A Case Series on Surgical Outcome of Craniophayrngiomas
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Introduction: Debate continues as to the optimum treatment for craniopharyngioma; radical surgical resection or partial resection followed by radiotherapy. Radical surgical resection may be complicated by intraoperative injury to surrounding structures and stormy postoperative hormonal problem. This study aims to examine the result of safe maximal surgical resection. Materials and Methods: Retrospective study of all histopathologically proven craniopharyngiomas who had undergone surgical resection over an almost 4 year period was included. Data were collected reviewing demography, clinical presentation, hormonal dysfunction, extent of resection and visual deterioration. Outcome was measured in terms of Glasgow outcome scale and recurrence. Results: Of 25 patients, 68% were male, and 32% were female. Age of patients ranged from 7 to 58 years with a mean of 30.12 ± 16.42 years. Patients presented with visual deterioration were 76% and with a headache were 68%. Mean duration of symptoms was 10.64 ± 14.28 months. Gross total resection was done in 21 (84%), while subtotal resection in 4 (16%) who also received subsequent adjuvant radiotherapy. During the postoperative period, diabetes insipidus developed in 84% patients, but none had it permanently. Favorable outcome was found in 88% patients. However, there were 4% operative mortality with overall mortality of 8% and tumor recurrence in 8% patients. Conclusion: Gross total excision if judiciously decided intraoperatively has a favorable outcome with acceptable morbidity.
Authors and Affiliations
Dr B Hayagriva Rao, Dr Ch. Surendra Kumar, Dr K Satyavara prasad, Dr S Satyanarayana Reddy
Keywords
Related Articles
- EP ID EP365886
- DOI 10.9790/0853-1703012126
- Views 63
- Downloads 0
Prevalence of Positive Widal test in comparison with clinical request in a tertiary care teaching hospital, West Bengal
Introduction: Enteric fever which includes typhoid and paratyphoid fever is a systemic febrile illness caused by the bacterium Salmonella entericaserovartyphi and paratyphi A, B, C respectively. Widal test is almost the...
An Observational Study of Fetomaternal Outcome of Thyroid Disorder In Pregnancy In A Tertiary Care Hospital
Introduction: Thyroid disorder is most common in women’s as compare to male population. In females, this is the most common endocrine disorder during pregnancy resulting into abnormal maternal and fetal outcomes. Pregnan...
Tumeur neuroendocrine du pancréas sécrétant l’ACTH: A propos d’un cas.
Le syndrome de cushing secondaire à une sécrétion ectopique d’ACTH par une tumeur neuroendocrine pancréatique est une situation assez rare. Nous rapportons le cas d’une patiente âgée de 45 ans, chez qui on a fait le diag...
The Effect of Intrusive Forces on Root Resorption of Anterior Teeth in Class II Division 2 Deep Bite Cases Induced by Placement of Mini-Screw Implants and Intrusive Archwires. A Randomized Clinical Trial.
Introduction:The aim of this study was to investigate the effect of intrusive forces generated during the treatment of deep over-bite in Class II division 2 cases on root resorption, by using two different mechanics, min...
Role of HsCRP in Predicting the Severity in Acute Ischemic Stroke Patients Attending the Tertiary Care Centre in Puducherry.
Background: Ischemic stroke is one of the major cause of disability worldwide. High sensitive Creactive protein plays a major role in acute stroke as a marker of inflammation. Aims: 1) To evaluate high sensitive C reacti...