الفهرس Only 14 pages are availabe for public view
 |  | from | 113 |  |  |
| | | from | 113 | | |
Abstract
There are two main management pathways with regards to the
treatment of the tumour. The first involves attempted gross total
resection of the tumour , the second approach is for more limited
surgery, aimed at debulking the tumour to reduce the mass effect on
the optic pathways and/or to re-establish the cerebrospinal fluid
pathways, followed by external beam radiotherapy or stereotactic
radiosurgery (gamma knife); which show very promising results.
The resent progress in high resolution imaging equipment (especially
the MRI) showed the extent of the hypothalamic involvement which
preoperatively guided the surgeon which patient is candidate for
gross total removal and who is not.
The extended endonasal approach is a very promising minimally
invasive approach with many advantages but needs an experienced
hand as well as some complications need to be solved as CSF leak.