Neurological and behavioral sequelae following different approaches to craniopharyngioma. Long-term follow-up review and therapeutic guidelines.
The criteria by which the operative approaches to craniopharyngioma are chosen are still controversial. The authors performed a retrospective analysis in 32 patients with craniopharyngioma who were surgically treated. Results of neurological and psychological tests administered during the follow-up period were correlated with the surgical approach. On the basis of these preliminary data and a maximum follow-up period of 10 years, the authors conclude that the subfrontal approach to the craniopharyngioma and partial removal of its solid part appears to be associated with a lower morbidity rate and minor frontal lobe disorders.
Colangelo
M
M
Department of Neurosurgery, Santobono Children's Hospital, Naples, Italy.
Ambrosio
A
A
Ambrosio
C
C
D000293:Adolescent; D001925:Brain Damage, Chronic / Q000209:etiology*; D002648:Child; D002653:Child Behavior Disorders / Q000209:etiology*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003397:Craniopharyngioma / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007016:Hypophysectomy / Q000379:methods*; D007223:Infant; D008297:Male; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D010910:Pituitary Irradiation; D010911:Pituitary Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies