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대한방사선의학회지
권/호정보
1978년|14권 2호|pp.171-178 (8 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Craniopharyngioma is one of the most common brain tumor in childhood, along with astrocytoma and cerebellar medulloblastoma. It is an interesting tumor not only for its peculiar embryological and clinical aspect but also for its great tendency to calcify. Precise recognition of location, size, and surrounding tissue invasion of the tumor is mandatory in surgical treatment. During 5 years from October, 1973 to July, 1978, 11 cases of histopathologically proven craniopharyngioma at Seoul National University are analyzed. The results are as follows: 1. 9 cases are under age of 25 and male to female ratio is 1 : 1.7. 2. Headache and/or vomitting are found in 10 cases (91%), visual disturbance in 9 (82%), anterior pituitary insufficiency in 6 (55%), hypothalamic dysfunction in 4 (36%), epileptic seizure in 3 (27%), and diabetes insipidus in 2 (18%). 3. Tumor calcification is seen in 10 cases (91%), sella turcica change in 8 (73%), suture seperation in 4 (36%), and increased convolu ional marking in 1 (9%). 4. In cases of anterior and suprasellar extension, supraclinoid portion of internal carotid artery and horizontal portion of anterior cerebral artery are the most valuable landmarks and in retrosuprasellar extension, stretching and posterior displacement of thalamoperforate artery are the most sensitive and accurate indicator. 5. 8 cases (73%) are intra-and suprasellar location and 3 (27%) are in supra-and parasellar. 6. Directions of the tumor mass extension are toward anterior suprasellar region in 3 cases (27%), direct suprasellar in 10 (91%), posterior suprasellar in 4 (36%) and middle cranial fossa in 1 (9%).