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46. Dusick JR, Esposito F, Kelly DF, Cohan P, DeSalles A, Becker DP, Martin NA: The extended direct endonasal transsphenoidal approach for nonadenomatous suprasellar tumors. J Neurosurg; 2005 May;102(5):832-41
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  • Twenty-six procedures for tumor removal were performed in 24 patients (ages 9-79 years), including two repeated operations for residual tumor.
  • Gross-total removal could be accomplished in only 46% of patients, with near-gross-total removal or better in 74% of 23 patients (five of eight with craniopharyngiomas, six of seven with meningiomas, five of six with Rathke cleft cysts, and one of two with a dermoid or epidermoid cyst); a patient with a lymphoma only underwent biopsy.
  • Of 13 patients with tumor-related visual loss, 85% improved postoperatively.
  • [MeSH-major] Brain Neoplasms / surgery. Minimally Invasive Surgical Procedures / methods. Neurosurgical Procedures / methods
  • [MeSH-minor] Adolescent. Adult. Aged. Brain Diseases / surgery. Central Nervous System Cysts / surgery. Child. Craniopharyngioma / surgery. Epidermal Cyst / surgery. Humans. Meningeal Neoplasms / surgery. Meningioma / surgery. Middle Aged. Pituitary Neoplasms / surgery. Postoperative Complications. Sphenoid Bone. Treatment Outcome

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  • [CommentIn] J Neurosurg. 2005 May;102(5):825-7; discussion 827-8 [15926704.001]
  • (PMID = 15926706.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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47. Liu WM, Ni M, Jia W, Guan SS, Jia GJ: [Therapeutic strategy for intrasellar cystic lesions]. Zhonghua Yi Xue Za Zhi; 2010 Nov 9;90(41):2932-4
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  • OBJECTIVE: To make a clear distinction of intrasellar cystic lesions: craniopharyngioma (CR), Rathke's cleft cyst (RCC), cystic pituitary adenoma (PA) and intrasellar arachnoid cyst (AC).
  • METHODS: A total of 72 adult patients underwent transsphenoidal approach for the removal of intrasellar cystic lesions.
  • These adult patients included CR (n = 10), RCC (n = 27), cystic PA (n = 32) and 1 patient with AC (n = 1).
  • Cystic PA had post-contrasting enhancement in cyst wall because of tumor tissue.
  • CONCLUSION: Craniopharyngioma, Rathke's cleft cyst, cystic pituitary adenoma and intrasellar arachnoid cyst are a spectrum of diseases with different therapeutic strategies.
  • [MeSH-major] Arachnoid Cysts / surgery. Craniopharyngioma / surgery. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Central Nervous System Cysts / classification. Central Nervous System Cysts / surgery. Female. Humans. Male. Middle Aged. Young Adult

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  • (PMID = 21211400.001).
  • [ISSN] 0376-2491
  • [Journal-full-title] Zhonghua yi xue za zhi
  • [ISO-abbreviation] Zhonghua Yi Xue Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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48. Aquilina K, O'Brien DF, Farrell MA, Bolger C: Primary cerebellopontine angle craniopharyngioma in a patient with gardner syndrome. Case report and review of the literature. J Neurosurg; 2006 Aug;105(2):330-3
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  • [Title] Primary cerebellopontine angle craniopharyngioma in a patient with gardner syndrome. Case report and review of the literature.
  • The authors report on the case of a craniopharyngioma arising in the cerebellopontine angle (CPA) in a patient with Gardner syndrome.
  • Although familial adenomatous polyposis (FAP) is associated with intracranial neoplasms, the current case is only the third reported craniopharyngioma in a patient with Gardner syndrome.
  • Two of these tumors, including that of the current case, originated in the CPA, an unusual location for craniopharyngiomas.
  • The literature concerning FAP and its associations with intracranial neoplasia, as well as the pathogenesis of craniopharyngiomas in the posterior fossa, is discussed.
  • [MeSH-major] Cerebellar Neoplasms / genetics. Cerebellar Neoplasms / surgery. Cerebellopontine Angle / pathology. Cerebellopontine Angle / surgery. Craniopharyngioma / surgery. Gardner Syndrome / surgery
  • [MeSH-minor] Adult. Cerebellum / pathology. Cerebellum / surgery. Diagnosis, Differential. Fibroma / diagnosis. Fibroma / genetics. Fibroma / pathology. Fibroma / surgery. Humans. Magnetic Resonance Imaging. Male. Neoplasms, Multiple Primary / diagnosis. Neoplasms, Multiple Primary / genetics. Neoplasms, Multiple Primary / pathology. Neoplasms, Multiple Primary / surgery. Scalp / pathology. Scalp / surgery. Skin Neoplasms / diagnosis. Skin Neoplasms / genetics. Skin Neoplasms / pathology. Skin Neoplasms / surgery

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  • (PMID = 17219843.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 24
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49. Okuyama T, Fukuyama A, Fukuyama K, Ikeno K, Araki H, Okada K, Sohma N: [Three-dimensional imaging of the optic nerve using magnetic resonance angiography--application to anterior communicating artery aneurysm and craniopharingioma]. No Shinkei Geka; 2005 Apr;33(4):351-5
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  • The optic nerve and brain tumor were traced with paintbrush from one sheet to another of the reformed images after subtraction of the blood vessels around the anterior communicating artery in these reformed images, and then three-dimensional images were constructed.
  • The optic nerve and anterior communicating arterial aneurysm or brain tumor were both observed in the overlapped 3D-SSD (shaded surface display) images.
  • Three-dimensional images of the optic nerve and anterior communicating artery aneurysm or brain tumor were able to be made in all cases.
  • As a preoperative investigation for anterior communicating artery aneurysm or suprasellar brain tumor, we considered that three-dimensional imaging of the optic nerve is useful in the operative approach because the optic nerve acts as a merkmal for the anterior communicating aneurysm or brain tumor.
  • [MeSH-major] Craniopharyngioma / diagnosis. Imaging, Three-Dimensional. Intracranial Aneurysm / diagnosis. Magnetic Resonance Angiography. Optic Nerve / pathology. Pituitary Neoplasms / diagnosis
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Aneurysm, Ruptured / diagnosis. Female. Humans. Male. Middle Aged

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  • (PMID = 15830541.001).
  • [ISSN] 0301-2603
  • [Journal-full-title] No shinkei geka. Neurological surgery
  • [ISO-abbreviation] No Shinkei Geka
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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50. Shirane R, Hayashi T, Tominaga T: Fronto-basal interhemispheric approach for craniopharyngiomas extending outside the suprasellar cistern. Childs Nerv Syst; 2005 Aug;21(8-9):669-78
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  • [Title] Fronto-basal interhemispheric approach for craniopharyngiomas extending outside the suprasellar cistern.
  • METHOD: Forty-two patients who were surgically treated for craniopharyngiomas extending outside the sellar-suprasellar region were evaluated.
  • CONCLUSION: In our experience, the fronto-basal interhemispheric approach, even through a small craniotomy window, is a valid choice for the removal of craniopharyngiomas extending outside the sellar-suprasellar region.
  • This approach offers a safe and minimally invasive means of treating craniopharyngiomas.
  • [MeSH-major] Craniopharyngioma / surgery. Frontal Lobe / surgery. Neurosurgical Procedures. Pituitary Neoplasms / surgery. Sella Turcica / surgery
  • [MeSH-minor] Adult. Aged. Child. Child, Preschool. Female. Follow-Up Studies. Humans. Infant. Magnetic Resonance Imaging / methods. Male. Middle Aged. Postoperative Period. Skull Base / surgery. Tomography, X-Ray Computed / methods

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  • (PMID = 16034620.001).
  • [ISSN] 0256-7040
  • [Journal-full-title] Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
  • [ISO-abbreviation] Childs Nerv Syst
  • [Language] eng
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article
  • [Publication-country] Germany
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51. Hirunpat S, Tanomkiat W, Sriprung H, Chetpaophan J: Optic tract edema: a highly specific magnetic resonance imaging finding for the diagnosis of craniopharyngiomas. Acta Radiol; 2005 Jul;46(4):419-23
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  • [Title] Optic tract edema: a highly specific magnetic resonance imaging finding for the diagnosis of craniopharyngiomas.
  • PURPOSE: To clarify the accuracy, sensitivity, and specificity of optic tract edema in the diagnosis of craniopharyngiomas.
  • The spread of edema surrounding the tumor on the coronal TSE T2-weighted images was analyzed.
  • RESULTS: Edema along the optic tracts was detected in 7 of 11 craniopharyngiomas, giving a sensitivity of 63.6% (95% CI = 30.8-89.1) for our series and 66.7% (95% CI = 47.2-82.7) for the pooled numbers.
  • None of the 28 pituitary macroadenomas, 4 meningiomas, 2 hypothalamic astrocytomas, 2 germinomas, 1 mixed-germ cell tumor and 1 arachnoid cyst in our study showed edema of the optic pathways.
  • CONCLUSION: Optic tract edema, commonly seen in craniopharyngiomas, is a useful MR finding for distinguishing craniopharyngiomas from other parasellar tumors with considerable sensitivity and high specificity.
  • [MeSH-major] Craniopharyngioma / diagnosis. Edema / diagnosis. Magnetic Resonance Imaging / methods. Pituitary Neoplasms / diagnosis. Visual Pathways / pathology
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Child, Preschool. Diagnosis, Differential. Female. Humans. Infant. Male. Middle Aged. Observer Variation. Predictive Value of Tests. Retrospective Studies. Sensitivity and Specificity


52. Chen C, Cui Y, Huang X: [Clinical analysis of isolated sphenoid disease first manifesting headache and/or ophthalmic symptoms]. Lin Chuang Er Bi Yan Hou Ke Za Zhi; 2006 Jul;20(14):628-9, 633
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  • The diagnosis confirmed by CT or MRI and pathology included 7 cases with isolated sphenoiditis, 4 with mycosis, 3 with sphenoid cysts, 6 with purulent sphenoid cysts, 2 with polyps and sphenoiditis, 1 with foreign body, 1 with craniopharyngioma, and 1 with oncocytoma.
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Diagnostic Errors. Endoscopy. Female. Headache / diagnosis. Humans. Imaging, Three-Dimensional. Magnetic Resonance Imaging. Male. Middle Aged. Retrospective Studies. Tomography, X-Ray Computed. Young Adult

