Abstract
Objective To investigate the indications and outcomes of microsurgical resection of intradiaphragmatic craniopharyngiomas via .transsphenoidal approach. Methods Ten cases of of the intradiaphragmatic craniopharyngiomas were treated in our hospital between Otc. 2005 and Des. 2010. The clinical characteristics and outcome of them were reviewed. Results There were 3 male and 7 female patients. The age of presentation ranged from 15 to 48 years. Visual loss, amenorrhea - galactorrhea, and headaches were the most common clinical symptoms. All of the 10 lesions were given operations. Two lesion was totally removed, and eight lesions were subtotally resected. Postoperative cerebrospinal fluid leakage occurred in one case. All the patients were alive at the latest follow - up. The follow - up data showed that the preoperative symptoms were relieved postoperatively of different degree. Conclusions The aim of the transsphenoidal surgery for the intradiaphragmatic craniopharyngiomas is to get totally resected. When used the operative dications appropriately and by neurosurgeons with extensive experience in pituitary surgery, the transsphenoidal surgery for the intradiaphragmatic craniopharyngiomas can offer excellent results with minor risks. Key words: Craniopharyngioma; Intradiaphragmatic; Transsphenoidal approach; Microsurgery
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