Trans-sphenoidal excision of craniopharyngiomas.

Craniopharyngiomas have been by and large excised by the transcranial route. Since 1982, 11 patients have been operated by the traus-sphensidal route in the department. The clinical features with which they were presented, diagnostic investigations, details of surgical procedures and follow-up analy...

Full description

Bibliographic Details
Main Author: Nagpal R
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1991-04-01
Series:Journal of Postgraduate Medicine
Subjects:
Online Access:http://www.jpgmonline.com/article.asp?issn=0022-3859;year=1991;volume=37;issue=2;spage=97;epage=101;aulast=Nagpal
Description
Summary:Craniopharyngiomas have been by and large excised by the transcranial route. Since 1982, 11 patients have been operated by the traus-sphensidal route in the department. The clinical features with which they were presented, diagnostic investigations, details of surgical procedures and follow-up analysis is being presented here. A retrospective study of radiological investigation was done to determine the features that help decide the choice of surgical approach to these lesions. Only lesions that were primarily intrasellar, cystic and those that expanded the sella could be treated by the trans-sphenoidal route. Associated suprasellar extensions could also be removed. Predominantly calcified or firm, fleshy tumours lent themselves poorly to removal by the trans-sphenoidal route.
ISSN:0022-3859
0972-2823