Pediatric craniopharyngioma.
Adolescent
Child
Child, Preschool
Craniopharyngioma
/ diagnostic imaging
Hemianopsia
/ physiopathology
Humans
Hypopituitarism
/ physiopathology
Magnetic Resonance Imaging
Neuroendoscopy
/ methods
Neurosurgical Procedures
/ methods
Pituitary Neoplasms
/ diagnostic imaging
Postoperative Complications
/ epidemiology
Radiotherapy, Adjuvant
Tomography, X-Ray Computed
Vision Disorders
/ physiopathology
Craniopharyngioma
Endonasal
Pediatric
Skull base
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
27
06
2019
accepted:
07
07
2019
pubmed:
7
8
2019
medline:
29
10
2020
entrez:
7
8
2019
Statut:
ppublish
Résumé
Craniopharyngioma has historically been recognized to be a formidable pathology primarily due to its proximity to critical neurovascular structures and the challenging surgical corridors that surgeons have tried to reach this lesion. In this work, we review the medical and surgical management of these tumors with a focus on clinical presentation, diagnostic identification, surgical approach, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to craniopharyngiomas. The management of craniopharyngiomas requires a multidisciplinary team of surgeons, endocrinologists, and neuroanesthesiologists as well as neurocritical care specialists to deliver the most comprehensive and safest surgical resection with minimal postoperative morbidity.
Sections du résumé
BACKGROUND
Craniopharyngioma has historically been recognized to be a formidable pathology primarily due to its proximity to critical neurovascular structures and the challenging surgical corridors that surgeons have tried to reach this lesion.
FOCUS OF REVIEW
In this work, we review the medical and surgical management of these tumors with a focus on clinical presentation, diagnostic identification, surgical approach, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to craniopharyngiomas. The management of craniopharyngiomas requires a multidisciplinary team of surgeons, endocrinologists, and neuroanesthesiologists as well as neurocritical care specialists to deliver the most comprehensive and safest surgical resection with minimal postoperative morbidity.
Identifiants
pubmed: 31385085
doi: 10.1007/s00381-019-04300-2
pii: 10.1007/s00381-019-04300-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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