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  • (PMID = 17017183.001).
  • [Journal-full-title] Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology
  • [ISO-abbreviation] Lin Chuang Er Bi Yan Hou Ke Za Zhi
  • [Language] chi
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] China
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53. Jalali R, Budrukkar A, Sarin R, Sharma DS: High precision conformal radiotherapy employing conservative margins in childhood benign and low-grade brain tumours. Radiother Oncol; 2005 Jan;74(1):37-44
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  • [Title] High precision conformal radiotherapy employing conservative margins in childhood benign and low-grade brain tumours.
  • BACKGROUND AND PURPOSE: To report local control and follow up outcome data of high precision conformal radiotherapy in childhood brain tumours.
  • MATERIALS AND METHODS: Between December 1999 and December 2002, 26 children (17 boys and 9 girls, median age 11.5 years) with incompletely excised or recurrent benign and low-grade brain tumours [13 craniopharyngiomas, 11 low-grade gliomas (LGG) and 2 others] were treated with three-dimensional (3D) conformal radiotherapy (CRT) (12 patients) and stereotactic conformal radiotherapy (SCRT) (14 patients).
  • One patient with craniopharyngioma on a routine imaging revealed a mild asymptomatic cyst enlargement, which resolved with conservative management.
  • CONCLUSION: High-precision conformal techniques delivering irradiation to a computer generated target volume employing 7-10 mm 3D margins beyond the visible tumour and/or resected tumour bed appear to be safe in children with incompletely resected or recurrent benign and low-grade brain tumours, based on these data.
  • [MeSH-major] Brain Neoplasms / radiotherapy. Craniopharyngioma / radiotherapy. Glioma / radiotherapy. Radiotherapy, Conformal
  • [MeSH-minor] Adolescent. Adult. Brain Diseases / etiology. Child. Child, Preschool. Combined Modality Therapy. Cysts / etiology. Dose Fractionation. Female. Humans. Male. Radiation Injuries. Survival Analysis. Treatment Outcome

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  • (PMID = 15683667.001).
  • [ISSN] 0167-8140
  • [Journal-full-title] Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
  • [ISO-abbreviation] Radiother Oncol
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Ireland
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4. Zhou L, Luo L, Xu J, Li Q, Chen J, Jiang S, Cai B, You C: Craniopharyngiomas in the posterior fossa: a rare subgroup, diagnosis, management and outcomes. J Neurol Neurosurg Psychiatry; 2009 Oct;80(10):1150-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Craniopharyngiomas in the posterior fossa: a rare subgroup, diagnosis, management and outcomes.
  • OBJECTIVE: Craniopharyngiomas with predominant pars in the posterior fossa are very rare and extremely overlooked.
  • The purpose of this study was to explore the differing characteristics of posterior fossa craniopharyngiomas.
  • METHODS: Seven patients with pathologically proven craniopharyngiomas located in the posterior fossa were retrospectively investigated.
  • CONCLUSIONS: Posterior fossa craniopharyngiomas are rare and may be considered an independent subgroup of classifications.
  • [MeSH-major] Craniopharyngioma / diagnosis. Craniopharyngioma / surgery. Infratentorial Neoplasms / diagnosis. Infratentorial Neoplasms / surgery. Pituitary Neoplasms / diagnosis. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Child. Cohort Studies. Female. Humans. Male. Retrospective Studies. Treatment Outcome

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  • [RetractionIn] J Neurol Neurosurg Psychiatry. 2010 Aug;81(8):942 [20682723.001]
  • (PMID = 19762904.001).
  • [ISSN] 1468-330X
  • [Journal-full-title] Journal of neurology, neurosurgery, and psychiatry
  • [ISO-abbreviation] J. Neurol. Neurosurg. Psychiatry
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Retracted Publication
  • [Publication-country] England
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55. Gardner PA, Kassam AB, Snyderman CH, Carrau RL, Mintz AH, Grahovac S, Stefko S: Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. J Neurosurg; 2008 Jul;109(1):6-16
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  • [Title] Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series.
  • OBJECT: Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar regions.
  • METHODS: The authors performed a retrospective review of all patients who underwent a purely endoscopic, expanded endonasal approach (EEA) for the resection of craniopharyngiomas at their institution between June 1999 and February 2006.
  • RESULTS: Sixteen patients underwent endoscopic EEA for the resection of craniopharyngiomas.
  • Three elderly patients with vision loss underwent planned debulking, 1 patient with vision loss and a moderate-sized tumor had express wishes for debulking, and 1 patient had a separate, third ventricular nodule that was not resected.
  • CONCLUSIONS: Endoscopic EEA for the resection of craniopharyngiomas provides acceptable results and holds the potential to improve outcomes.
  • [MeSH-major] Craniopharyngioma / pathology. Craniopharyngioma / surgery. Endoscopy. Pituitary Neoplasms / pathology. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Cohort Studies. Female. Humans. Male. Middle Aged. Nasal Cavity. Neoplasm Invasiveness. Retrospective Studies. Treatment Outcome


56. Dusick JR, Fatemi N, Mattozo C, McArthur D, Cohan P, Wang C, Swerdloff RS, Kelly DF: Pituitary function after endonasal surgery for nonadenomatous parasellar tumors: Rathke's cleft cysts, craniopharyngiomas, and meningiomas. Surg Neurol; 2008 Nov;70(5):482-90; discussion 490-1
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  • [Title] Pituitary function after endonasal surgery for nonadenomatous parasellar tumors: Rathke's cleft cysts, craniopharyngiomas, and meningiomas.
  • Herein we present the rates and risk factors of new hormonal failure and recovery in patients undergoing surgery for either an RCC, craniopharyngioma, or tuberculum sella meningioma.
  • METHODS: All consecutive patients treated over an 8-year period by endonasal surgery for an RCC, craniopharyngioma, or tuberculum sella meningioma were analyzed.
  • Patient characteristics, tumor size, intraoperative and postoperative events, and extent of tumor resection were correlated with new or resolved hypopituitarism.
  • RESULTS: In total, 50 patients with an RCC, 18 with a craniopharyngioma and 13 with tuberculum sellae meningioma, were analyzed.
  • New anterior pituitary failure and permanent DI occurred as follows: in RCCs, 6% and 2%; in craniopharyngiomas, 31% and 39%; and in meningiomas, 9% and 0%.
  • Overall, improved hormonal function occurred in 57% of patients with an RCC including recovery of one or more anterior axes in 9 (41%) of 22 patients and resolution of hyperprolactinemia in 12 (67%) of 18 patients; no patients with a craniopharyngioma or meningioma had resolution of hypopituitarism.
  • CONCLUSIONS: New hypopituitarism after transsphenoidal surgery occurs in approximately one third of patients with a craniopharyngioma and in less than 10% of patients with an RCC or suprasellar meningioma.
  • Hormonal function improves in the majority of patients undergoing drainage of an RCC but is unlikely to occur after removal of a craniopharyngioma or suprasellar meningioma.
  • [MeSH-major] Central Nervous System Cysts / surgery. Craniopharyngioma / surgery. Meningeal Neoplasms / surgery. Meningioma / surgery. Pituitary Gland / physiopathology. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Cohort Studies. Female. Humans. Male. Middle Aged. Pituitary Function Tests. Pituitary Hormones, Anterior / metabolism. Pituitary Hormones, Posterior / metabolism. Retrospective Studies. Treatment Outcome

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  • [CommentIn] Surg Neurol. 2009 Dec;72(6):643-4; author reply 644-7 [20082835.001]
  • (PMID = 18482750.001).
  • [ISSN] 0090-3019
  • [Journal-full-title] Surgical neurology
  • [ISO-abbreviation] Surg Neurol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Pituitary Hormones, Anterior; 0 / Pituitary Hormones, Posterior
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57. Srimanee D, Bhidayasiri R, Phanthumchinda K: Extrapontine myelinolysis in preoperative sellar region tumor: report of two cases. J Med Assoc Thai; 2009 Nov;92(11):1548-53
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  • [Title] Extrapontine myelinolysis in preoperative sellar region tumor: report of two cases.
  • The authors describe two cases of preoperative sellar region tumor associated with hypopituitarism and secondary adrenal insufficiency.
  • The first case was a 35-year-old man with craniopharyngioma who developed generalized dystonia after rapid correction of hyponatremia.
  • [MeSH-major] Craniopharyngioma / diagnosis. Myelinolysis, Central Pontine / diagnosis. Pituitary Neoplasms / diagnosis
  • [MeSH-minor] Adrenal Insufficiency / complications. Adult. Diagnosis, Differential. Fatal Outcome. Humans. Hyponatremia / complications. Hypopituitarism / complications. Magnetic Resonance Imaging. Male. Tomography, X-Ray Computed

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  • (PMID = 19938750.001).
  • [ISSN] 0125-2208
  • [Journal-full-title] Journal of the Medical Association of Thailand = Chotmaihet thangphaet
  • [ISO-abbreviation] J Med Assoc Thai
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Thailand
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58. Webb SM, Strasburger CJ, Mo D, Hartman ML, Melmed S, Jung H, Blum WF, Attanasio AF, HypoCCS International Advisory Board: Changing patterns of the adult growth hormone deficiency diagnosis documented in a decade-long global surveillance database. J Clin Endocrinol Metab; 2009 Feb;94(2):392-9
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  • [Title] Changing patterns of the adult growth hormone deficiency diagnosis documented in a decade-long global surveillance database.
  • BACKGROUND: GH therapy in adult patients with GH deficiency (GHD) was approved over 10 yr ago, and the indication has subsequently gained broad acceptance.
  • RESULTS: Over the decade, there was a decrease in patients enrolled with diagnoses of pituitary adenoma (50.2 to 38.6%; P < 0.001), craniopharyngioma (13.3 to 8.4%; P = 0.005) and pituitary hemorrhage (5.8 to 2.8%; P = 0.001); increases in idiopathic GHD (13.9 to 19.3%; P < 0.001), less common diagnoses (7.4 to 15.8%; P < 0.001), and undefined/unknown diagnoses (1.3 to 8.6%; P < 0.001) were observed.
  • Over the decade (1996--2005), idiopathic GHD was reported for 16.7% of patients, and more than half of these had adult onset GHD.
  • In the idiopathic adult onset group, 40.2% had isolated GHD; 18.3 and 4.4% had a stimulation test GH peak of at least 3.0 and 5.0 microg/liter, respectively.
  • CONCLUSIONS: Significant shifts in diagnostic patterns have occurred since approval of the adult GHD indication, with a trend to less severe forms of GHD.
  • [MeSH-minor] Adult. Age of Onset. Arginine / analysis. Diagnostic Techniques, Endocrine / trends. Female. Growth Hormone-Releasing Hormone / analysis. Humans. Insulin Resistance / physiology. Male. Middle Aged. Pituitary Diseases / complications. Pituitary Diseases / diagnosis

