Surgical approach for suprasellar hemangioblastomas preserving the pituitary stalk: Review of the literature and report of a further case.

Détails

ID Serval
serval:BIB_22D4EC6AF974
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Surgical approach for suprasellar hemangioblastomas preserving the pituitary stalk: Review of the literature and report of a further case.
Périodique
Clinical neurology and neurosurgery
Auteur(s)
Alshafai N., Maduri R., Shail M., Chirchiglia D., Meyronet D., Signorelli F.
ISSN
1872-6968 (Electronic)
ISSN-L
0303-8467
Statut éditorial
Publié
Date de publication
05/2018
Peer-reviewed
Oui
Volume
168
Pages
147-152
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Hemangioblastomas (HBLs) are challenging vascular tumours with rare suprasellar location Surgery is recommended in patients with visual impairment, endocrine disorders or hydrocephalus. Surgical removal of pituitary stalk HBLs is challenging due to their location and high vascularity. Our narrative review was guided by the question: "what is the more suitable surgical approach to excise a suprasellar HBL?". Pertinent English literature was scrutinized from database inception to October 2016. Eighteen articles matched our selection criteria. Among the surgically treated patients, 4 were treated through a trans-sphenoidal (TS) approach, 13 through a transcranial approach (2 of them after TS failure). Five other cases were treated with radiotherapy (adjuvant in 3 cases) and 9 patients were managed with simple observation and/or medical treatment. We add a case of complete suprasellar HBL resection through an orbito-zygomatic (OZ) craniotomy with extradural anterior clinoidectomy (EAC). To achieve satisfactory oncologic results with acceptable morbidity for symptomatic suprasellar HBLs, complete tumour removal with pituitary stalk sparing should be attempted through an OZ craniotomy with EAC that provides adequate exposure of the tumour, its vascular supply and the adjacent neural structures.
Mots-clé
Central Nervous System/pathology, Central Nervous System/surgery, Hemangioblastoma/diagnosis, Hemangioblastoma/surgery, Humans, Pituitary Gland/surgery, Pituitary Neoplasms/diagnosis, Pituitary Neoplasms/surgery, Sella Turcica/pathology, Skull/surgery, Hemangioblastoma, Pituitary deficit, Pituitary stalk, Pituitary stalk preservation, Pituitary tumours, Skull base surgery, Suprasellar tumors, Von Hippel-Lindau disease
Pubmed
Web of science
Création de la notice
22/03/2018 18:58
Dernière modification de la notice
20/08/2019 13:00
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