Microsurgical treatment of adult craniopharyngioma.docVIP

 PAGE \* MERGEFORMAT 12 Microsurgical treatment of adult craniopharyngioma Of: Zhang Zhihong ZHANG An-Pang Yiqiang [Abstract] Objective: To improve the effectiveness of adult craniopharyngioma surgery, craniopharyngioma of microsurgical treatment of adult surgical skills. METHODS: The microsurgical treatment of 21 cases of adult craniopharyngiomas, retrospective analysis of 21 cases adult craniopharyngiomas clinical manifestations, imaging features, surgical approach, tumor extent and follow-up data. Results: The use of pterional 10 cases, the corpus callosum approach in 5 cases, wing point - the corpus callosum combined approach 6 cases. tumor total resection in 17 patients (81%, subtotal resection in 4 cases (19%. insipidus, heat, water and electrolyte balance disorders are more common postoperative complications of craniopharyngioma. Conclusion: the rational approach selection, micro technology, intraoperative identification and protection of the pituitary stalk and the application of ventricular drainage to improve complete resection rate, lower morbidity and mortality has important clinical significance. [Keywords:] Adult Craniopharyngioma; microscopy; pituitary stalk Craniopharyngioma craniopharyngioma from embryonic remnants of pipe benign congenital tumor tissue. Its origin is in the Department of the pituitary stalk nodules of squamous epithelial cell nests, but also have to consider the inherent pituitary cells from transforming. The incidence rate of 4% of intracranial tumors [1]. As part of craniopharyngioma occurred in and around the structure of relations, so that total removal of the tumor is often difficult, once the total removal of, its postoperative complications, the condition changes quickly and complex, often become the cause of death. But with the development of microsurgical techniques, advances in imaging, hormone replacement therapy and postoperative monitoring means perfect, and increased the probability of total removal o