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How to Manage Recurrent Craniopharyngiomas

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Adult Craniopharyngiomas

Abstract

Craniopharyngiomas are benign disembryogenetic tumors accounting for the 2–5% of all intracranial tumors and they present high rates of recurrence even after radical resection and surgical treatment of these latter cases is more challenging.

Several transcranial approaches have been described as possible surgical options for the treatment of craniopharyngiomas. The endonasal technique offers a direct approach that permits access to the suprasellar, retrosellar, and retroclival space, obviating brain retraction. Based on our experience with this surgical technique, we herein details variations required to treat recurrent lesions, depending on the original surgical treatment: transcranial, transsphenoidal (standard microscopic or endoscopic) expanded endonasal approach, and the eventual alternative treatments.

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Authors and Affiliations

  1. Division of Neurosurgery, Università degli Studi di Napoli “Federico II”, Naples, Italy

    Luigi M. Cavallo, Domenico Solari, Teresa Somma, Cinzia Baiano, Elena D’Avella & Paolo Cappabianca

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  1. Luigi M. Cavallo
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  2. Domenico Solari
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  3. Teresa Somma
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  4. Cinzia Baiano
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  5. Elena D’Avella
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  6. Paolo Cappabianca
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Correspondence to Domenico Solari .

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Editors and Affiliations

  1. Skull Base and Pituitary Neurosurgical Department, Hôpital Pierre Wertheimer “Groupement Hospitalier Est” Hospices Civils de Lyon“Claude Bernard” Lyon 1 University, Lyon, France

    Emmanuel Jouanneau

  2. Endocrinology Department, Reference Center for Rare Pituitary Diseases HYPO“Groupement Hospitalier Est” Hospices Civils de Lyon“Claude Bernard” Lyon 1 University, Lyon, France

    Gérald Raverot

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Cavallo, L.M., Solari, D., Somma, T., Baiano, C., D’Avella, E., Cappabianca, P. (2020). How to Manage Recurrent Craniopharyngiomas. In: Jouanneau, E., Raverot, G. (eds) Adult Craniopharyngiomas. Springer, Cham. https://doi.org/10.1007/978-3-030-41176-3_8

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  • DOI: https://doi.org/10.1007/978-3-030-41176-3_8

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