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  • (PMID = 19001512.001).
  • [ISSN] 0021-972X
  • [Journal-full-title] The Journal of clinical endocrinology and metabolism
  • [ISO-abbreviation] J. Clin. Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article; Multicenter Study
  • [Publication-country] United States
  • [Chemical-registry-number] 12629-01-5 / Human Growth Hormone; 9034-39-3 / Growth Hormone-Releasing Hormone; 94ZLA3W45F / Arginine
  • [Investigator] Attanasio AF; Terme A; Beck-Peccoz P; Blum WF; Bouillon R; Chanson P; Kremlin-Bicêtre L; Chihara K; Clemmons DR; Cutler GB; Erfurth EM; Hartman M; Ho KY; Jung H; Kleinberg D; Lamberts SW; Melmed S; Robinson LL; Ross RJ; Shimatsu A; Strasburger CJ; Webb SM; Woodmansee W; Zimmermann A
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59. Choi SH, Kwon BJ, Na DG, Kim JH, Han MH, Chang KH: Pituitary adenoma, craniopharyngioma, and Rathke cleft cyst involving both intrasellar and suprasellar regions: differentiation using MRI. Clin Radiol; 2007 May;62(5):453-62
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  • [Title] Pituitary adenoma, craniopharyngioma, and Rathke cleft cyst involving both intrasellar and suprasellar regions: differentiation using MRI.
  • AIMS: To determine the differential magnetic resonance imaging (MRI) features of pituitary adenoma, craniopharyngioma, and Rathke cleft cyst involving both intrasellar and suprasellar regions.
  • MATERIALS AND METHODS: The MRI images of 64 patients with pituitary adenoma (n=38), craniopharyngioma (n=13), or Rathke cleft cyst (n=13) were retrospectively reviewed by three neuroradiologists.
  • A superiorly lobulated shape, third ventricle compression by superior tumour extension, mixed solid and cystic characteristics, and reticular enhancement of the solid portion were more common in craniopharyngiomas (p<0.017).
  • Finally, an ovoid shape, a small tumour volume, cystic characteristics, and no or thin cyst wall enhancement were more common in Rathke cleft cysts (p<0.017).
  • The flowchart yielded diagnostic accuracies as follows: 92.1% in pituitary adenoma; 92.3% in craniopharyngioma; 92.3% in Rathke cleft cyst; and 92.2% overall.
  • [MeSH-major] Adenoma / pathology. Central Nervous System Cysts / pathology. Craniopharyngioma / pathology. Magnetic Resonance Imaging / methods. Pituitary Neoplasms / pathology
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Radiology Information Systems. Retrospective Studies


60. Schmalisch K, Beschorner R, Psaras T, Honegger J: Postoperative intracranial seeding of craniopharyngiomas--report of three cases and review of the literature. Acta Neurochir (Wien); 2010 Feb;152(2):313-9; discussion 319
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  • [Title] Postoperative intracranial seeding of craniopharyngiomas--report of three cases and review of the literature.
  • PURPOSE: Seeding of craniopharyngioma has been rarely reported.
  • METHODS: The first patient was a 13-year-old boy who had initially undergone radical excision of a suprasellar and retrosellar craniopharyngioma by a right pterional approach.
  • Postoperative MRI showed no evidence of residual tumor.
  • Two years later, MRI revealed a local recurrence and in addition a separated cystic tumor on the right side adjacent to the middle cerebral artery consistent with seeding along the surgical route.
  • On histopathological examination, both, the local recurrent tumor and the distant deposit turned out to be adamantinomatous craniopharyngiomas.
  • The second patient was a 27-year-old woman who was operated on for the first time via a right pterional and 1 year later for a recurrent craniopharyngioma via a transsphenoidal approach.
  • This deposit in the operative pathway was found to be an adamantinomatous craniopharyngioma, as was the initial tumor.
  • The recent control MRT revealed a right parietal intracranial tumor with peripheral contrast enhancement, which was located distant to the former craniotomy.
  • The tumor was removed and histopathological examination revealed an adamantinomatous craniopharyngioma in accordance with the initial tumor.
  • CONCLUSION: Although craniopharyngiomas exhibit a benign histopathological pattern, cerebrospinal fluid seeding along the surgical route or along the CSF pathways has been observed.
  • Ectopic recurrence of craniopharyngioma suggests that meticulous protection of the whole surgical field and careful handling of the tumor during the operation are required.
  • [MeSH-major] Brain Neoplasms / secondary. Craniopharyngioma / secondary. Neoplasm Metastasis / pathology. Neoplasm Seeding. Pituitary Neoplasms / pathology
  • [MeSH-minor] Adolescent. Adult. Craniotomy. Female. Frontal Bone / pathology. Frontal Bone / surgery. Humans. Magnetic Resonance Imaging. Male. Neoplasm Recurrence, Local / pathology. Neoplasm Recurrence, Local / surgery. Parietal Bone / pathology. Parietal Bone / surgery. Reoperation. Treatment Outcome

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  • (PMID = 19859655.001).
  • [ISSN] 0942-0940
  • [Journal-full-title] Acta neurochirurgica
  • [ISO-abbreviation] Acta Neurochir (Wien)
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Austria
  • [Number-of-references] 31
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61. Pekmezci M, Louie J, Gupta N, Bloomer MM, Tihan T: Clinicopathological characteristics of adamantinomatous and papillary craniopharyngiomas: University of California, San Francisco experience 1985-2005. Neurosurgery; 2010 Nov;67(5):1341-9; discussion 1349
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  • [Title] Clinicopathological characteristics of adamantinomatous and papillary craniopharyngiomas: University of California, San Francisco experience 1985-2005.
  • BACKGROUND: Craniopharyngiomas are rare epithelial tumors that are presumed to arise from the remnants of Rathke's pouch.
  • OBJECTIVE: This study was designed to evaluate the outcome characteristics of craniopharyngiomas treated in a single institution and to determine whether the adamantinomatous craniopharyngioma should be considered more aggressive than a World Health Organization (WHO) grade I neoplasm.
  • METHODS: We identified all patients with craniopharyngioma given their diagnoses at University of California, San Francisco in a 20-year period and performed a retrospective analysis of clinicopathological and outcome characteristics.
  • CONCLUSION: Adamantinomatous craniopharyngioma is a locally aggressive neoplasm with a significant rate of recurrence.
  • This is not in keeping with the current designation of a WHO grade I neoplasm.
  • Given the high numbers of "silent" defects, formal visual field testing should be performed in all patients with craniopharyngiomas.
  • [MeSH-major] Craniopharyngioma / mortality. Craniopharyngioma / surgery. Neoplasm Recurrence, Local / mortality. Pituitary Neoplasms / mortality. Pituitary Neoplasms / surgery. Postoperative Complications / mortality
  • [MeSH-minor] Adolescent. Adult. Aged. California / epidemiology. Child. Child, Preschool. Female. Humans. Infant. Infant, Newborn. Longitudinal Studies. Male. Middle Aged. Prevalence. Risk Assessment. Risk Factors. Survival Analysis. Survival Rate. Treatment Outcome. Young Adult

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  • (PMID = 20871436.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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62. Coppens JR, Couldwell WT: Staged use of the transsphenoidal approach to resect superior third ventricular craniopharyngiomas. Minim Invasive Neurosurg; 2010 Feb;53(1):40-3
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  • [Title] Staged use of the transsphenoidal approach to resect superior third ventricular craniopharyngiomas.
  • INTRODUCTION: Craniopharyngiomas are benign tumors, usually originating from the infundibulum or tuber cinereum.
  • Large craniopharyngiomas that invade the upper third of the third ventricle are a common reason for patients to need a second operation to accomplish a gross total resection.
  • Transsphenoidal approaches are being increasingly used in the treatment of craniopharyngiomas.
  • Large craniopharyngiomas involving the superior third ventricle are most commonly resected through a staged approach, often involving a transcortical or interhemispheric route.
  • CASE REPORT: The authors describe the use of an extended transsphenoidal approach as a second-stage operation to resect the intraventricular component of a large craniopharyngioma in an illustrative case.
  • [MeSH-major] Craniopharyngioma / surgery. Craniotomy / methods. Neuroendoscopy / methods. Pituitary Neoplasms / surgery. Sphenoid Sinus / surgery. Third Ventricle / surgery
  • [MeSH-minor] Adult. Decompression, Surgical / methods. Humans. Male. Neoplasm, Residual / diagnosis. Neoplasm, Residual / surgery. Postoperative Complications / diagnosis. Reoperation

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  • [Copyright] (c) Georg Thieme Verlag KG Stuttgart . New York.
  • (PMID = 20376745.001).
  • [ISSN] 1439-2291
  • [Journal-full-title] Minimally invasive neurosurgery : MIN
  • [ISO-abbreviation] Minim Invasive Neurosurg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
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63. Luu QT, Loredo LN, Archambeau JO, Yonemoto LT, Slater JM, Slater JD: Fractionated proton radiation treatment for pediatric craniopharyngioma: preliminary report. Cancer J; 2006 Mar-Apr;12(2):155-9
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  • [Title] Fractionated proton radiation treatment for pediatric craniopharyngioma: preliminary report.
  • This retrospective preliminary review evaluated the efficacy and toxicity of fractionated proton radiotherapy in the management of pediatric craniopharyngioma.
  • All had undergone at least one tumor resection.
  • DISCUSSION: Fractionated proton radiotherapy is an effective treatment for children with craniopharyngioma.
  • [MeSH-major] Craniopharyngioma / therapy. Pituitary Neoplasms / therapy. Protons / therapeutic use. Radiotherapy, Conformal / methods
  • [MeSH-minor] Adolescent. Adult. California / epidemiology. Child. Dose Fractionation. Female. Humans. Male. Radiotherapy, Adjuvant. Retrospective Studies. Salvage Therapy / methods

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  • (PMID = 16630407.001).
  • [ISSN] 1528-9117
  • [Journal-full-title] Cancer journal (Sudbury, Mass.)
  • [ISO-abbreviation] Cancer J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Protons
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64. Dehdashti AR, de Tribolet N: Frontobasal interhemispheric trans-lamina terminalis approach for suprasellar lesions. Neurosurgery; 2005 Apr;56(2 Suppl):418-24; discussion 418-24
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  • [MeSH-major] Brain Diseases / surgery. Frontal Sinus / surgery. Neurosurgical Procedures. Sella Turcica
  • [MeSH-minor] Adult. Cerebral Angiography. Cerebral Ventricle Neoplasms / radiography. Cerebral Ventricle Neoplasms / surgery. Craniopharyngioma / radiography. Craniopharyngioma / surgery. Craniotomy. Dissection. Dura Mater / surgery. Female. Humans. Intracranial Arteriovenous Malformations / radiography. Intracranial Arteriovenous Malformations / surgery. Male. Pituitary Neoplasms / radiography. Pituitary Neoplasms / surgery. Postoperative Care. Third Ventricle / radiography. Tomography, X-Ray Computed

