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Paediatric Craniopharyngiomas: Our Experience of 27 Cases

Bandlish Deepak, Assistant Professor, Department of Neurosurgery, SBKS Medical Institute and Research Centre, Vadodara, Gujarat 391760, India. , Bandlish Deepak1 , Salgotra Bhagwati2 , Prashant Jadhav3

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International Journal of Neurology and Neurosurgery 10(1):p 13-19, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10118.2

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Abstract

Introduction: Craniopharyngiomas are benign neoplasms of the sellar/suprasellar region. Management of these lesions always poses a challenge to neurosurgeons. Methods: Between 2012 and 2016, a total of 27 paediatric patients (8-16 year age) underwent surgery for craniopharyngiomas with a goal of total surgical removal without neurological risk. All patients were operated via frontopterional approach under operating microscope. Radiotherapy was offered to 7 patients in which partial decompression and excision was done. Results: Majority of the cases (21/27) 77% were large tumours with suprasellar extension and both supradiaphragmatic and infradiaphragmatic components. Complete resection was achieved in 13/27 (48%) of the cases. Neuropsychological sequele were seen in six children. Three children had memory deficits and behavioural problems (aggressiveness and lack of attention) and 3 had change in personality. Conclusion: We conclude that radical resection of craniopharyngiomas with perseveration of the pituitary stalk should be the goal of surgery. However; one should not be overly aggressive in approach for these tumors as radiotherapy also has a proven role in their management.

Keywords: Paedriatic Craniopharyngioma; Resection; Radiotherapy. 

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10118.2

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