Download PDF
CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2017; 04(04): S30-S37
DOI: 10.4103/2348-0548.199946
Conference Proceeding
Thieme Medical and Scientific Publishers Private Ltd.

Anaesthetic management of children with craniopharyngioma

Srilata Moningi
1   Department of Anaesthesia and Intensive Care, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
08 May 2018 (online)

   Permissions and Reprints

Abstract

The perioperative management of craniopharyngioma in children is quite challenging not only to the neurosurgeons and anaesthesiologists but also to the oncologists, endocrinologists and intensivists. The various concerns include size of the tumour and its effects on intracranial pressure, vicinity of the tumour to nearby vessels and neural structures, endocrine disturbances, compressive symptoms, paediatric age, obesity-related problems, high recurrence rate of the tumour, undesired effects of radiotherapy, high morbidity and mortality. As anaesthesiologists, we deal with most of the challenges. The success of the outcome depends on the proper identification of the patient, pre-operative optimisation, surgical decision, awareness of the complications, timely intervention and optimal post-operative care.

Keywords

Anaesthesia - children - craniopharyngioma - perioperative
 

  • REFERENCES

  • 1 Stamm AC, Vellutini E, Balsalobre L. Craniopharyngioma. Otolaryngol Clin North Am 2011; 44: 937-52 viii
    CrossrefPubMedGoogle Scholar
  • 2 Bajwa SJ, Bajwa SK, Bindra GS. The anesthetic, critical care and surgical challenges in the management of craniopharyngioma. Indian J Endocrinol Metab 2011; 15: 123-6
    CrossrefPubMedGoogle Scholar
  • 3 Müller HL. Craniopharyngioma. Endocr Rev 2014; 35: 513-43
    CrossrefPubMedGoogle Scholar
  • 4 Bunin GR, Surawicz TS, Witman PA, Preston-Martin S, Davis F, Bruner JM. The descriptive epidemiology of craniopharyngioma. J Neurosurg 1998; 89: 547-51
    CrossrefPubMedGoogle Scholar
  • 5 Kageji T, Miyamoto T, Kotani Y, Kaji T, Bando Y, Mizobuchi Y. et al. Congenital craniopharyngioma treated by radical surgery: Case report and review of the literature. Childs Nerv Syst. 2016 [Epub ahead of print].
    PubMedGoogle Scholar
  • 6 Fernandez-Miranda JC, Gardner PA, Snyderman CH, Devaney KO, Strojan P, Suárez C. et al. Craniopharyngioma: A pathologic, clinical, and surgical review. Head Neck 2012; 34: 1036-44
    CrossrefPubMedGoogle Scholar
  • 7 Pekmezci M, Louie J, Gupta N, Bloomer MM, Tihan T. Clinicopathological characteristics of adamantinomatous and papillary craniopharyngiomas: University of California, San Francisco experience 1985-2005. Neurosurgery 2010; 67: 1341-9
    CrossrefPubMedGoogle Scholar
  • 8 Müller HL. Preoperative staging in childhood craniopharyngioma: Standardization as a first step towards improved outcome. Endocrine 2016; 51: 1-3
    CrossrefPubMedGoogle Scholar
  • 9 Meuric S, Brauner R, Trivin C, Souberbielle JC, Zerah M, Sainte-Rose C. Influence of tumor location on the presentation and evolution of craniopharyngiomas. J Neurosurg 2005; 103 (Suppl. 05) Suppl 421-6
    PubMedGoogle Scholar
  • 10 Karavitaki N, Cudlip S, Adams CB, Wass JA. Craniopharyngiomas. Endocr Rev 2006; 27: 371-97
    CrossrefPubMedGoogle Scholar
  • 11 Müller HL. Craniopharyngioma. Handb Clin Neurol 2014; 124: 235-53
    PubMedGoogle Scholar
  • 12 Puget S, Garnett M, Wray A, Grill J, Habrand JL, Bodaert N. et al. Pediatric craniopharyngiomas: Classification and treatment according to the degree of hypothalamic involvement. J Neurosurg 2007; 106 (Suppl. 01) Suppl 3-12
    PubMedGoogle Scholar
  • 13 Pan J, Qi S, Liu Y, Lu Y, Peng J, Zhang X. et al. Growth patterns of craniopharyngiomas: Clinical analysis of 226 patients. J Neurosurg Pediatr 2016; 17: 418-33
    CrossrefPubMedGoogle Scholar
  • 14 Sands SA, Milner JS, Goldberg J, Mukhi V, Moliterno JA, Maxfield C. et al. Quality of life and behavioral follow-up study of pediatric survivors of craniopharyngioma. J Neurosurg 2005; 103 (Suppl. 04) Suppl 302-11
    PubMedGoogle Scholar
  • 15 Nelson GA, Bastian FO, Schlitt M, White RL. Malignant transformation in craniopharyngioma. Neurosurgery 1988; 22: 427-9
    CrossrefPubMedGoogle Scholar
  • 16 Ali ZS, Bailey RL, Daniels LB, Vakhshori V, Lewis DJ, Hossain AT. et al. Comparative effectiveness of treatment options for pediatric craniopharyngiomas. J Neurosurg Pediatr 2014; 13: 178-88
