Preservation of the hypothalamic structures in the total resection of XXXX .

@entity1 @entity131 @entity5 @entity1372 @entity1763 @entity976 @entity2010
OBJECTIVE: To explore an effective method of surgical management of @entity976 . SUBJECTS AND METHODS: Fifty @entity1 with @entity976 had @entity5 ectomy. There were 29 males and 21 females, ranging in age from 15 to 56 years (mean 34.1 years). MR imaging showed that the @entity5 were located in the superior sellar region in 24 cases, in superior sella region and extended into the third ventricular floor in 19 cases, into parasella in 3 cases and down to intrasella in 4 cases. @entity5 were found in 5 cases, while the partial @entity5 in 24 cases and complete solid @entity5 in 21 cases. Pterional approach was used in 48 @entity1 and subfrontal approach in 2 @entity1 . Great attention was paid to the preservation of the perforating arteries from the carotid, posterior and anterior communicating and anterior choroidal arteries to the hypothalamic structures. The clinical outcome was evaluated according to the GOS scale. RESULTS: Of the 50 @entity1 surgically treated, 47 @entity1 obtained @entity5 and 3 @entity1 with the secondary surgery had subtotal ectomy of the @entity5 . The pituitary stalk was preserved in 29 (58%) @entity1 , severed in 14 @entity1 and unidentified in 7 @entity1 . Forty-six @entity1 regained a normal life; one @entity1 needed assist in life. Of the 3 deaths, one @entity1 died of @entity2010 , one of inhalation @entity1763 , and another one of water and @entity1372 disorders. CONCLUSION: Avoidance of the @entity131 in the third ventricular floor and preservation of the perforating arteries to hypothalamus are the key to achieve good surgical results in treating @entity976 .
