Analysis of curative effect of microsurgery on craniopharyngiomas (report of 126 cases)
CHENG Jing
JIANG Pu-cha
CAO Chang-jun
LI Deng-hui
HUANG Cong
YOU Jin
LAN Jing
Abstract：Objective To explore the approach of surgery for craniopharyngiomas and its clinical effect of on them. Method The clinical data of 126 patients with craniopharyngiomas treated by surgery from January 2015 to May 2004 were analyzed retrospectively. Results Of 126 patients with craniopharyngiomas, 87 received total removal of the tumors, 28 subtotal and 11 partial. The symptoms of intracranial hypertension were relieved after the operation in all the patients. After the operation, the abnormal endocrine were improved in 18 of 41 patients with endocrine disturbance before the operation and the visual acuity were improved in 52 of 65 with visual acuity impairment 82, high fever in 47, ipsilateral oculomotor nerve palsy in 4, consciousness disturbance in 37 and epilepsy which was controlled by antiepileptic drugs in 8. The tumors which recurred were treated by gamma knife radiotheraphy in 12 patients. Conclusions The appropriate approach of surgery should be selected according to the timorous type in the patients with craniopharyngiomas. The quality of life may be enhanced by the intraoperative good protection of the pituitary stalk, hypothalamus and surrounding nerve structures, postoperative actively treatment of complications in the patients with craniopharyngiomas.
Keywords：CraniopharyngiomaTypeSurgical approachPituitary stalkHypothalamus
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1-3 )