第38回日本小児神経外科学会
The 38th Annual Meeting of the Japanese Society for Pediatric Neurosurgery

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第1日目、6月4日(金)A 会場(3階 メインホール)9:40〜10:40

特別企画 1: JSPN - KSPN joint session: 2. Management of craniopharyngioma

Chairperson: Kyu-Chang Wang, Takayuki Inagaki

SP1-2-2

Comparative study of neuroendosocpy plus radiosurgery vs. radical excision plus radiosurgery for cystic craniopharyngioma

Dong-Seok KIM

Pediatric Neurosurgery, Severance Children's Hospital, Yonsei University College of Medicine

PURPOSE
To compare recurrent rate of neuroendoscopic cyst fenestration with radiosurgery and radical excision with radiosurgery.

MATERIALS AND METHODS
Fifteen patients were treated by endoscopic cyst fenestration plus radiosurgery and seventeen patients were treated by radical excision plus radiosurgery.

RESULTS
The recurrent rate is lower in surgical removal following by radiosurgery(p=0.019). Visual filed defect including quadrantoanopsia observed in one in neuroendoscopy group,three in radical excision group. However, visual improvement is higher in neuroendoscopy group.

CONCLUSION
The present investigation confirms that radical excision plus radiosurgery is lower in reccurrence than neuroendosopy group. Neuroendoscopic fenestration is reserved only individual giant cystic tumor which deterring hydrocephalus or vision abruptly. The idea that generalizing of multimodal approach includig endosopic fenestration is hindered by higher reccurrence.

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