DOI: 10.1055/b-002-85451
Laws Jr., Edward R.; Sheehan, Jason P.: 2012

Sellar and Parasellar Tumors

Diagnosis, Treatments, and Outcomes Print ISBN 9781604064216 · Online ISBN 9781604064223
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Book

Editors: Laws Jr., Edward R.; Sheehan, Jason P.

Authors: Al-Mefty, Ossama; Bederson, Joshua; Bohnstedt, Bradley N.; Cohen-Gadol, Aaron A.; Da Silva, Arnaldo Neves; Dunn, Ian F.; Eads, Todd; Fischbein, Nancy J.; Gologorsky, Yakov; Harsh IV, Griffith R.; Jane Jr., John A.; Rang, Peter; Kano, Hideyuki; Kiehna, Erin N.; Kondziolka, Douglas; Lai, Devyani; Laws Jr., Edward R.; Litvack, Zachary N.; Lunsford, Dade; Medel, Ricky; Motivala, Soriya; Niranjan, Ajay; Newman, Steven A.; Oh, Kevin S.; Pashtan, Itai; Payne, Spencer C.; Post, Kalmon D.; Prevedello, Daniel M.; Raghavan, Prashant; Rhoton Jr., Albert L.; Schiff, David; Scott, Michael; Sheehan, Jason P.; Smith, Edward R.; Shane, R.; Vance, Mary Lee; Williams, Brian; Wintermark, Max

Title: Sellar and Parasellar Tumors

Subtitle: Diagnosis, Treatments, and Outcomes

Print ISBN: 9781604064216; Online ISBN: 9781604064223; Book DOI: 10.1055/b-002-85451

2012 © 2012 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart

Subjects: Neurosurgery;Oncology, Cancer Research

Thieme Clinical Collections (English Language)



Front Matter
1 Introduction and Historical Perspective
Introduction
♦ Early Approaches to the Sellar and Parasellar Region
♦ The Birth of Microneurosurgery
♦ The Resurgence of Transsphenoidal Surgery
♦ Radiosurgery of the Pituitary and Surrounding Areas
♦ The Rise of Endoscopic Skull Base Surgery
♦ Conclusion
2 Anatomy of the Sellar and Parasellar Region
Introduction
♦ Subcranial Relationships
♦ The Parasellar Region
♦ Suprasellar and Third Ventricular Region
♦ Conclusion
3 Radiologic Evaluation and Diagnosis for Pathology in the Sellar and Parasellar Region
Introduction
♦ Imaging Strategies
♦ Imaging Anatomy
♦ Tumors
♦ Infectious/Inflammatory Disorders of the Pituitary Gland
♦ Miscellaneous Disorders of the Pituitary Gland
♦ Conclusion
4 Medical Evaluation and Management
Introduction
♦ Clinical Manifestations
♦ Endocrine Evaluation
♦ Consequences of Endocrine Evaluation
♦ Conclusion
5 Ophthalmologic Evaluation and Management
♦ Core Messages
♦ Introduction
♦ History
♦ Anatomy
♦ Evaluation
♦ Rehabilitation
♦ Exacerbation of Ophthalmic Findings Following Surgical Intervention
♦ Conclusion
♦ Appendix I: The Neuro-ophthalmic Examination for the Neurosurgeon
♦ Appendix II
6 Surgical Treatment of Pituitary Adenomas
Introduction
♦ Surgical Management of Cushing Disease
♦ Surgical Management of Acromegaly
♦ Surgical Management of Prolactinomas
♦ Surgical Management of Adenomas Secreting Thyroid-Stimulating Hormone
♦ Surgical Management of Nonsecreting Pituitary Adenomas
♦ Surgical Technique for Pituitary Adenomas
♦ Conclusion
7 Surgical Treatment of Meningiomas
Introduction
♦ Surgical Approaches
♦ Supraorbital Approach: Technique
♦ Supraorbital Approach: Applications to Parasellar Tumors
♦ Cranio-orbitozygomatic Approach: Technique
♦ Cranio-orbitozygomatic Approach: Applications to Parasellar Tumors
♦ Conclusion
8 Surgical Treatment of Craniopharyngiomas
Introduction
♦ Etiology and Pathology
♦ Epidemiology
♦ Clinical Presentation
♦ Radiographic Evaluation and Differential Diagnosis
♦ Initial Evaluation
♦ Treatment Strategies
♦ Operative Approaches
♦ Outcomes and Follow-up
♦ Conclusion
9 Surgical Treatment of Chordomas and Chondrosarcomas
Introduction
♦ Incidence and Epidemiology
♦ Location
♦ Pathology
♦ Challenges
♦ Clinical Presentation
♦ Natural History
♦ Radiologic Investigations
♦ Treatment
♦ Surgery
♦ Radiation Therapy
♦ Tumor Recurrence
♦ Chemotherapy
♦ Conclusion
10 Surgical Treatment of Rathke Cleft Cysts
Introduction
♦ Prevalence
♦ Diagnosis
♦ Endocrinologic Evaluation
♦ Ophthalmologic Assessment
♦ Diagnostic Imaging
♦ Indications for Surgery
♦ Operative Approaches
♦ Surgical Techniques
♦ Outcomes
♦ Complications
♦ Follow-up
♦ Conclusion
11 Transsphenoidal Approaches to the Sellar and Parasellar Area
Introduction
♦ The Sella
♦ The Parasellar Areas
♦ The Reconstruction
♦ Conclusion
12 Transcranial Approaches to the Sellar and Parasellar Area
Introduction
♦ Preoperative Preparation
♦ Pterional Approach
♦ Orbitozygomatic Approach
♦ Bifrontal Approach
♦ Unilateral Subfrontal Approach
♦ Supraorbital Keyhole Approach
♦ Subtemporal Approach
♦ Conclusion
13 Radiation Therapy
Introduction
♦ Fractionation Schedules and Technology in Radiation Oncology
♦ Conventional Fractionated EBRT
♦ Stereotactic Radiosurgery
♦ Indications for SRS versus Conventional Fractionated EBRT
♦ Dose Limitations of the Optic Chiasm and Nerves
♦ Proton Therapy
♦ Benign Tumors
♦ Malignant Tumors
♦ Late Effects of Radiation Therapy
♦ Conclusion
14 Stereotactic Radiosurgery
Introduction
♦ Radiosurgical Devices and Techniques
♦ Radiosurgery for Pituitary Adenomas
♦ Radiosurgery for Sellar and Parasellar Meningiomas
♦ Conclusion
15 Intracavitary Radiation for Cystic Craniopharyngiomas
Introduction
♦ Rationale for Intracavitary Irradiation
♦ Initial Experience
♦ Stereotactic Technique for Intracavitary Irradiation
♦ Follow-up
♦ Results
♦ Additional Treatment
♦ Clinical Response
♦ Endocrinologic Response
♦ Other Complications
♦ Discussion
♦ Conclusion
16 Chemotherapy Options for Sellar and Parasellar Tumors
Introduction
♦ Pituitary Carcinomas
♦ Temozolomide
♦ Craniopharyngiomas
♦ Pituitary Lymphomas
♦ Germ Cell Tumors
♦ Chordomas
♦ Meningiomas
♦ Plasmacytomas
♦ Conclusion
Annex