    CrossrefPubMedGoogle Scholar
  • 17 Clark AJ, Cage TA, Aranda D, Parsa AT, Sun PP, Auguste KI. et al. A systematic review of the results of surgery and radiotherapy on tumor control for pediatric craniopharyngioma. Childs Nerv Syst 2013; 29: 231-8
    CrossrefPubMedGoogle Scholar
  • 18 Di Rocco C, Caldarelli M, Tamburrini G, Massimi L. Surgical management of craniopharyngiomas – Experience with a pediatric series. J Pediatr Endocrinol Metab 2006; 19 Suppl (Suppl. 01) 355-66
    PubMedGoogle Scholar
  • 19 Kenning TJ, Beahm DD, Farrell CJ, Schaberg MR, Rosen MR, Evans JJ. Endoscopic endonasal craniopharyngioma resection. J Neurosurg 2012; 32: E5
    PubMedGoogle Scholar
  • 20 Ormond DR, Hadjipanayis CG. The supraorbital keyhole craniotomy through an eyebrow incision: Its origins and evolution. Minim Invasive Surg 2013; 2013: 296469
    PubMedGoogle Scholar
  • 21 Lee M, Kalani MY, Cheshier S, Gibbs IC, Adler JR, Chang SD. Radiation therapy and CyberKnife radiosurgery in the management of craniopharyngiomas. Neurosurg Focus 2008; 24: E4
    CrossrefPubMedGoogle Scholar
  • 22 Stiller CA, Nectoux J. International incidence of childhood brain and spinal tumours. Int J Epidemiol 1994; 23: 458-64
    CrossrefPubMedGoogle Scholar
  • 23 Curran JG, O'Connor E. Imaging of craniopharyngioma. Childs Nerv Syst 2005; 21: 635-9
    CrossrefPubMedGoogle Scholar
  • 24 Defoort-Dhellemmes S, Moritz F, Bouacha I, Vinchon M. Craniopharyngioma: Ophthalmological aspects at diagnosis. J Pediatr Endocrinol Metab 2006; 19 Suppl (Suppl. 01) 321-4
    PubMedGoogle Scholar
  • 25 Bajwa SJ, Kaur G. Endocrinopathies: The current and changing perspectives in anesthesia practice. Indian J Endocrinol Metab 2015; 19: 462-9
    CrossrefPubMedGoogle Scholar
  • 26 Inder WJ, Hunt PJ. Glucocorticoid replacement in pituitary surgery: Guidelines for perioperative assessment and management. J Clin Endocrinol Metab 2002; 87: 2745-50
    CrossrefPubMedGoogle Scholar
  • 27 Mishra G, Chandrashekhar SR. Management of diabetes insipidus in children. Indian J Endocrinol Metab 2011; 15 Suppl (Suppl. 03) S180-7
    CrossrefPubMedGoogle Scholar
  • 28 Vinchon M, Weill J, Delestret I, Dhellemmes P. Craniopharyngioma and hypothalamic obesity in children. Childs Nerv Syst 2009; 25: 347-52
    CrossrefPubMedGoogle Scholar
  • 29 Tomita T, Bowman RM. Craniopharyngiomas in children: Surgical experience at Children's Memorial Hospital. Childs Nerv Syst 2005; 21: 729-46
    CrossrefPubMedGoogle Scholar
  • 30 Rath GP, Dash HH. Anaesthesia for neurosurgical procedures in paediatric patients. Indian J Anaesth 2012; 56: 502-10
    CrossrefPubMedGoogle Scholar
  • 31 Furay C, Howell T. Paediatric neuroanaesthesia. Contin Educ Anaesth Crit Care Pain 2010; 10: 172-6
    CrossrefPubMedGoogle Scholar
  • 32 Cottrell JE, Young WL. Cottrell and Young's Neuroanesthesia. Philadelphia: Elsevier Health Sciences; 2016
    Google Scholar
  • 33 Tommasino C, Picozzi V. Volume and electrolyte management. Best Pract Res Clin Anaesthesiol 2007; 21: 497-516
    CrossrefPubMedGoogle Scholar
  • 34 Wise-Faberowski L, Soriano SG, Ferrari L, McManus ML, Wolfsdorf JI, Majzoub J. et al. Perioperative management of diabetes insipidus in children [corrected]. J Neurosurg Anesthesiol 2004; 16: 14-9
    CrossrefPubMedGoogle Scholar
  • 35 Cohen M, Bartels U, Branson H, Kulkarni AV, Hamilton J. Trends in treatment and outcomes of pediatric craniopharyngioma, 1975-2011. Neuro Oncol 2013; 15: 767-74
    CrossrefPubMedGoogle Scholar
  • 36 Iizuka O, Suzuki K, Mori E. Severe amnesic syndrome and collecting behavior after surgery for craniopharyngioma. Cogn Behav Neurol 2007; 20: 126-30
    CrossrefPubMedGoogle Scholar
  • 37 Grover WD, Rorke LB. Invasive craniopharyngioma. J Neurol Neurosurg Psychiatry 1968; 31: 580-2
    CrossrefPubMedGoogle Scholar
  • 38 Jane Jr. JA, Prevedello DM, Alden TD, Laws Jr. ER. The transsphenoidal resection of pediatric craniopharyngiomas: A case series. J Neurosurg Pediatr 2010; 5: 49-60
    CrossrefPubMedGoogle Scholar
  • 39 Coté CJ, Lerman J, Anderson BJ. A Practice of Anesthesia for Infants and Children: Expert Consult-Online and Print. Pennsylvania: Elsevier/Saunders; 2013
    Google Scholar
  • 40 Müller HL. Childhood craniopharyngioma: Current controversies on management in diagnostics, treatment and follow-up. Expert Rev Neurother 2010; 10: 515-24
    CrossrefPubMedGoogle Scholar