[Transcallosal-interforniceal approach treatment of hypothalamic astrocytoma in children].
OBJECTIVE
To explore the clinical features, diagnosis and efficiency of transcallosal-interforniceal approach treatment of hypothalamic astrocytoma in children.


METHODS
A total of 42 pediatric cases of hypothalamic astrocytoma were operated by transcallosal-interforniceal approach. All cases received post-operative radiotherapy and follow-up visits. The clinical and imaging data were analyzed retrospectively.


RESULTS
High ICP and hypothalamic lesions were the main clinical manifestations. All patients suffering from hydrocephalus were operated by transcallosal-interforniceal approach. Seventeen cases received subtotal resection and 25 in great part. None died from operation. All cases received post-operative radiotherapy. Twenty-nine cases were followed up for 1 to 7 years. Among which, 25 led a normal life and 4 stayed in a fair condition.


CONCLUSIONS
Hypothalamic astrocytoma in children have some characteristic in clinical manifestations and neuroradiological examinations. Transcallosal-interforniceal approach is an effective method of treating hypothalamic astrocytoma in children. Total removal is not imperative. And radiotherapy should be performed.
Di
Fei
F
Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Ma
Zhen-yu
ZY
Jia
Ge
G
Luo
Shi-qi
SQ
D000293:Adolescent; D001254:Astrocytoma / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003337:Corpus Callosum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007029:Hypothalamic Neoplasms / Q000601:surgery*; D007223:Infant; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods