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Cancer: Craniopharyngioma

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Total 90 results found since Jan 2013.

Continuous Minor Bleeding from Tumor Surface in Patients with Craniopharyngiomas: Case Series of Nonobstructive Hydrocephalus
We describe our surgical series of 25 consecutive patients with craniopharyngioma who presented with hydrocephalus. Obstructive hydrocephalus was evident in most cases, and nonobstructive hydrocephalus was revealed in three cases. Even after improvement of cerebrospinal fluid (CSF) pathway obstruction by tumor removal, 10 patients (40%) required CSF diversion. Preoperative imaging study revealed thin intraventricular hemorrhage or superficial siderosis in five cases, and CSF examination revealed hemosiderin-laden phagocytes in one case. These findings indicate continuous bleeding into the CSF that might be associated with ...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 5, 2018 Category: Neurosurgery Authors: Shoji, Takuhiro Kawaguchi, Tomohiro Ogawa, Yoshikazu Watanabe, Mika Fujimura, Miki Tominaga, Teiji Tags: Original Article Source Type: research

Craniopharyngiomas Presenting with Nonobstructive Hydrocephalus: Underlying Influence of Subarachnoidal Hemorrhage. Two Case Reports
We report two cases of patients with craniopharyngioma who presented with nonobstructive hydrocephalus. Repeated subarachnoidal hemorrhage (SAH) was considered as the underlying mechanism of hydrocephalus development. The first case was a 67-year-old woman presenting with deteriorated consciousness. Head computed tomography (CT) and magnetic resonance (MR) imaging demonstrated a solid suprasellar tumor with subarachnoidal and intraventricular hematoma with ventricle dilatation but no cerebrospinal fluid (CSF) obstruction. The extended transsphenoidal approach achieved gross total removal. Because of persistent ventricle di...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 29, 2014 Category: Neurosurgery Authors: Kawaguchi, TomohiroOgawa, YoshikazuWatanabe, MikaTominaga, Teiji Tags: Case Report Source Type: research

Hydrocephalus and Hypothalamic Involvement in Pediatric Patients with Craniopharyngioma or Cysts of Rathke's Pouch: Impact on Long-term Prognosis.
Conclusions: Initial HY has no impact on outcome in patients with sellar masses. OS and FC are impaired in survivors presenting with initial HI. PFS is not affected by HY, HI, or degree of resection. Accordingly, gross-total resection is not recommended in sellar masses with initial HI to prevent further hypothalamic damage. PMID: 25650403 [PubMed - as supplied by publisher]
Source: European Journal of Endocrinology - February 3, 2015 Category: Endocrinology Authors: Daubenbüchel AM, Hoffmann A, Gebhardt U, Warmuth-Metz M, Sterkenburg AS, Müller HL Tags: Eur J Endocrinol Source Type: research

Endoscopic Transsphenoidal Salvage Surgery for Symptomatic Residual Cystic Craniopharyngioma after Radiotherapy
Conclusion Although shrinkage of cystic components of craniopharyngioma residuals may occur within 5 to 6 months after RT, salvage surgery is indicated in symptomatic patients.The link to the video can be found at https://youtu.be/4x6Qe76bf60. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Journal of Neurological Surgery Part B: Skull Base - February 8, 2018 Category: Neurosurgery Authors: Emanuelli, Enzo Frasson, Giuliana Cazzador, Diego Borsetto, Daniele Denaro, Luca Tags: Skull Base: Operative Videos Source Type: research

A quantitative analysis of craniopharyngioma cyst expansion during and after radiation therapy and surgical implications.
CONCLUSIONS Craniopharyngioma cyst expansion occurred in approximately 40% of the patients during or after radiotherapy. In the majority of patients, cyst expansion was a self-limiting process and did not confer a worse outcome. During radiotherapy, cyst expansion may be apparent on image-guided radiation therapy. Adaptive IMRT planning may be required to ensure that the intended IMRT dose covers the entire tumor and cyst volume. The sequelae of cyst expansion include progressive hydrocephalus, which may be treated with a shunt. For patients with solitary cyst expansion, cyst aspiration and/or intracystic interferon may re...
Source: Neurosurgical Focus - November 30, 2016 Category: Neurosurgery Authors: Lamiman K, Wong KK, Tamrazi B, Nosrati JD, Olch A, Chang EL, Kiehna EN Tags: Neurosurg Focus Source Type: research

Radical resection of a craniopharyngioma via the extradural anterior temporal approach with zygomatic arch osteotomy.
CONCLUSION: EDATA with zygomatic osteotomy ensures sufficient mobility of the internal carotid artery, and provides a good lateral and look up operative view. Hence, it can be used effectively for radical resection of craniopharyngiomas through the opticocarotid space and retrocarotid space. PMID: 28194297 [PubMed - in process]
Source: Surgical Neurology International - February 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Risk factors for new-onset shunt-dependency after craniotomies for intracranial tumors in adult patients
AbstractThe risk of developing a de novo shunt-dependent hydrocephalus (HC) after undergoing a craniotomy for brain tumor in adult patients is largely unknown. All craniotomies for intracranial tumors at Oslo University Hospital in adult patients ≥18 years of age during a 10-year period (2004–2013) were included. None were lost to follow-up. Patients who developed a shunt-dependent HC were identified by cross-linking our prospectively collected tumor database to patients with a NCSP surgical procedure code of hydrocephalus (AAF). Patien ts with pre-existing HC or ventriculoperitoneal (VP) shunts were excluded from the...
Source: Neurosurgical Review - July 3, 2017 Category: Neurosurgery Source Type: research

Persisting Embryonal Infundibular Recess (PEIR): two case reports and systematic literature review.
Conclusions: PEIR is a rare condition, probably unrecognized and the result of dysembriogenesis, which should be included in the differential diagnosis of cystic sellar lesions. Imaging features (funnel pituitary stalk and cyst in the sella) appear pathognomonic. A normal endocrine evaluation might help in the diagnosis and warrants conservative treatment. PMID: 29788483 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - May 16, 2018 Category: Endocrinology Authors: Belotti F, Lupi I, Cosottini M, Ambrosi C, Gasparotti R, Bogazzi F, Fontanella MM, Doglietto F Tags: J Clin Endocrinol Metab Source Type: research

Radiological and endocrinological evaluations with grading of hypothalamic perifocal edema caused by craniopharyngiomas
ConclusionHypothalamic dysfunctions greatly influence the quality of daily living following craniopharyngioma surgery. The grading of perifocal edema ’s extension could be a new index suggesting pre- and post-operative hypothalamic dysfunction caused by craniopharyngioma in addition to their anatomical involvement.
Source: Pituitary - March 6, 2019 Category: Endocrinology Source Type: research

Clinical features and operative technique of transinfundibular craniopharyngioma.
CONCLUSIONS: TC is a special subtype of suprasellar craniopharyngioma, which is remarkably different from NC. Identification of this type of tumor preoperatively is essential for the planning of appropriate surgical approach and degree of excision. PMID: 31200374 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 13, 2019 Category: Neurosurgery Authors: Tang B, Xie S, Huang G, Wang Z, Yang L, Yang X, Xu S, Zeng E, Hong T Tags: J Neurosurg Source Type: research

Craniopharyngiomas presenting as incidentalomas: results of KRANIOPHARYNGEOM 2007
ConclusionsIncCP are rare (1.8%) and characterized by lack of endocrine deficiencies, resulting in normal height and BMI, no hydrocephalus, and smaller tumor volume at diagnosis when compared with symCPs. Outcome of the observed incCP is similar with symCP.Clinical trial registration number: NCT01272622.
Source: Pituitary - August 21, 2019 Category: Endocrinology Source Type: research

Xanthogranulomatous colloid cyst: Radiologic- pathologic correlation and diagnostic difficulties.
Conclusion: Xanthogranulomatous reaction is rarely described in colloid cysts, which happens as a response to desquamation of epithelial lining, subsequent lipid accumulation, and as tissue inflammatory response to intracystic hemorrhage. Microsurgical resection is the treatment of choice. As compared to the plain colloid cyst, these lesions are difficult to fully excise as the inflammatory reaction to the xanthomatous material leads to adhesions to adjacent structures; therefore, the aspiration of cystic contents without spillage is advisable to achieve maximal resection of cyst walls. PMID: 31583166 [PubMed]
Source: Surgical Neurology International - October 6, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cyst fenestration and Ommaya reservoir placement in endoscopic transcortical transventricular approach for recurrent suprasellar cystic craniopharyngioma without ventriculomegaly
Publication date: Available online 8 January 2020Source: Journal of Clinical NeuroscienceAuthor(s): Kelechi Ndukuba, Toshihiro Ogiwara, Takuya Nakamura, Daishiro Abe, Shunsuke Ichinose, Tetsuyoshi Horiuchi, Samuel Ohaegbulam, Kazuhiro HongoAbstractThe efficacy of the endoscopic transcortical transventricular approach (ETTA) for craniopharyngioma in the third ventricle with hydrocephalus has been reported focusing on its reduced invasiveness. On the other hand, suprasellar craniopharyngioma without ventriculomegaly is generally surgically managed by craniotomy or the endoscopic endonasal approach (EEA). Here, we report an e...
Source: Journal of Clinical Neuroscience - January 10, 2020 Category: Neuroscience Source Type: research

Transventricular Endoscopic Approach for Cystic Craniopharyngioma: Case Series
Conclusion The neuroendoscopic fenestration, aspiration of cyst, and placement of catheter reservoir followed by radiation is an optional treatment for predominantly cystic craniopharyngiomas arising within or extending into the third ventricle causing hydrocephalus. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part B: Skull Base - November 1, 2022 Category: Neurosurgery Authors: Kulkarni, Akshay Konar, Subhas Shukla, Dhaval Sadashiva, Nishanth Devi, Bhagavatula Indira Tags: Original Article Source Type: research

Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients.
Conclusions With the goal of gross-total or maximum possible safe resection, EES can be used for the treatment of every craniopharyngioma, regardless of its location, size, and extension (excluding purely intraventricular tumors), and can provide acceptable results comparable to those for traditional craniotomies. Endoscopic endonasal surgery is not limited to adults and actually shows higher resection rates in the pediatric population. PMID: 23909243 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 2, 2013 Category: Neurosurgery Authors: Koutourousiou M, Gardner PA, Fernandez-Miranda JC, Tyler-Kabara EC, Wang EW, Snyderman CH Tags: J Neurosurg Source Type: research