Experiences of Bifrontal Interhemispheric Approach in Craniopharyngioma Surgery.
- Author:
Jung Sik BAE
1
;
Seung Ho YANG
;
Sin Soo JEUN
;
Chun Kun PARK
;
Joon Ki KANG
;
Yong Kil HONG
Author Information
1. Department of Neurosurgery, The Catholic University of Korea College of Medicine, Seoul, Korea. hongyk@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Craniopharyngioma;
Approach;
Pterional;
Interhemispheric
- MeSH:
Craniopharyngioma*;
Humans;
Intracranial Pressure
- From:Journal of Korean Neurosurgical Society
2006;40(1):6-10
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study is to evaluate the surgical outcomes of bifrontal interhemispheric(BIH) approach and compare them to those of the pterional approach for the treatment of craniopharyngioma. METHODS: Seventeen patients had their first operation for the resection of craniopharyngiomas between 2000 and 2004 at our medical center. Eleven patients who had the pterional approach and 6 with the BIH approach were enrolled. The age range at the time of surgery was 5 to 80 years (mean age 35.6 years old). The presenting symptoms were visual disturbance in 12 patients and signs of increased intracranial pressure in 5 patients. RESULTS: The tumors were totally removed in 3(27 %) and subtotally in 8(73 %) patients with the pterional approach. Total tumor removal was achieved in 5 out of 6(83%) patients by the BIH approach, except 1 patient with a subchiasmatic lesion. Vision was improved in 4(36 %) patients treated with the pterional approach and in all patients treated by the BIH approach CONCLUSION: The BIH approach for craniopharyngioma surgery may be an effective and safe approach for tumors that extend outside of the sellar-suprasellar region with acceptable outcomes.