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  • [CommentIn] Neurosurgery. 2008 Jun;62(6 Suppl 3):1233-9 [18695544.001]
  • (PMID = 15794839.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Case Reports; Evaluation Studies; Journal Article
  • [Publication-country] United States
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65. Müller HL, Gebhardt U, Faldum A, Emser A, Etavard-Gorris N, Kolb R, Sörensen N: Functional capacity and body mass index in patients with sellar masses--cross-sectional study on 403 patients diagnosed during childhood and adolescence. Childs Nerv Syst; 2005 Jul;21(7):539-45
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  • METHODS: FC was evaluated using the ability scale Fertigkeitenskala Münster-Heidelberg in 403 children and adolescents with sellar masses (276 craniopharyngioma, 14 germinoma, 21 optic/chiasmatic glioma, 40 hypothalamic glioma, 13 cysts of Rathke's cleft and 39 other sellar masses).
  • The second model showed BMI at diagnosis (p<0,001), hypothalamic involvement (p<0.001) and craniopharyngioma (p=0,004) to influence BMI at the latest evaluation.
  • [MeSH-major] Body Mass Index. Craniopharyngioma / diagnosis. Craniopharyngioma / physiopathology. Pituitary Neoplasms / diagnosis. Pituitary Neoplasms / physiopathology
  • [MeSH-minor] Adolescent. Adult. Chi-Square Distribution. Child. Cross-Sectional Studies. Female. Humans. Hypothalamus / pathology. Hypothalamus / physiopathology. Male. Neuropsychological Tests. Prospective Studies. Quality of Life. Retrospective Studies

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  • (PMID = 15889310.001).
  • [ISSN] 0256-7040
  • [Journal-full-title] Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
  • [ISO-abbreviation] Childs Nerv Syst
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
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66. Verhelst J, Abs R: Cardiovascular risk factors in hypopituitary GH-deficient adults. Eur J Endocrinol; 2009 Nov;161 Suppl 1:S41-9
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  • The added value of the different KIMS papers over previous research is that KIMS involves a much larger number of patients, that lipid concentrations and IGF1 are measured in a single central laboratory, and that the effects of GH replacement therapy can be followed longer than the duration of earlier trials.
  • By the large number of patients, KIMS gives insight into the effects of GH in different patients' subgroups such as elderly patients, patients with idiopathic GHD, patients with craniopharyngioma, patients after irradiation, and so on.

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  • (PMID = 19684057.001).
  • [ISSN] 1479-683X
  • [Journal-full-title] European journal of endocrinology
  • [ISO-abbreviation] Eur. J. Endocrinol.
  • [Language] ENG
  • [Publication-type] Journal Article; Meta-Analysis; Review
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Biomarkers; 12629-01-5 / Human Growth Hormone
  • [Number-of-references] 66
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67. Yang I, Sughrue ME, Rutkowski MJ, Kaur R, Ivan ME, Aranda D, Barani IJ, Parsa AT: Craniopharyngioma: a comparison of tumor control with various treatment strategies. Neurosurg Focus; 2010 Apr;28(4):E5
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  • [Title] Craniopharyngioma: a comparison of tumor control with various treatment strategies.
  • OBJECT: Craniopharyngiomas have a propensity to recur after resection, potentially causing death through their aggressive local behavior in their critical site of origin.
  • Recent data suggest that subtotal resection (STR) followed by adjuvant radiotherapy (XRT) may be an appealing substitute for gross-total resection (GTR), providing similar rates of tumor control without the morbidity associated with aggressive resection.
  • Here, the authors summarize the published literature regarding rates of tumor control with various treatment modalities for craniopharyngiomas.
  • METHODS: The authors performed a comprehensive search of the English language literature to identify studies publishing outcome data on patients undergoing surgery for craniopharyngioma.
  • RESULTS: There were 442 patients who underwent tumor resection.
  • CONCLUSIONS: Given the relative rarity of craniopharyngioma, this study provides estimates of outcome for a variety of treatment combinations, as not all treatments are an option for all patients with these tumors.
  • [MeSH-major] Craniopharyngioma / therapy. Pituitary Neoplasms / therapy
  • [MeSH-minor] Adolescent. Adult. Age Factors. Aged. Child. Child, Preschool. Disease-Free Survival. Female. Humans. Hypophysectomy / methods. Kaplan-Meier Estimate. Male. Middle Aged. Pituitary Irradiation. Radiotherapy, Adjuvant. Treatment Outcome

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  • (PMID = 20367362.001).
  • [ISSN] 1092-0684
  • [Journal-full-title] Neurosurgical focus
  • [ISO-abbreviation] Neurosurg Focus
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] United States
  • [Number-of-references] 282
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68. Combs SE, Thilmann C, Huber PE, Hoess A, Debus J, Schulz-Ertner D: Achievement of long-term local control in patients with craniopharyngiomas using high precision stereotactic radiotherapy. Cancer; 2007 Jun 1;109(11):2308-14
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  • [Title] Achievement of long-term local control in patients with craniopharyngiomas using high precision stereotactic radiotherapy.
  • BACKGROUND: The long-term outcome in patients with craniopharyngiomas treated with fractionated stereotactic radiotherapy (FSRT) was evaluated.
  • METHODS: A total of 40 patients with craniopharyngiomas were treated between May 1989 and July 2006 with FSRT.
  • Most patients were treated for tumor progression after surgery.
  • CONCLUSIONS: The long-term outcome of FSRT for craniopharyngiomas is excellent with regard to local control as well as treatment-related side effects.
  • [MeSH-major] Craniopharyngioma / radiotherapy. Pituitary Neoplasms / radiotherapy. Radiotherapy / methods. Stereotaxic Techniques
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Female. Humans. Male. Middle Aged. Retrospective Studies

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  • [Copyright] (c) 2007 American Cancer Society.
  • (PMID = 17469176.001).
  • [ISSN] 0008-543X
  • [Journal-full-title] Cancer
  • [ISO-abbreviation] Cancer
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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69. de Divitiis E, Cavallo LM, Cappabianca P, Esposito F: Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: Part 2. Neurosurgery; 2007 Jan;60(1):46-58; discussion 58-9
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  • The series consisted of seven pituitary adenomas, seven craniopharyngiomas, three suprasellar Rathke's cleft cysts, two tuberculum sellae meningiomas, and one pilocytic astrocytoma of the chiasm.
  • RESULTS: Tumor removal, as assessed by postoperative magnetic resonance imaging, revealed complete removal of the lesion in four out of seven pituitary adenomas, five out of seven craniopharyngiomas, three out of three Rathke's cleft cysts, and two out of two tuberculum sellae meningiomas.
  • One patient (5%) with craniopharyngioma had a postoperative cerebrospinal fluid leak that required reoperation.
  • [MeSH-major] Brain Neoplasms / surgery. Nasal Cavity / surgery. Neuroendoscopy / methods. Sphenoid Sinus / surgery
  • [MeSH-minor] Adult. Aged. Central Nervous System Neoplasms / diagnosis. Central Nervous System Neoplasms / radiography. Central Nervous System Neoplasms / surgery. Female. Humans. Male. Middle Aged. Sphenoid Bone / radiography. Sphenoid Bone / surgery

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  • (PMID = 17228252.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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70. Gonçalves MI, Radzinsky TC, da Silva NS, Chiari BM, Consonni D: Speech-language and hearing complaints of children and adolescents with brain tumors. Pediatr Blood Cancer; 2008 Mar;50(3):706-8
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  • [Title] Speech-language and hearing complaints of children and adolescents with brain tumors.
  • Central nervous system (CNS) tumors generally leave sequelae that may compromise speech, language, swallowing, hearing, and voice functions.
  • This report describes the incidence of speech-language and hearing complaints and disorders in children and adolescents with CNS tumor under treatment at one of the most important Brazilian reference center for pediatric cancer.
  • [MeSH-major] Brain Neoplasms / complications. Hearing Loss / etiology. Language Disorders / etiology. Speech Disorders / etiology
  • [MeSH-minor] Adolescent. Adult. Antineoplastic Agents / adverse effects. Antineoplastic Agents / therapeutic use. Astrocytoma / complications. Astrocytoma / drug therapy. Child. Child, Preschool. Craniopharyngioma / complications. Craniopharyngioma / drug therapy. Deglutition Disorders / etiology. Ependymoma / complications. Ependymoma / drug therapy. Facial Paralysis / etiology. Female. Humans. Infant. Male. Medulloblastoma / complications. Medulloblastoma / drug therapy


71. Ogawa Y, Tominaga T: A partially ossified solid and cystic Rathke cleft cyst. J Neurosurg; 2010 Jun;112(6):1324-6
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  • [Title] A partially ossified solid and cystic Rathke cleft cyst.
  • A Rathke cleft cyst is considered to arise from the remnants of the Rathke pouch, and it consists of single cuboidal or columnar epithelium including cilia and goblet cells, which secrete mucus into the cyst.
  • A 21-year-old woman presented with an extremely rare case of a solid and cystic Rathke cleft cyst with partial ossification, manifesting as bitemporal hemianopia.
  • Single cuboidal epithelium including goblet cells and cilia was found along this granulation, and the diagnosis was a Rathke cleft cyst.
  • An ossified Rathke cleft cyst is extremely rare, and a solid Rathke cleft cyst has not before been reported.
  • [MeSH-major] Cell Transformation, Neoplastic / pathology. Central Nervous System Cysts / pathology. Central Nervous System Cysts / surgery. Craniopharyngioma / surgery. Ossification, Heterotopic / pathology. Ossification, Heterotopic / surgery. Pituitary Neoplasms / pathology. Pituitary Neoplasms / surgery
  • [MeSH-minor] Diagnosis, Differential. Female. Hemianopsia / etiology. Humans. Magnetic Resonance Imaging. Nerve Compression Syndromes / pathology. Nerve Compression Syndromes / surgery. Optic Chiasm / pathology. Optic Chiasm / surgery. Pituitary Gland / pathology. Visual Fields / physiology. Young Adult

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  • [CommentIn] J Neurosurg. 2010 Jun;112(6):1322-3; discussion 1323 [19961318.001]
  • (PMID = 19961317.001).
  • [ISSN] 1933-0693
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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72. Crom DB: Metabolic abnormalities in an adult survivor of pediatric craniopharyngioma. Oncology (Williston Park); 2008 Jul;22(8 Suppl Nurse Ed):43-6
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  • [Title] Metabolic abnormalities in an adult survivor of pediatric craniopharyngioma.
  • [MeSH-major] Craniopharyngioma / complications. Craniopharyngioma / nursing. Endocrine System Diseases / etiology. Endocrine System Diseases / nursing. Pituitary Neoplasms / complications. Pituitary Neoplasms / nursing
  • [MeSH-minor] Adult. Child. Combined Modality Therapy. Humans. Male. Neurosurgical Procedures / adverse effects. Radiotherapy / adverse effects. Survivors

