Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Experiences of Bifrontal Interhemispheric Approach in Craniopharyngioma Surgery

  • Bae, Jung-Sik (Department of Neurosurgery, The Catholic University of Korea College of Medicine) ;
  • Yang, Seung-Ho (Department of Neurosurgery, The Catholic University of Korea College of Medicine) ;
  • Jeun, Sin-Soo (Department of Neurosurgery, The Catholic University of Korea College of Medicine) ;
  • Park, Chun-Kun (Department of Neurosurgery, The Catholic University of Korea College of Medicine) ;
  • Kang, Joon-Ki (Department of Neurosurgery, The Catholic University of Korea College of Medicine) ;
  • Hong, Yong-Kil (Department of Neurosurgery, The Catholic University of Korea College of Medicine)
  • Published : 2006.07.30
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Abstract

Objective : The purpose of this study is to evaluate the surgical outcomes of bifrontal interhemispheric[BIH] approach and compare them to those of the pterional approach for the treatment of craniopharyngioma. Methods : Seventeen patients had their first operation for the resection of craniopharyngiomas between 2000 and 2004 at our medical center. Eleven patients who had the pterional approach and 6 with the BIH approach were enrolled. The age range at the time of surgery was 5 to 80 years [mean age 35.6 years old]. The presenting symptoms were visual disturbance increased intracranial pressure in 5 patients. Results : The tumors were totally removed in 3 [27 %] and subtotally in 8 [73 %] patients with the pterional approach. Total tumor removal was achieved in 5 out of 6 [83%] patients by the BIH approach, except improved in 4 [36 %] patients treated with the pterional approach and in all patients treated by the BIH approach. Conclusion : The BIH approach for craniopharyngioma surgery may be an effective and safe approach for tumors that extend outside of the sellar-suprasellar region with acceptable outcomes.

Keywords

References

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