Update on the surgical management of craniopharyngiomas

Ricardo J. Komotar, Christopher P. Kellner, Jeffrey N. Bruce

Research output: Contribution to journalArticle

Abstract

Despite advances in microsurgical and skull base techniques, the surgical treatment of craniopharyngiomas continues to pose a challenge to surgeons. Controversy continues to exist between proponents of subtotal resection in conjunction with radiotherapy, who argue that this less aggressive approach can yield equivalent control rates with lower morbidity, and others who argue for the superiority of gross total resection. Regardless of whether gross total or subtotal resection is the goal, surgical planning must include a thorough endocrine and neuroophthamological evaluation as well as imaging, and the approach, whether trans-sphenoidal or transcranial, must take into account the nature of the tumour and its location. In addition, optimal management of craniopharyngiomas must consist of individualised and multidisciplinary therapy including an array of subspeciality fields such as endocrinology, neuro-ophthalmology, neuropsychology and radiation oncology.

Original languageEnglish (US)
Pages (from-to)107-112
Number of pages6
JournalEuropean Neurological Review
Volume5
Issue number1
DOIs
StatePublished - Jan 1 2010

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Keywords

  • Craniopharyngioma
  • Craniotomy
  • Neurosurgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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