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  • (PMID = 19856572.001).
  • [ISSN] 0890-9091
  • [Journal-full-title] Oncology (Williston Park, N.Y.)
  • [ISO-abbreviation] Oncology (Williston Park, N.Y.)
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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73. Jane JA Jr, Kiehna E, Payne SC, Early SV, Laws ER Jr: Early outcomes of endoscopic transsphenoidal surgery for adult craniopharyngiomas. Neurosurg Focus; 2010 Apr;28(4):E9
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  • [Title] Early outcomes of endoscopic transsphenoidal surgery for adult craniopharyngiomas.
  • OBJECT: Although the transsphenoidal approach for subdiaphragmatic craniopharyngiomas has been performed for many years, there are few reports describing the role of the endoscopic transsphenoidal technique for suprasellar craniopharyngiomas.
  • The purpose of this study was to report the outcomes of the endoscopic transsphenoidal approach for adults with craniopharyngiomas in whom the goal was gross-total resection.
  • CONCLUSIONS: The authors have achieved a high rate of radical resection and symptomatic improvement with the endoscopic transsphenoidal technique for both subdiaphragmatic (sellar/suprasellar) and supradiaphragmatic (suprasellar) craniopharyngiomas.
  • Endoscopic assessment of tumor resection may be more sensitive for residual tumor than the first postoperative MR imaging study.
  • [MeSH-major] Craniopharyngioma / surgery. Neuroendoscopy / methods. Neurosurgical Procedures / methods. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adult. Aged. Diabetes Insipidus / etiology. Female. Humans. Hypopituitarism / etiology. Magnetic Resonance Imaging. Male. Microsurgery / methods. Middle Aged. Postoperative Complications / etiology. Sella Turcica / pathology. Sella Turcica / surgery. Sphenoid Sinus. Treatment Outcome. Tumor Burden. Vision Disorders / etiology

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  • (PMID = 20367523.001).
  • [ISSN] 1092-0684
  • [Journal-full-title] Neurosurgical focus
  • [ISO-abbreviation] Neurosurg Focus
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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74. Campbell PG, McGettigan B, Luginbuhl A, Yadla S, Rosen M, Evans JJ: Endocrinological and ophthalmological consequences of an initial endonasal endoscopic approach for resection of craniopharyngiomas. Neurosurg Focus; 2010 Apr;28(4):E8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Endocrinological and ophthalmological consequences of an initial endonasal endoscopic approach for resection of craniopharyngiomas.
  • OBJECT: The expanded endoscopic approach to craniopharyngiomas has recently been described in several small case series.
  • METHODS: Between September 2006 and September 2009, 14 patients underwent a purely endoscopic, endonasal approach for resection of newly diagnosed craniopharyngiomas.
  • These procedures represent index surgeries; no patient had undergone previous tumor resection.
  • Additionally, a review of the English literature was performed to evaluate outcomes of similar endoscopic techniques for resection of craniopharyngiomas.
  • CONCLUSIONS: The endoscopic endonasal approach is a minimally invasive alternative to open transcranial approaches for select craniopharyngiomas.
  • Similar to previous transcranial series, rates of endocrinopathy and gross-total resection were dependent upon the adherence of the tumor capsule to the hypothalamus, pituitary stalk, and associated vasculature.
  • [MeSH-major] Craniopharyngioma / surgery. Neuroendoscopy / methods. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Cerebrospinal Fluid Rhinorrhea / etiology. Diabetes Insipidus / etiology. Female. Hemianopsia / etiology. Humans. Male. Middle Aged. Nasal Cavity. Neurosurgical Procedures / methods. Postoperative Complications / etiology. Treatment Outcome. Vision Disorders / etiology. Visual Fields / physiology

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  • [CommentIn] Neurosurg Focus. 2010 Apr;28(4):E8a; discussion E8b [20367366.001]
  • (PMID = 20367365.001).
  • [ISSN] 1092-0684
  • [Journal-full-title] Neurosurgical focus
  • [ISO-abbreviation] Neurosurg Focus
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 57
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75. Carroll C, Krolikowski K, Mukonoweshuro W, Jones J, Hanemann CO: Unilateral cerebral hemisphere oedema as a peri-ictal phenomenon. J Neurol; 2010 Dec;257(12):2094-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-major] Brain Edema / diagnosis. Craniopharyngioma / diagnosis. Epilepsy / diagnosis
  • [MeSH-minor] Adult. Cerebral Cortex / diagnostic imaging. Cerebral Cortex / pathology. Humans. Male. Radiography

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  • [Cites] Seizure. 2009 Mar;18(2):104-8 [18723376.001]
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  • (PMID = 20632028.001).
  • [ISSN] 1432-1459
  • [Journal-full-title] Journal of neurology
  • [ISO-abbreviation] J. Neurol.
  • [Language] eng
  • [Publication-type] Case Reports; Letter
  • [Publication-country] Germany
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76. Cappabianca P, Esposito F, Esposito I, Cavallo LM, Leone CA: Use of a thrombin-gelatin haemostatic matrix in endoscopic endonasal extended approaches: technical note. Acta Neurochir (Wien); 2009 Jan;151(1):69-77; discussion 77
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  • [MeSH-minor] Adenoma / pathology. Adenoma / surgery. Adult. Aged. Brain Neoplasms / pathology. Brain Neoplasms / surgery. Craniopharyngioma / pathology. Craniopharyngioma / surgery. Female. Humans. Intraoperative Complications / drug therapy. Intraoperative Complications / etiology. Intraoperative Complications / prevention & control. Male. Meningeal Neoplasms / pathology. Meningeal Neoplasms / surgery. Meningioma / pathology. Meningioma / surgery. Middle Aged. Pituitary Neoplasms / pathology. Pituitary Neoplasms / surgery. Skull Base Neoplasms / pathology. Skull Base Neoplasms / surgery. Treatment Outcome

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  • (PMID = 19129962.001).
  • [ISSN] 0942-0940
  • [Journal-full-title] Acta neurochirurgica
  • [ISO-abbreviation] Acta Neurochir (Wien)
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Austria
  • [Chemical-registry-number] 0 / FloSeal Matrix
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77. Berlis A, Vesper J, Ostertag C: Stent placement for intracranial cysts by combined stereotactic/endoscopic surgery. Neurosurgery; 2006 Oct;59(4 Suppl 2):ONS474-9; discussion ONS479-80
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  • The authors present a new treatment method with internal drainage of cysts into the ventricular system using a balloon-mounted vascular stent.
  • METHODS: Six patients with cysts of low-grade gliomas, one with monocystic craniopharyngioma, and one with suprasellar arachnoid cyst were treated between September 2003 and May 2005.
  • The first patient showed recurrence of the tumor cyst 3 months after initial treatment with a Herkulink stent (5 x 18 mm), followed by retreatment with an Omnilink stent (6 x 28 mm; Guidant Corp., Santa Clara, CA).
  • [MeSH-major] Brain Diseases / surgery. Cysts / surgery. Endoscopy / methods. Neurosurgical Procedures / methods. Prosthesis Implantation / methods. Stents. Stereotaxic Techniques
  • [MeSH-minor] Adolescent. Adult. Child. Combined Modality Therapy. Female. Humans. Male. Middle Aged. Treatment Outcome

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  • (PMID = 17041520.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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78. Hasegawa T, Kobayashi T, Kida Y: Tolerance of the optic apparatus in single-fraction irradiation using stereotactic radiosurgery: evaluation in 100 patients with craniopharyngioma. Neurosurgery; 2010 Apr;66(4):688-94; discussion 694-5
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  • [Title] Tolerance of the optic apparatus in single-fraction irradiation using stereotactic radiosurgery: evaluation in 100 patients with craniopharyngioma.
  • OBJECTIVE: To determine the limiting dose to the optic apparatus in single-fraction irradiation in patients with craniopharyngioma treated with gamma knife radiosurgery (GKRS).
  • METHODS: One hundred patients with 109 craniopharyngiomas treated with GKRS were evaluated with a median follow-up period of 68 months.
  • Tumor volume varied from 0.1 to 36.0 (median, 3.3) cm.
  • RESULTS: The actuarial 5- and 10-year overall rates of survival of tumor progression after GKRS were 93% and 88%, respectively.
  • [MeSH-major] Craniopharyngioma / surgery. Pituitary Neoplasms / surgery. Radiosurgery / methods. Vision, Ocular / physiology
  • [MeSH-minor] Adolescent. Adult. Disease-Free Survival. Dose-Response Relationship, Radiation. Female. Follow-Up Studies. Humans. Magnetic Resonance Imaging. Male. Optic Chiasm / radiation effects. Optic Nerve Diseases / etiology. Radiotherapy Dosage. Retrospective Studies. Time Factors

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  • (PMID = 20190668.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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79. Balak N, Aras A, Isik N, Elmaci I: [Making the differential diagnosis between pituitary apoplexy and craniopharyngioma]. Neurochirurgie; 2009 Dec;55(6):600-2
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  • [Title] [Making the differential diagnosis between pituitary apoplexy and craniopharyngioma].
  • [Transliterated title] Difficulté du diagnostic différentiel entre l'apoplexie hypophysaire et le craniopharyngiome.
  • Craniopharyngioma may be difficult to distinguish from pituitary apoplexy.
  • In our patient, the tumor was confused with a craniopharyngioma because of the suprasellar extension of the tumor on magnetic resonance (MR) images and the hyperintensity in T1-weighted images, the young age of the patient, and the gradually progressive onset of the symptoms.
  • In conclusion, even without a known history of pituitary adenoma or an abrupt onset of the clinical symptoms, the diagnosis of pituitary apoplexy should be considered in a patient with a suprasellar mass hyperintensity in T1-weighted MR images, which may mimic craniopharyngioma.
  • [MeSH-major] Craniopharyngioma / diagnosis. Pituitary Apoplexy / diagnosis
  • [MeSH-minor] Diagnosis, Differential. Humans. Magnetic Resonance Imaging. Male. Pituitary Gland / pathology. Sella Turcica / pathology. Young Adult

