Craniopharyngiomas in the posterior fossa: a rare subgroup, diagnosis, management and outcomes

Zhou, Liangxue; Luo, Li; Xu, Jianguo; Li, Q; Chen, J; Jiang, Shuang; Cai, Bo Wen; You, Chao

doi:10.1136/jnnp.2008.149088

Cited by 12 publications

(10 citation statements)

References 26 publications

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“…16 Patients < 18 years of age were excluded because pathologies that affect this population and can be treated with anterior petrosectomy are uncommon. 27,28 The trigeminal nerve is a superb landmark in middle fossa and petrous apex surgery. The trigeminal nerve after peeling the middle fossa can be displaced anteriorly, increasing the surgical corridor through the petrous apex.…”

Section: Discussionmentioning

confidence: 99%

Volumetry and Analysis of Anatomical Variants of the Anterior Portion of the Petrous Apex Outlined by the Kawase Triangle Using Computed Tomography

et al. 2014

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Background?Anterior petrosectomy has become an increasingly used approach for petroclival lesions. This study measures the volume and the anatomical variants of the anterior portion of the petrous apex outlined by the Kawase triangle using computed tomography (CT). Methods?This was a transversal retrospective study. We assessed the anterior petrous apex portion outlined by the Kawase triangle in consecutive patients?>?18 years of age from CT scans of temporal bone stored in an archive system. The volumetry was performed on a workstation. Results?A total of 154 petrosal apex were analyzed in 77 patients (36 men). The average volume of the region outlined by the Kawase triangle was 1.89???0.52 cm3. The volume average in men was 2.01???0.58 cm3, and the average in women was 1.79???0.41 cm3. Intra- and interobserver agreement were both excellent, and there was little variance. Nineteen petrous apex demonstrated anatomical variations. In 18 cases it was pneumatized, and in one case a vascular or nerve-like structure was identified, a report we did not find in the literature. Conclusion?The volumetry of the petrous apex anterior portion outlined by the Kawase triangle can be made by CT with excellent intra- and interobserver agreement and reproducibility. There are anatomical variants in this region that are relevant to surgery.

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Section: Discussionmentioning

confidence: 99%

Volumetry and Analysis of Anatomical Variants of the Anterior Portion of the Petrous Apex Outlined by the Kawase Triangle Using Computed Tomography

et al. 2014

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“…Studies were published between 1955 and 2019; 40 of the 84 studies were published in the past 10 years. Twenty-two studies were conducted in the United States of America (USA) [ 28 , 32 , 34 , 35 , 37 , 49 , 51 – 66 ]; 7 studies in Germany [ 26 , 29 , 67 – 71 ]; 6 studies in the United Kingdom (UK) [ 9 , 38 , 39 , 42 , 48 , 72 ] and France [ 14 , 24 , 33 , 46 , 73 , 74 ]; 5 studies in China [ 30 , 75 – 78 ]; 4 studies in India [ 27 , 79 – 81 ], Israel [ 82 – 85 ] and Japan [ 19 , 86 – 88 ]; 3 studies in Canada [ 10 , 25 , 89 ], Italy [ 90 – 92 ] and The Netherlands [ 93 – 95 ]; 2 studies in Australia [ 6 , 96 ], Korea [ 97 , 98 ], Saudi Arabia [ 99 , 100 ], Turkey [ 32 , 101 ]; 1 study in Bulgaria […”

Section: Resultsmentioning

confidence: 99%

“…Taylor (2012) was the only study that did not provide numbers of children in whom an orthoptic abnormality was found, they only mentioned nystagmus and strabismus as the orthoptic abnormalities seen among their study participants [74]. Fourty-three of 296 children experienced diplopia (14.5%) [7,31,54,55,60,66,75,83,84,89,94,107], 21 of 127 children (16.5%) were diagnosed with strabismus (also called squint by some studies) [6,7,39,66,83,84,96] and in 22 of 331 children (6.6%) nystagmus (monocular, seesaw, horizontal pendular or rotatory) was seen during orthoptic examination [25,38,39,69,83,84,[89][90][91][92][93][94][95][96][97][98][99][100][101][102].…”

Section: Orthoptic Examinationmentioning

confidence: 99%

Visual functions in children with craniopharyngioma at diagnosis: A systematic review

et al. 2020

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Childhood craniopharyngioma is a rare and slow growing brain tumour, often located in the sellar and suprasellar region. It commonly manifests with visual impairment, increased intracranial pressure and hypothalamic and/or pituitary deficiencies. Visual impairment in childhood adversely affects a child's daily functioning and quality of life. We systematically reviewed the literature to provide an extensive overview of the visual function in children with craniopharyngioma at diagnosis in order to estimate the diversity, magnitude and relevance of the problem of visual impairment. Of the 543 potentially relevant articles, 84 studies met our inclusion criteria. Visual impairment at diagnosis was reported in 1041 of 2071 children (50.3%), decreased visual acuity was reported in 546 of 1321 children (41.3%) and visual field defects were reported in 426 of 1111 children (38.3%). Other ophthalmological findings described were fundoscopic (32.5%) and orthoptic abnormalities (12.5%). Variations in ophthalmological testing methods and ophthalmological definitions precluded a meta-analysis. The results of this review confirm the importance of ophthalmological examination in children with craniopharyngioma at diagnosis in order to detect visual impairment and provide adequate support. Future studies should focus on long-term visual follow-up of childhood craniopharyngioma in response to different treatment strategies to provide insight in risks and ways to prevent further loss of vision.

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“…They most commonly occur in the suprasellar area with intrasellar propagation. Symptoms include: endocrine disorders, visual disturbances, hydrocephalus symptoms and very rarely when growing in the posterior fossa-headache, diplopia, ataxia and hearing loss [82]. The diagnosis is made by MRI that displays a tumor with a solid and cystic component and with intratumoral calcifications.…”

Section: Craniopharyngiomamentioning

confidence: 99%

Primary Brain Tumors in Childhood

Richterová¹,

Kolarovszki²

2018

Brain Tumors - An Update

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This chapter offers literary review of most frequently observed brain tumors in childhood. It offers basics of epidemiology, clinical presentation and diagnostics of most often occurring types of tumors according to new WHO classification of brain tumors from 2016 and emphasizes molecular biological characteristics and role of altered genes and genetic pathways in brain tumor etiology, classification and treatment. This review not only concentrates on gliomas, medulloblastomas and ependymomas, but also offers characterization of other less frequently observed lesions. Each tumor characteristics also contains basics of therapeutical possibilities of these lesions with focus on targeted and individually designed therapy according to molecular and genetic alterations found in tumor tissue sample.

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Craniopharyngiomas in the posterior fossa: a rare subgroup, diagnosis, management and outcomes

Cited by 12 publications

References 26 publications

Volumetry and Analysis of Anatomical Variants of the Anterior Portion of the Petrous Apex Outlined by the Kawase Triangle Using Computed Tomography

Volumetry and Analysis of Anatomical Variants of the Anterior Portion of the Petrous Apex Outlined by the Kawase Triangle Using Computed Tomography

Visual functions in children with craniopharyngioma at diagnosis: A systematic review

Primary Brain Tumors in Childhood

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