✓ An intracavernous aneurysm of the left internal carotid artery arose following transsphenoidal surgery in this patient. The pathogenic, clinical, and therapeutic aspects of the case are discussed. Only four other iatrogenic intracavernous carotid aneurysms have been reported previously.
José M. Cabezudo, Rafael Carrillo, Jesús Vaquero, Eduardo Areitio and Roberto Martinez
Report of two cases
Roberto Martínez, Jesús Vaquero, José Cabezudo, Eduardo Areitio and Gonzalo Bravo
✓ Two cases of neurinomas of the jugular foramen in patients under 16 years of age are presented. Neurinomas of this location have not been previously reported in children.
José M. Cabezudo, Fernando Gilsanz, Jesús Vaquero, Eduardo Areitio and Roberto Martinez
✓ The authors report an unusual case of intraoperative air embolism during posterior fossa surgery in the sitting position. The source of air was one of the wounds made by the pin-type skull fixation device. We suggest that the patients should not be released from such device until they are in the supine position.
José M. Cabezudo, Jesús Vaquero, Eduardo Areitio, Roberto Martinez, Rafael García de Sola and Gonzalo Bravo
✓ The authors have conducted a retrospective statistical study in a series of 45 patients with craniopharyngiomas in order to assess the value of different therapeutic approaches. All the patients included in the study were placed in three groups according to their method of treatment: 1) total excision; 2) subtotal excision; and 3) surgery followed by a course of radiotherapy (RT). Symptomatic recurrence was used to define failure of treatment. Of the patients subjected to total excision, 30% experienced recurrence after a mean time of 2 years. Tumors recurred in 71% of those treated by subtotal excision, with a mean time of 2.6 years. Of patients receiving RT in addition to surgery, only 6% had recurrence, after a mean time of 1 year. The authors conclude that the elective treatment for craniopharyngiomas is controlled subtotal surgery plus RT. Total excision should be attempted only if there is a negligible danger of mortality.