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  • (PMID = 19091358.001).
  • [ISSN] 1773-0619
  • [Journal-full-title] Neuro-Chirurgie
  • [ISO-abbreviation] Neurochirurgie
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
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80. Berg C, Meinel T, Lahner H, Yuece A, Mann K, Petersenn S: Diagnostic utility of the glucagon stimulation test in comparison to the insulin tolerance test in patients following pituitary surgery. Eur J Endocrinol; 2010 Mar;162(3):477-82
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  • [Title] Diagnostic utility of the glucagon stimulation test in comparison to the insulin tolerance test in patients following pituitary surgery.
  • OBJECTIVE: The glucagon stimulation test (GST) like the insulin tolerance test (ITT) stimulates both ACTH and GH secretion.
  • However, there are limited data with modern assays on sensitivity and specificity for GST in comparison to ITT.
  • The aim of this study was to evaluate the diagnostic utility of the GST for GH deficiency (GHD) and adrenal insufficiency (AI) in patients following pituitary surgery.
  • DESIGN AND PATIENTS: ITT and GST were performed within 7 days in 49 patients at least 3 months after transsphenoidal surgery.
  • Serum GH and cortisol were measured by Immulite 2000 assay (Siemens AG).
  • Receiver-operating characteristic (ROC) analysis was performed to identify the thresholds for GST.
  • RESULTS: In ITT, 18/49 cases were classified as AI.
  • ROC analysis revealed a peak cortisol value >599 nmol/l in GST for adrenal sufficiency with 100% specificity and 32% sensitivity, and a peak cortisol <277 nmol/l with >95% specificity and 72% sensitivity for AI.
  • Of the 49 subjects, 25 (51%) demonstrated levels between these cut-offs and could not be diagnosed by GST alone with sufficient accuracy.
  • Regarding GHD, 21/49 cases were classified as insufficient by ITT.
  • ROC analysis revealed a cut-off of 2.5 ng/ml with 95% sensitivity and 79% specificity.
  • Of the 49 cases, seven (14%) were discordant in terms of defining GHD, with six subjects being treated for GHD according to GST although being sufficient in ITT.
  • CONCLUSION: In our prospective series of patients with pituitary disease, GST is a potential alternative test for the assessment of GH reserve, but is a poor test for ACTH reserve.
  • Test-specific cut-offs should be applied to avoid misinterpretation.

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  • (PMID = 19996199.001).
  • [ISSN] 1479-683X
  • [Journal-full-title] European journal of endocrinology
  • [ISO-abbreviation] Eur. J. Endocrinol.
  • [Language] ENG
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Blood Glucose; 0 / Insulin; 12629-01-5 / Human Growth Hormone; 9007-92-5 / Glucagon; WI4X0X7BPJ / Hydrocortisone
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81. Minamida Y, Mikami T, Hashi K, Houkin K: Surgical management of the recurrence and regrowth of craniopharyngiomas. J Neurosurg; 2005 Aug;103(2):224-32
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  • [Title] Surgical management of the recurrence and regrowth of craniopharyngiomas.
  • OBJECT: The authors performed a retrospective analysis of a consecutive series of craniopharyngiomas and their recurrences, which were managed with surgery alone.
  • METHODS: In the past 20 years, 37 consecutive patients with craniopharyngiomas underwent surgery without adjuvant radiotherapy.
  • Of these 37 patients, 11 experienced tumor recurrence (29.7%) during the mean follow-up period of 11.1 years.
  • Using a proper surgical approach (mainly a basal interhemispheric approach) and meticulous microsurgical techniques, total removal of the recurrent tumor was achieved in nine surgeries (52.9).
  • CONCLUSIONS: Recurrence of craniopharyngioma can be safely managed by using meticulous contemporary microsurgical techniques without additional radiotherapy.
  • The role of surgery and adjuvant radiotherapy for craniopharyngiomas may vary in the future, depending on innovations in treatment and technology.
  • Nevertheless, surgery can be still a major therapeutic option in the management of recurrent craniopharyngiomas.
  • [MeSH-major] Craniopharyngioma / pathology. Craniopharyngioma / surgery. Neoplasm Recurrence, Local / surgery. Pituitary Neoplasms / pathology. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Child, Preschool. Cognition. Disease Progression. Humans. Infant. Male. Middle Aged. Morbidity. Radiotherapy, Adjuvant. Retrospective Studies. Survival Analysis

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  • (PMID = 16175850.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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82. Nakamura Y, Kanemura Y, Yamada T, Sugita Y, Higaki K, Yamamoto M, Takahashi M, Yamasaki M: D2-40 antibody immunoreactivity in developing human brain, brain tumors and cultured neural cells. Mod Pathol; 2006 Jul;19(7):974-85
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  • [Title] D2-40 antibody immunoreactivity in developing human brain, brain tumors and cultured neural cells.
  • Some brain tumors such as anaplastic ependymoma, some medulloblastomas, glioblastoma, pineal germinoma, craniopharyngioma, choroid plexus papilloma, choroid plexus carcinoma, and meningioma showed positive immunoreactivity with D2-40.
  • Therefore, D2-40 antibody is considered a useful marker for research on developing brain and diagnosis of brain tumors, differentiation between choroid plexus carcinoma and metastatic carcinoma.
  • [MeSH-major] Antibodies, Monoclonal. Antigens, Neoplasm / analysis. Brain Neoplasms / immunology. Cerebellum / immunology. Telencephalon / immunology
  • [MeSH-minor] Adult. Antibodies, Monoclonal, Murine-Derived. Cell Differentiation. Cells, Cultured. Child, Preschool. Fetus / immunology. Gestational Age. Humans. Immunohistochemistry. Infant. Middle Aged. Neurons / cytology. Neurons / immunology. Prosencephalon / cytology. Stem Cells / cytology. Stem Cells / immunology

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  • (PMID = 16648867.001).
  • [ISSN] 0893-3952
  • [Journal-full-title] Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
  • [ISO-abbreviation] Mod. Pathol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antibodies, Monoclonal; 0 / Antibodies, Monoclonal, Murine-Derived; 0 / Antigens, Neoplasm; 0 / monoclonal antibody D2-40; 0 / oncofetal antigens
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83. Kostrzewa JP, Sunde J, Riley KO, Woodworth BA: Radiofrequency coblation decreases blood loss during endoscopic sinonasal and skull base tumor removal. ORL J Otorhinolaryngol Relat Spec; 2010;72(1):38-43
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  • [Title] Radiofrequency coblation decreases blood loss during endoscopic sinonasal and skull base tumor removal.
  • The purpose of the present study was to determine whether radiofrequency coblation decreases blood loss during endoscopic tumor removal.
  • The sinus/skull base tumors included were esthesioneuroblastoma (n = 6), melanoma (n = 3), squamous cell carcinoma (n = 3), inverted papilloma (n = 3), adenocarcinoma (n = 2), intracranial dermoid cyst (n = 2), adenoid cystic carcinoma (n = 1), craniopharyngioma (n = 1), fibromyxosarcoma (n = 1) and undifferentiated carcinoma (n = 1).
  • CONCLUSION: Radiofrequency coblation significantly decreased blood loss during endoscopic tumor removal and is a useful tool in the armamentarium of the endoscopic skull base surgeon.
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Child. Debridement / instrumentation. Female. Humans. Male. Middle Aged. Treatment Outcome. Video Recording

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  • (PMID = 20299815.001).
  • [ISSN] 1423-0275
  • [Journal-full-title] ORL; journal for oto-rhino-laryngology and its related specialties
  • [ISO-abbreviation] ORL J. Otorhinolaryngol. Relat. Spec.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Switzerland
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84. Sands SA, Milner JS, Goldberg J, Mukhi V, Moliterno JA, Maxfield C, Wisoff JH: Quality of life and behavioral follow-up study of pediatric survivors of craniopharyngioma. J Neurosurg; 2005 Oct;103(4 Suppl):302-11
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  • [Title] Quality of life and behavioral follow-up study of pediatric survivors of craniopharyngioma.
  • OBJECT: The authors set out to evaluate the quality of life (QOL), social-emotional functioning, and behavioral functioning of children treated surgically for craniopharyngiomas.
  • After a mean follow-up period of 6.8 +/- 3.5 years, these 29 patients were administered either the 36-item Short Form Health Survey version 2 or the Child Health Questionnaire-Parent Form to assess QOL, as well as the Achenbach Child Behavior Checklist or Young Adult Checklist to measure social-emotional and behavioral functioning.
  • Further analyses indicated that retrochiasmatic tumor location, recurrence, and additional surgery were associated with poorer outcomes.
  • In contrast, hydrocephalus, tumor size, and sex were not prognostic variables, and patients significantly improved as post-operative time increased.
  • CONCLUSIONS: Attention toward late effects arising after the treatment of pediatric craniopharyngioma, including decreased postoperative physical health and behavioral functioning, is warranted.
  • Future approaches to treatment should consider the documented effects of either gross-total resection or limited surgery followed by cranial irradiation on QOL, with specific evaluation for those with retrochiasmatic tumors, a recurrent tumor, or the need for additional surgery.
  • [MeSH-major] Child Behavior. Craniopharyngioma / surgery. Pituitary Neoplasms / surgery. Quality of Life. Social Behavior
  • [MeSH-minor] Adolescent. Adult. Child. Female. Follow-Up Studies. Humans. Male. Postoperative Complications

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  • [CommentIn] J Neurosurg. 2005 Oct;103(4 Suppl):297-8; discussion 298 [16270679.001]
  • (PMID = 16270681.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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85. Sun HI, Akgun E, Bicer A, Ozkan A, Bozkurt SU, Kurtkaya O, Koc DY, Pamir MN, Kilic T: Expression of angiogenic factors in craniopharyngiomas: implications for tumor recurrence. Neurosurgery; 2010 Apr;66(4):744-50; discussion 750
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  • [Title] Expression of angiogenic factors in craniopharyngiomas: implications for tumor recurrence.
  • BACKGROUND: The primary treatment for craniopharyngiomas is total excision, but recurrence is common.
  • OBJECTIVE: We hypothesized that recurrence is linked to the angiogenesis of the tumor.
  • Recurrent and nonrecurrent tumor samples were compared with regard to expression of angiogenesis-related factors and angiogenic capacity in a corneal angiogenesis model.
  • METHODS: Specimens of 4 recurrent and 6 nonrecurrent tumors were selected from 57 patients with adamantinomatous craniopharyngiomas.
  • Expression levels were graded using a 4-point scoring system and were compared.
  • CONCLUSION: These findings suggest a relationship between recurrence of craniopharyngiomas and angiogenesis.
  • New treatment modalities with selective PDGFR-alpha blockers may represent a novel and effective therapeutic option for the treatment of craniopharyngiomas.
  • [MeSH-major] Angiogenesis Inducing Agents / metabolism. Craniopharyngioma / metabolism. Gene Expression Regulation, Neoplastic / physiology. Neoplasm Recurrence, Local / metabolism. Pituitary Neoplasms / metabolism
  • [MeSH-minor] Adult. Animals. Cornea / metabolism. Cornea / pathology. Disease Models, Animal. Female. Fibroblast Growth Factor 2 / metabolism. Fibronectins / metabolism. Humans. Male. Middle Aged. Neoplasm Transplantation. Platelet-Derived Growth Factor / metabolism. Rats. Rats, Sprague-Dawley. Retrospective Studies. Statistics, Nonparametric. Time Factors. Vascular Endothelial Growth Factor A / metabolism. Young Adult

