Surgical management of craniopharyngiomas

Ricardo J. Komotar, Marie Roguski, Jeffrey N. Bruce

Research output: Contribution to journalReview articlepeer-review

54 Scopus citations

Abstract

Surgical treatment of craniopharyngiomas has been historically challenging and, despite advancements in microsurgical and skull base techniques, continues to pose a challenge to modern day surgeons. In particular, proponents of subtotal resection in conjunction with radiotherapy argue that this less aggressive approach can yield equivalent control rates with lower morbidity, while others argue that gross total resection is superior. Regardless of whether gross total or subtotal resection is the goal, surgical planning must include a thorough endocrine and neuro-ophthalmologic evaluation as well as imaging, and the approach, whether transsphenoidal or transcranial, must take into account the nature of the tumor and its location. In addition, optimal management of craniopharyngiomas must consist of an individualized and multidisciplinary approach not only including neurological surgery, but also including endocrinology, neuro-ophthalmology, neuropsychology, and, often, radiation-oncology.

Original languageEnglish (US)
Pages (from-to)283-296
Number of pages14
JournalJournal of neuro-oncology
Volume92
Issue number3 SPEC. ISS.
DOIs
StatePublished - Apr 28 2009
Externally publishedYes

Keywords

  • Surgical management of craniopharyngiomas

ASJC Scopus subject areas

  • Clinical Neurology
  • Cancer Research
  • Oncology
  • Neurology

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