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Titolo:
Craniopharyngiomas of the third ventricle: Trans-lamina terminalis approach
Autore:
Maira, G; Anile, C; Colosimo, C; Cabezas, D;
Indirizzi:
Catholic Univ Sacred Heart, Inst Neurosurg, I-00168 Rome, Italy Catholic Univ Sacred Heart Rome Italy I-00168 osurg, I-00168 Rome, Italy Univ Chieti, Inst Radiol, Chieti, Italy Univ Chieti Chieti ItalyUniv Chieti, Inst Radiol, Chieti, Italy
Titolo Testata:
NEUROSURGERY
fascicolo: 4, volume: 47, anno: 2000,
pagine: 857 - 863
SICI:
0148-396X(200010)47:4<857:COTTVT>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
3RD VENTRICLE; INTRAVENTRICULAR CRANIOPHARYNGIOMA; SURGICAL-TREATMENT; REMOVAL; TUMORS; CT;
Keywords:
craniopharyngiomas; lamina terminalis; pterional approach; third ventricle;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Maira, G Catholic Univ Sacred Heart, Inst Neurosurg, Lgo A Gemelli 8, I-00168 Rome,Italy Catholic Univ Sacred Heart Lgo A Gemelli 8 Rome Italy I-00168 ly
Citazione:
G. Maira et al., "Craniopharyngiomas of the third ventricle: Trans-lamina terminalis approach", NEUROSURGER, 47(4), 2000, pp. 857-863

Abstract

OBJECTIVE: Craniopharyngiomas usually grow on the cisternal surface of thehypothalamic region; these tumors can also grow from the infundibulum or tuber cinereum on the floor of the third ventricle, developing exclusively into the third ventricle. The aim of the present work was to establish the usefulness of the pterional trans-lamina terminalis approach for the removalof these tumors. METHODS: Eight patients who were surgically treated for craniopharyngiomaslocated exclusively within the third ventricle were considered. The initial symptoms were acute hydrocephalus in two cases, psychological disturbances in two, amenorrhea in two, headaches in one, and hypopituitarism in one. The diagnoses were established, in all cases except one, with magnetic resonance imaging. In all cases, the tumor completely filled the third ventricle. RESULTS: Total removal of the lesion was achieved in seven cases. One patient underwent partial removal. In the immediate postoperative period, no major complications were observed. Five patients required replacement hormonal therapy. All patients returned to a normal life. Many months after surgery, two patients exhibited psychological disturbances and died, the first because of voluntary withdrawal of replacement therapy (12 mo after surgery) and the second because of a severe imbalance in body fluids and electrolytes, with a subsequent hyperosmolar coma (27 mo after surgery). Only one patient who underwent initial total removal experienced a small recurrence of the lesion (30 mo after surgery); after 3 years, the lesion exhibited unchanged size. CONCLUSION: In our experience, the trans-lamina terminalis approach is a valid choice for the removal of purely intraventricular craniopharyngiomas. These tumors can be removed without significant sequelae related to the surgical approach. The proximity to the hypothalamus requires accurate neuroendocrine and electrolyte control in the postoperative period, in some cases even years after surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:55:21