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  • (PMID = 20190664.001).
  • [ISSN] 1524-4040
  • [Journal-full-title] Neurosurgery
  • [ISO-abbreviation] Neurosurgery
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Angiogenesis Inducing Agents; 0 / Fibronectins; 0 / Platelet-Derived Growth Factor; 0 / Vascular Endothelial Growth Factor A; 103107-01-3 / Fibroblast Growth Factor 2
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86. Siemons W, Wilms G, Theys T: Optic tract edema sign and craniopharyngiomas. JBR-BTR; 2010 Jan-Feb;93(1):28-9
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  • [Title] Optic tract edema sign and craniopharyngiomas.
  • Two patients with craniopharyngioma presenting with the "optic tract edema sign" are described.
  • This sign is seen in a majority of craniopharyngiomas and can be of help in the differentiation with other suprasellar masses such as pituitary adenomas, meningiomas, germinomas and lymphomas.
  • [MeSH-major] Craniopharyngioma / pathology. Edema / pathology. Magnetic Resonance Imaging / methods. Pituitary Neoplasms / pathology. Visual Pathways / pathology
  • [MeSH-minor] Adolescent. Adult. Diagnosis, Differential. Female. Humans. Pituitary Gland / pathology. Pituitary Gland / surgery

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  • (PMID = 20397431.001).
  • [ISSN] 0302-7430
  • [Journal-full-title] JBR-BTR : organe de la Société royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)
  • [ISO-abbreviation] JBR-BTR
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Belgium
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87. Guo CJ, Wang YC, Zhou ZH, Zhu JX, Li ZM, Guo CL: [Curative effect of stereotactic 186Re endocavitary irradiation on cystic craniopharyngioma]. Zhonghua Zhong Liu Za Zhi; 2010 Jul;32(7):548-50
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  • [Title] [Curative effect of stereotactic 186Re endocavitary irradiation on cystic craniopharyngioma].
  • OBJECTIVE: To evaluate the treatment results of stereotactic (186)Re intracavitary irradiation in the patients with craniopharyngioma.
  • The mean volume of the cystic portion of the tumor before irradiation was 8390 mm(3).
  • CONCLUSION: Stereotactic (186)Re endocavitary irradiation for the treatment of cystic craniopharyngioma is a safe and effective procedure.
  • [MeSH-major] Brachytherapy / methods. Craniopharyngioma / radiotherapy. Pituitary Neoplasms / radiotherapy. Radioisotopes / therapeutic use. Rhenium / therapeutic use
  • [MeSH-minor] Adolescent. Adult. Child. Child, Preschool. Cysts / radiotherapy. Female. Follow-Up Studies. Humans. Male. Middle Aged. Stereotaxic Techniques. Treatment Outcome. Young Adult

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  • (PMID = 21029702.001).
  • [ISSN] 0253-3766
  • [Journal-full-title] Zhonghua zhong liu za zhi [Chinese journal of oncology]
  • [ISO-abbreviation] Zhonghua Zhong Liu Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Evaluation Studies; Journal Article
  • [Publication-country] China
  • [Chemical-registry-number] 0 / Radioisotopes; 7440-15-5 / Rhenium
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88. Elliott RE, Hsieh K, Hochm T, Belitskaya-Levy I, Wisoff J, Wisoff JH: Efficacy and safety of radical resection of primary and recurrent craniopharyngiomas in 86 children. J Neurosurg Pediatr; 2010 Jan;5(1):30-48
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  • [Title] Efficacy and safety of radical resection of primary and recurrent craniopharyngiomas in 86 children.
  • OBJECT: Optimal treatment of primary and recurrent craniopharyngiomas remains controversial.
  • The authors report their experience with radical resection of both primary and recurrent craniopharyngiomas in children and compare the outcomes between the 2 groups.
  • METHODS: A retrospective analysis was performed in 86 children younger than 21 years of age who underwent a total of 103 operations for craniopharyngioma between 1986 and 2008; these were performed by the senior author.
  • Tumor recurred after GTR in 14 (20%) of 71 patients.
  • Factors negatively affecting overall survival and progression-free survival include subtotal resection (recurrent tumors only), tumor size >or= 5 cm, or presence of hydrocephalus or a ventriculoperitoneal shunt.
  • Prior radiation therapy and increasing tumor size were both risk factors for incomplete resection at reoperation.
  • CONCLUSIONS: In the hands of surgeons with experience with craniopharyngiomas, the authors believe that radical resection at presentation offers the best chance of disease control and potential cure with acceptable morbidity.
  • While GTR does not preclude recurrence and is more difficult to achieve in recurrent tumors, especially large and previously irradiated tumors, radical resection is still possible in patients with recurrent craniopharyngiomas with morbidity similar to that of primary tumors.
  • [MeSH-major] Craniopharyngioma / surgery. Craniotomy / methods. Microsurgery / methods. Neoplasm Recurrence, Local / surgery. Neoplasm, Residual / surgery
  • [MeSH-minor] Adolescent. Adult. Body Mass Index. Child. Child, Preschool. Disease Progression. Disease-Free Survival. Female. Follow-Up Studies. Humans. Hypopituitarism / diagnosis. Hypopituitarism / etiology. Hypothalamic Diseases / diagnosis. Hypothalamic Diseases / etiology. Infant. Kaplan-Meier Estimate. Magnetic Resonance Angiography. Magnetic Resonance Imaging. Male. Neurologic Examination. Postoperative Complications / diagnosis. Postoperative Complications / etiology. Prognosis. Retrospective Studies. Risk Factors. Tomography, X-Ray Computed. Treatment Outcome. Young Adult

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  • [CommentIn] J Neurosurg Pediatr. 2010 Jan;5(1):27-8; discussion 28-9 [20043734.001]
  • (PMID = 20043735.001).
  • [ISSN] 1933-0715
  • [Journal-full-title] Journal of neurosurgery. Pediatrics
  • [ISO-abbreviation] J Neurosurg Pediatr
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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89. Rudnick EF, DiNardo LJ: Image-guided endoscopic endonasal resection of a recurrent craniopharyngioma. Am J Otolaryngol; 2006 Jul-Aug;27(4):266-7
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  • [Title] Image-guided endoscopic endonasal resection of a recurrent craniopharyngioma.
  • [MeSH-major] Craniopharyngioma / surgery. Endoscopy. Neoplasm Recurrence, Local / surgery. Otorhinolaryngologic Surgical Procedures. Pituitary Neoplasms / surgery. Surgery, Computer-Assisted
  • [MeSH-minor] Adult. Humans. Male

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  • (PMID = 16798405.001).
  • [ISSN] 0196-0709
  • [Journal-full-title] American journal of otolaryngology
  • [ISO-abbreviation] Am J Otolaryngol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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90. Jane JA Jr: Management of pediatric sellar tumors. Pediatr Endocrinol Rev; 2008 Feb;5 Suppl 2:720-6
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  • Craniopharyngiomas and pituitary adenomas are the most common forms of sellar tumors in children.
  • First-line treatment usually consists of surgical resection of the tumor, although dopamine agonist therapy may be considered as first-line therapy in most patients with prolactin-secreting adenomas.
  • Transsphenoidal resection has become increasingly widespread and represents the mainstay of surgical therapy for pituitary adenomas and selected craniopharyngiomas.
  • [MeSH-minor] Adenoma / diagnosis. Adenoma / epidemiology. Adenoma / therapy. Adolescent. Adult. Child. Craniopharyngioma / diagnosis. Craniopharyngioma / epidemiology. Craniopharyngioma / therapy. Female. Human Growth Hormone / secretion. Humans. Male. Pituitary ACTH Hypersecretion / therapy. Prolactinoma / therapy. Radiosurgery. Radiotherapy. Surgical Procedures, Operative / methods

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  • (PMID = 18317443.001).
  • [ISSN] 1565-4753
  • [Journal-full-title] Pediatric endocrinology reviews : PER
  • [ISO-abbreviation] Pediatr Endocrinol Rev
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Israel
  • [Chemical-registry-number] 12629-01-5 / Human Growth Hormone
  • [Number-of-references] 57
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91. Kendall-Taylor P, Jönsson PJ, Abs R, Erfurth EM, Koltowska-Häggström M, Price DA, Verhelst J: The clinical, metabolic and endocrine features and the quality of life in adults with childhood-onset craniopharyngioma compared with adult-onset craniopharyngioma. Eur J Endocrinol; 2005 Apr;152(4):557-67
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  • [Title] The clinical, metabolic and endocrine features and the quality of life in adults with childhood-onset craniopharyngioma compared with adult-onset craniopharyngioma.
  • BACKGROUND: Craniopharyngioma is a parasellar tumour that, although benign, tends to behave aggressively.
  • OBJECTIVES: To investigate the frequency and severity of problems associated with craniopharyngioma, using the large international database (KIMS) for adult patients with GH deficiency (GHD), and to assess the differences between the adult onset (AO, aged 18 or above) disease and adults with childhood onset (CO) craniopharyngioma.
  • DESIGN: Inclusion criteria were: an established diagnosis of craniopharyngioma, severe GHD and no recent GH treatment.
  • RESULTS: Peak age at onset of craniopharyngioma was 15-20 years.
  • Quality of life, assessed by Quality of Life-Assessment of Growth Hormone Deficiency in Adults (QoL-AGHDA) and the Nottingham Health Profile, was markedly reduced in all groups with no significant differences between them; the QoL-AGHDA score correlated with age at onset of both craniopharyngioma and GHD, and also with BMI in AO patients.
  • CONCLUSIONS: These data emphasise the generally poor state of health of patients treated for craniopharyngioma, with respect to endocrine and metabolic function, and also the markedly reduced quality of life.
  • Adults with CO craniopharyngioma were shorter, had lower IGF-I, lower BMI, less obesity and slightly lower blood lipid levels than patients with AO craniopharyngioma.

