgenology·E PuseyW G Bradley
Jul 1, 1986·Journal of Neurosurgery·D S Baskin, C B Wilson
Feb 1, 1985·Journal of Neurosurgery·L Symon, W Sprich
Nov 1, 1973·Journal of Neurosurgery·D M Long, S N Chou
Jan 1, 1980·Clinical Neurosurgery·J Shillito
Jan 1, 1980·Clinical Neurosurgery·W H Sweet
May 1, 1995·Clinical Endocrinology·M PajaJ Estrada
Feb 1, 1997·International Journal of Radiation Oncology, Biology, Physics·B RajanM Brada
Sep 5, 1998·Acta neurochirurgica·M CaldarelliC Colosimo

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Citations

Feb 10, 2009·Journal of Neurosurgery·Arthur J UlmAlbert L Rhoton
Dec 1, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·C C R WilesJ R T Greene
Oct 15, 2014·BioMed Research International·Martin FlückThomas Gustafsson

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