Microneurosurgery treatment for 41 recurrent craniopharyngioma cases
10.3760/cma.j.cn115455-20220414-00301
- VernacularTitle:显微神经外科手术治疗41例复发颅咽管瘤
- Author:
Xin XIANG
1
;
Xiang′en SHI
;
Ting LEI
;
Mengqing HU
;
Chunlei RAN
;
Fangjun LIU
Author Information
1. 首都医科大学三博脑科医院神经外科，北京 100093
- Keywords:
Craniopharyngioma;
Neurosurgical procedures;
Sellar region;
Frontal basal interhemispheric approach;
Translongitudinal fissure combined with the transSylv
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(10):873-876
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the method and effect of microneurosurgery in the treatment of recurrent craniopharyngioma.Methods:The clinical data of 41 recurrent craniopharyngioma patients treated by microneurosurgery in Capital Medical University Sanbo Brain Hospitalfrom January 2018 to January 2022 were retrospectively analyzed.Results:Among the 41 patients, 38 cases were treated with the frontal basal interhemispheric approach and 3 cases with the translongitudinal fissure combined with the transSylvian fissure approach. Gross total resection was performed in 34 cases (82.9%) and subtotal resection in 7 cases (17.1%). One patient (2.4%) died of pulmonary embolism during perioperative period. All patients had transient electrolyte disorder after operation, and recovered within 3 months after treatment. All patients had endocrine dysfunction. After 3 months of hormone replacement therapy, 11 patients were cured. Visual acuity decreased in 3 cases after operation, and 2 cases improved after treatment.Conclusions:Surgical treatment of recurrent craniopharyngioma is very difficult, which is a great challenge for doctors and patients. However, through the individualized evaluation of the patients and the meticulous technique of the doctors during the operation, a satisfactory effect can be achieved post the operation of recurrent craniopharyngioma.
