Abstract
The criteria by which the operative approaches to craniopharyngioma are chosen are still controversial. The authors performed a retrospective analysis in 32 patients with craniopharyngioma who were surgically treated. Results of neurological and psychological tests administered during the follow-up period were correlated with the surgical approach. On the basis of these preliminary data and a maximum follow-up period of 10 years, the authors conclude that the subfrontal approach to the craniopharyngioma and partial removal of its solid part appears to be associated with a lower morbidity rate and minor frontal lobe disorders.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Amacher AL (1980) Craniopharyngioma: the controversy regarding radiotherapy. Child's Brain 6:57–64
Barlet JR (1971) Craniopharyngiomas. An analysis of some aspects of symptomatology, radiology and histology. Brain 94:725–732
Bleyer WA, Pizzo PA, Spence AM (1978) The Ommaya reservior: newly recognized complications and recommendations for insertion and use. Cancer 41:2431–2437
Bloom HJG (1973) Radiotherapy of pituitary tumors. In: Jenkins JS (ed) Pituitary tumors. Butterworth, London, pp 186–189
Bloom HJG (1979) Recent concepts in the conservative treatment of intracranial tumors in children. Acta Neurochir 50:103–116
Cabezudo JM, Vaquero J (1981) Craniopharyngiomas: a critical approach to treatment. J Neurosurg 55:371–375
Carpenter RC, Chamberlin GW, Frazier CH (1937) The treatment of hypophyseal stalk tumors by evacuation and irradiation. AJR 38:162–177
Choux M, Lena G (1979) Bases of surgical management of craniopharyngioma in children. Acta Neurochir 28 [Suppl]: 348–356
De Vito JL, Smith OA Jr (1964) Subcortical projections of the prefrontal lobe of the monkey. J Comp Neurol 123:413–423
Djordjevic M, Djordjevic Z (1979) Surgical treatment of craniopharyngiomas in children. Acta Neurochir 28 [Suppl]: 344–348
Ghatak NR, Hirano A, Zimmermann HM (1971) Ultrastructure of a craniopharyngioma. Cancer 27:1465–1475
Grant DA, Berg EA (1948) A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigltype card-sorting problem. J Exp Psychol 38:404–411
Harris JR, Levene MB (1976) Visual complications following irradiation for pituitary adenomas and craniopharyngiomas. Radiology 120:167–171
Hoff JT, Patterson RH Jr (1972) Craniopharyngiomas in children and adults. J Neurosurg 36:299–312
Hoffman HJ, Hendrick EB (1977) Management of craniopharyngioma in children. J Neurosurg 47:218–227
Katz EL (1975) Late results of radical excision of craniopharyngioma in children. J Neurosurg 42:86–96
Kempe LG (1972) Craniopharyngioma. In: Kempe LG (ed) Tecnica operatoria neurochirurgica, vol 1. Edizioni Pem, Rome, pp 90–93
Kramer S (1976) Craniopharyngioma: the best treatment in conservative surgery and post-operative radiation therapy. In: Morkey TP (ed) Current controversies in neurosurgery. Saunders, Philadelphia, pp 336–343
Matson DD, Crigler JF Jr (1969) Management of craniopharyngioma in childhood. J Neurosurg 30:377–390
McKissock W, Ford RK (1966) Results of treatment of the craniopharyngiomas (abstract). J Neurol Neurosurg Psychiatry 29:475
Mori K, Handa H, Murata T (1980) Results of treatment for craniopharyngioma. Child's Brain 6:303–312
Muller PJ, Russel NA, Morley TP (1976) Craniopharyngioma: results of surgical treatment without radiotherapy. In: Morley TP (ed) Current controversies in neurosurgery. Saunders, Philadelphia, pp 344–350
Nauta WJH (1964) Some efferent connections of the prefrontal cortex in the monkey. In: Warren JM, Akert K (eds) Symposium on the frontal granular cortex and behavior. McGraw-Hill, New York San Francisco London, pp 397–409
Nauta WJH (1971) The problem of the frontal lobe: a reinterpretation. J Psychiatr Res 8:167–187
Nauta WJH (1972) Neural associations of the frontal cortex. Acta Neurobiol Exp (Warsz) 32:125–140
Northfield DWC (1973) The surgery of central nervous system. A textbook for postgraduate students. Blackwell, Oxford, pp 314–330
Ommaya AK (1963) Subcutaneous reservoir and pump for sterile access to ventricular cerebrospinal fluid. Lancet II:983–984
Raimondi AJ (1987) Pediatric neurosurgery. Theoretical principles, art of surgical techniques. Springer, New York Berlin Heidelberg, pp 273–293
Raimondi AJ, Rougerie J (1983) A critical review of personal experiences with craniopharyngioma: clinical history, surgical technique and operative results. In: Raimondi AJ (ed) Concepts in pediatric neurosurgery. Karger, Basel, pp 1–34
Rougerie J, Fardeau M (1962) Les craniopharyngiomes. Masson, Paris
Russel DS, Rubinstein LJ (1977) Pathology of tumors of the nervous system, 4th edn. Arnold, London
Shapiro K, Till K, Grant DN (1979) Craniopharyngiomas in childhood. A rational approach to treatment. J Neurosurg 50:617–623
Shillito J Jr (1976) The treatment of craniopharyngioma of childhood. In: Morley TP (ed) Current controversies in neurosurgery. Saunders, Philadelphia, pp 332–335
Svien HJ (1965) Surgical experiences with craniopharyngiomas. J Neurosurg 23:148–155
Sweet WH (1976) Radical surgical treatment of craniopharyngioma. Clin Neurosurg 23:52–79
Thurstone L, Thurstone T (1944) The Chicago tests of primary mental abilities. Science Research Associates, Chicago
Wechsler D (1949) Wechsler Intelligence Scale. The Psychological Corporation, New York
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Colangelo, M., Ambrosio, A. & Ambrosio, C. Neurological and behavioral sequelae following different approaches to craniopharyngioma. Child's Nerv Syst 6, 379–382 (1990). https://doi.org/10.1007/BF00302222
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00302222