The Geneva and Lausanne (French-speaking Switzerland) experience: in favor of the transsphenoidal approach when feasible

Détails

ID Serval
serval:BIB_8135E1B6D8AF
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
Titre
The Geneva and Lausanne (French-speaking Switzerland) experience: in favor of the transsphenoidal approach when feasible
Périodique
Child's Nervous System
Auteur(s)
Rilliet  B., Vernet  O., Pica  A.
ISSN
0256-7040 (Print)
Statut éditorial
Publié
Date de publication
08/2005
Volume
21
Numéro
8-9
Pages
725-8
Notes
Journal Article
Review --- Old month value: Aug
Résumé
BACKGROUND: The authors present their current attitude towards management of craniopharyngiomas in children. Radical surgery cannot be performed when one is not sure about its potential danger to the visual pathways and the hypothalamus. METHODS: Most of the surgeries that have been performed in our institution via an intracranial approach were incomplete and followed by radiotherapy, in the last 10 years with stereotactic conformational radiotherapy. DISCUSSION: Considering our past and present experience concerning the transphenoidal approach for treatment of craniopharyngiomas, we make a plea for the consideration of this approach in children whenever feasible (around 25% of the cases in children older than 5 years). Craniopharyngiomas that can be removed by this approach represent a milder form of the disease and the results concerning the visual, hypothalamic functions and quality of life are significantly better than that obtained via an intracranial approach. When the craniopharyngioma cannot be removed by this approach because of tight hypothalamic adherences, the technique of cystosphenoidostomy with a custom-made shunt plus adjuvant stereotactic conformational radiotherapy is an alternative for its total removal.
Mots-clé
Child Craniopharyngioma/*therapy Follow-Up Studies Humans Hypophysectomy/methods Microsurgery/methods Neurosurgical Procedures/methods Pituitary Neoplasms/*therapy Switzerland/epidemiology Treatment Outcome
Pubmed
Web of science
Création de la notice
25/01/2008 14:13
Dernière modification de la notice
03/03/2018 18:47
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