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Titolo:
BASAL INTERHEMISPHERIC SUPRA-CHIASMAL AND OR INFRACHIASMAL APPROACHESVIA SUPEROMEDIAL ORBITOTOMY FOR HYPOTHALAMIC-LESIONS - PRESERVATION OF HYPOTHALAMOPITUITARY FUNCTIONS IN COMBINATION TREATMENT WITH RADIOSURGERY/
Autore:
INOUE HK; FUJIMAKI H; KOHGA H; ONO N; HIRATO M; OHYE C;
Indirizzi:
GUNMA UNIV,SCH MED,DEPT NEUROSURG MAEBASHI GUMMA 371 JAPAN
Titolo Testata:
Child's nervous system
fascicolo: 5, volume: 13, anno: 1997,
pagine: 250 - 256
SICI:
0256-7040(1997)13:5<250:BISAOI>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
23 YEARS PERSPECTIVE; STEREOTACTIC APPROACH; CRANIOPHARYNGIOMAS; RADIATION; CHILDREN;
Keywords:
OPERATIVE APPROACH; ORBITOTOMY; HYPOTHALAMUS; CRANIOPHARYNGIOMA; PITUITARY ADENOMA; RADIOSURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
H.K. Inoue et al., "BASAL INTERHEMISPHERIC SUPRA-CHIASMAL AND OR INFRACHIASMAL APPROACHESVIA SUPEROMEDIAL ORBITOTOMY FOR HYPOTHALAMIC-LESIONS - PRESERVATION OF HYPOTHALAMOPITUITARY FUNCTIONS IN COMBINATION TREATMENT WITH RADIOSURGERY/", Child's nervous system, 13(5), 1997, pp. 250-256

Abstract

Although several approaches to the hypothalamus have been used, none is able to give full views of the hypothalamus. The risk of permanent morbidity for hypothalamo-pituitary functions is still high, especially in patients with craniopharyngioma. Basal interhemispheric supra-chiasmal or infra-chiasmal approaches via superomedial orbitotomy were developed for better visualization of the hypothalamus. Operative techniques and results, including combination treatment with radiosurgery, are reported. Twelve patients with tumors compressing the hypothalamus upward or extending into the III ventricle, or both, were operated on:3 turners were removed totally, 6 tumors subtotally and 3 tumors partially. Six patients received radiosurgery for residual tumor. Four patients with hypopituitarism preoperatively required oral corticosteroids and thyroid hormones postoperatively. The basal interhemispheric approach via superomedial orbitotomy is useful for better visualization of the hypothalamus and preservation of hypothalamo-pituitary functions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 22:33:08