TABLE 2.
Visual, endocrine, neurological and cognitive outcomes in eight patients with craniopharingioma operated on by transplanum approach
| Pt. No. | Sex, age | Visual outcome | Visual postop status | Endocrine outcome | Permanent diabetes insipidus | Stalk preservation | Neuro/cognitive consequences | Occupational/life style resumed | Tumor removal |
|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||
| Right/Left | Right/Left | ||||||||
| 1 | M,66 | Normalised | Normal | Normal | No | Yes | No | Yes | GTR |
| 2 | M, 73 | Normalised | Normal | Panh | Yes | No | No | Retired (same) | GTR |
| 3 | M, 51 | Normal (same) | Normal | Panh | Yes | No | Obesity +30kg, memory, psih | No | GTR |
| 4 | F, 71 | Improved | can read L+R, less bilat TH | Same (Panh) | Yes (triple response) | No | Mild psih (transit) Obesity +20kg | Retired (same) | NTR |
| 5 | F, 60 | Improved R/Worse L | R less temporal/L TH + sup.NQ, can read L+R | Panh | Yes | No | Sleep (transit), mild psih (transit) | Housewife (same) | GTR |
| 6 | F, 69 | Improved | can read L+R, R normal / L less central scotoma | Partial hypopituit. | No | Yes | Sleep (transit), psih, memory, obesity +15kg | No | GTR |
| 7 | M, 57 | Improved R/ Worse L | R less inf.TQ/L temporal complete | Panh | Yes | Yes | No | No | STR |
| 8 | F, 57 | Normalised | Normal | Normal | No | Yes | No | Yes | GTR |
Newly aquired visual deficit are undelined; TH = bitemporal hemianopsia; NQ = nasal quadrantanopsia; TQ = temporal quadrantanopsia; Panh = panhypopituitarism; hipopit = hypopituitarism; psih = psihoorganic symptomatology; transit = transitory; GRT = gross total removal; NTR = near total removal; STR = subtotal removal