The Extended Pterional Approach and Microsurgery Resection for Craniopharyngiomas, Operative Nuances and Results: A Series of 29 Patients
Arq. bras. neurocir; 35 (3), 2016
Publication year: 2016
Objective The aim of this paper is to observe if the extended pterional approach for
the removal of craniopharyngiomas is safe and effective. The mortality, morbidity, and
recurrence rates are presented and discussed.
Method This is a retrospective analysis of 29 craniopharyngioma patients who
underwent surgery between January 1988 and December 2014 at the Department
of Neurosurgery of the Hospital Federal dos Servidores do Estado, Rio de Janeiro, Brazil.
The charts, operative reports and imaging studies were reviewed.
Results We identified 17 males (58.6%) and 12 females (41.3%) ranging in age from
0.6 to 84 years (mean 57.4 years). Thirteen (44.8%) patients were infants or
adolescents. Surgical mortality occurred in one patient (3.4%). Gross total tumor
removal was achieved in 15 (51.7%) patients. The median follow-up time was 7.1 years.
Conclusion The extended pterional approach provides adequate access to craniopharyngiomas, and the majority of lesions could be totally removed, with a low
mortality rate, but the best treatment for craniopharyngiomas remains controversial.
Objetivo Observar se a craniotomia pterional estendida é uma técnica segura e
efetiva.
Método É um estudo retrospectivo de 29 pacientes com craniofaringiomas que
foram submetidos a craniotomia pterional estendida entre 1988 e 2014. As imagens e
os prontuários foram analisados.
Resultados Esse grupo é composto por 17 homens (58,6%) e 12 mulheres (41,3%), e a
idade variou de 0,6 a 84 anos (media 57,4 anos). Treze (44,8%) pacientes eram crianças
ou adolescentes. A remoção total da lesão ocorreu em 15 (51,7%) indivíduos.