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  • (PMID = 15817911.001).
  • [ISSN] 0804-4643
  • [Journal-full-title] European journal of endocrinology
  • [ISO-abbreviation] Eur. J. Endocrinol.
  • [Language] ENG
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Lipids; 12629-01-5 / Human Growth Hormone; 67763-96-6 / Insulin-Like Growth Factor I
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92. Buslei R, Nolde M, Hofmann B, Meissner S, Eyupoglu IY, Siebzehnrübl F, Hahnen E, Kreutzer J, Fahlbusch R: Common mutations of beta-catenin in adamantinomatous craniopharyngiomas but not in other tumours originating from the sellar region. Acta Neuropathol; 2005 Jun;109(6):589-97
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  • [Title] Common mutations of beta-catenin in adamantinomatous craniopharyngiomas but not in other tumours originating from the sellar region.
  • Here, we examined beta-catenin and adenomatous polyposis coli (APC) by mutational analysis in pituitary adenomas (n=60) and a large series of craniopharyngiomas (n=41).
  • Furthermore, the expression pattern of beta-catenin was immunohistochemically analysed in a cohort of tumours and cysts of the sellar region including pituitary adenomas (n=58), craniopharyngiomas (n=57), arachnoidal cysts (n=8), Rathke's cleft cysts (n=10) and xanthogranulomas (n=6).
  • Whereas APC mutations were not detectable in any tumour entity, beta-catenin mutations were present in 77% of craniopharyngiomas, exclusively of the adamantinomatous subtype.
  • We conclude that beta-catenin mutations and/or nuclear accumulation serve as diagnostic hallmarks of the adamantinomatous variant, setting it apart from the papillary variant of craniopharyngioma.
  • [MeSH-major] Craniopharyngioma / genetics. Cytoskeletal Proteins / genetics. Genes, APC. Pituitary Neoplasms / genetics. Sella Turcica / pathology. Trans-Activators / genetics
  • [MeSH-minor] Adolescent. Adult. Aged. Base Sequence. Child. Child, Preschool. DNA Mutational Analysis. Female. Humans. Immunohistochemistry. Male. Middle Aged. Mutation. Polymorphism, Single-Stranded Conformational. Reverse Transcriptase Polymerase Chain Reaction. beta Catenin

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  • (PMID = 15891929.001).
  • [ISSN] 0001-6322
  • [Journal-full-title] Acta neuropathologica
  • [ISO-abbreviation] Acta Neuropathol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / CTNNB1 protein, human; 0 / Cytoskeletal Proteins; 0 / Trans-Activators; 0 / beta Catenin
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93. Daneshbod Y, Monabati A, Kumar PV, Taghipoor M, Bedayat GR: Intraoperative cytologic crush preparation findings in craniopharyngioma: a study of 72 cases. Acta Cytol; 2005 Jan-Feb;49(1):7-10
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  • [Title] Intraoperative cytologic crush preparation findings in craniopharyngioma: a study of 72 cases.
  • OBJECTIVE: To describe the intraoperative crush preparation and the cytologic features of craniopharyngioma and the differential diagnosis.
  • STUDY DESIGN: Twelve cases of craniopharyngioma were diagnosed by crush preparation cytology in the Department of Pathology, Shiraz Medical School, and formed the basis of this study.
  • The smears were diagnosed as suggestive of craniopharyngioma.
  • CONCLUSION: Intraoperative cytologic crush preparation findings are helpful in the diagnosis of craniopharyngioma, when combined with clinical information.
  • Crush preparation cytology is important in the diagnosis of central nervous system tumors.
  • [MeSH-major] Craniopharyngioma / pathology. Pituitary Neoplasms / pathology
  • [MeSH-minor] Adolescent. Adult. Child. Cytodiagnosis. Diagnosis, Differential. Female. Humans. Male. Staining and Labeling / methods

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  • (PMID = 15717747.001).
  • [ISSN] 0001-5547
  • [Journal-full-title] Acta cytologica
  • [ISO-abbreviation] Acta Cytol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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94. Tabaee A, Anand VK, Brown SM, Lin JW, Schwartz TH: Algorithm for reconstruction after endoscopic pituitary and skull base surgery. Laryngoscope; 2007 Jul;117(7):1133-7
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  • STUDY DESIGN AND METHODS: Patients undergoing endoscopic skull base surgery underwent an algorithmic approach to reconstruction based on tumor location, defect size, and presence of intraoperative cerebrospinal fluid (CSF) leak.
  • RESULTS: The diagnosis in the 127 patients in this series included pituitary tumor in 70 (55%) patients, encephalocele in 16 (12.6%) patients, meningioma in 11 (8.7%) patients, craniopharyngioma in 9 (7.1%) patients, and chordoma in 6 (4.7%) patients.
  • [MeSH-major] Adenoma / surgery. Algorithms. Central Nervous System Cysts / surgery. Endoscopy / methods. Meningeal Neoplasms / surgery. Pituitary Neoplasms / surgery. Reconstructive Surgical Procedures / methods. Skull Base Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Cerebrospinal Fluid Rhinorrhea / etiology. Encephalocele / etiology. Female. Humans. Male. Middle Aged. Postoperative Complications. Prospective Studies. Risk Factors


95. Nyquist GG, Anand VK, Singh A, Schwartz TH: Janus flap: bilateral nasoseptal flaps for anterior skull base reconstruction. Otolaryngol Head Neck Surg; 2010 Mar;142(3):327-31
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  • Pathologies consisted of two pituitary macroadenomas, one planum sphenoidale meningioma, one craniopharyngioma, and one cavernous sinus hemangioma.
  • [MeSH-minor] Adult. Aged. Cavernous Sinus. Cerebrospinal Fluid Otorrhea / prevention & control. Craniopharyngioma / surgery. Endoscopy. Female. Hemangioma / surgery. Humans. Male. Meningioma / surgery. Middle Aged. Nasal Cavity. Postoperative Complications / prevention & control. Prospective Studies. Tissue and Organ Harvesting

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  • [Copyright] Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
  • (PMID = 20172375.001).
  • [ISSN] 1097-6817
  • [Journal-full-title] Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • [ISO-abbreviation] Otolaryngol Head Neck Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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96. Caceres A, Reitman AJ, Tomita T: Craniopharyngioma and Cushing disease: case report. J Neurosurg; 2005 Apr;102(3 Suppl):318-21
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  • [Title] Craniopharyngioma and Cushing disease: case report.
  • Craniopharyngioma is a common sellar region tumor occurring in children.
  • Patients with craniopharyngioma commonly present with visual deficits and hydrocephalus.
  • The authors present the case of a child who presented with short stature and clinical evidence of Cushing disease (CD) associated with a suprasellar tumor.
  • The patient underwent insertion of an Ommaya reservoir into the tumor's cystic portion.
  • After adequate decompression of the tumor, the patient underwent total resection.
  • The tumor pathology was compatible with an adamantinomatous craniopharyngioma and immunohistochemical studies failed to show staining for ACTH.
  • [MeSH-major] Central Nervous System Cysts / surgery. Craniopharyngioma / surgery. Pituitary ACTH Hypersecretion / surgery. Pituitary Neoplasms / surgery
  • [MeSH-minor] Adolescent. Adrenocorticotropic Hormone / blood. Adult. Child. Cyst Fluid / chemistry. Diagnosis, Differential. Dwarfism, Pituitary / etiology. Follow-Up Studies. Hemianopsia / etiology. Humans. Hypophysectomy. Hypopituitarism / etiology. Magnetic Resonance Imaging. Male. Obesity / etiology. Postoperative Complications / etiology. Tomography, X-Ray Computed

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  • (PMID = 15881759.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 9002-60-2 / Adrenocorticotropic Hormone
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97. Hannon MJ, Behan LA, Agha A: Thyrotoxic periodic paralysis due to excessive L-thyroxine replacement in a Caucasian man. Ann Clin Biochem; 2009 Sep;46(Pt 5):423-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Here we describe the case of a patient with panhypopituitarism due to a craniopharyngioma, who developed thyrotoxic periodic paralysis due to excessive L-thyroxine replacement.
  • [MeSH-minor] Adult. European Continental Ancestry Group. Humans. Male


98. Stienen MN, Cadosch D, Bilz S, Hildebrandt G, Gautschi OP: [Craniopharyngioma--a "geographical malignant" tumour]. Praxis (Bern 1994); 2010 Jul 28;99(15):911-21
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  • [Title] [Craniopharyngioma--a "geographical malignant" tumour].
  • [Transliterated title] Das Kraniopharyngeom--ein "geographisch maligner" Tumor.
  • The craniopharyngioma is a rare dysontogenetic tumour that originates from either scattered cells of the craniopharyngeal duct or from metaplastically mutated anterior pituitary parenchyma cells.
  • Despite being classified as a WHO-Class-I tumour, the histologically benign craniopharyngioma may display an aggressive behaviour.
  • [MeSH-major] Craniopharyngioma / diagnosis. Pituitary Neoplasms / diagnosis
  • [MeSH-minor] Adolescent. Adult. Child. Combined Modality Therapy. Cranial Irradiation. Diagnosis, Differential. Female. Humans. Hypophysectomy. Magnetic Resonance Imaging. Male. Pituitary Gland / pathology. Practice Guidelines as Topic. Prognosis. Radiosurgery. Tomography, X-Ray Computed

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  • (PMID = 20715005.001).
  • [ISSN] 1661-8157
  • [Journal-full-title] Praxis
  • [ISO-abbreviation] Praxis (Bern 1994)
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Switzerland
  • [Number-of-references] 54
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99. Linfante I, Tucci C, Andreone V: Fusiform dilatation of the internal carotid artery after craniopharyngioma resection. Pediatr Neurol; 2008 Aug;39(2):139-40
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  • [Title] Fusiform dilatation of the internal carotid artery after craniopharyngioma resection.
  • [MeSH-minor] Adult. Coronary Angiography / methods. Craniopharyngioma / surgery. Female. Humans. Longitudinal Studies

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  • (PMID = 18639763.001).
  • [ISSN] 0887-8994
  • [Journal-full-title] Pediatric neurology
  • [ISO-abbreviation] Pediatr. Neurol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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100. Lipton J, Megerian JT, Kothare SV, Cho YJ, Shanahan T, Chart H, Ferber R, Adler-Golden L, Cohen LE, Czeisler CA, Pomeroy SL: Melatonin deficiency and disrupted circadian rhythms in pediatric survivors of craniopharyngioma. Neurology; 2009 Jul 28;73(4):323-5
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  • [Title] Melatonin deficiency and disrupted circadian rhythms in pediatric survivors of craniopharyngioma.

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  • (PMID = 19636054.001).
  • [ISSN] 1526-632X
  • [Journal-full-title] Neurology
  • [ISO-abbreviation] Neurology
  • [Language] ENG
  • [Grant] United States / NCRR NIH HHS / RR / M01RR02172
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers; JL5DK93RCL / Melatonin
  • [Other-IDs] NLM/ PMC2715212
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