Ua-26408784-1 search menu search options advanced search search help home contact us access old springerlink sign up / log in sign up / log in institutional / athens login english deutsch corporate academic look inside get access find out how to access preview-only content close child's nervous system august 2005, volume 21, issue 8-9, pp 655-659 individualized treatment of craniopharyngioma in children: ways and means j. generic viagra online C. viagra online canadian pharmacy Marchal, o. viagra online without prescription Klein, p. viagra for sale in usa Thouvenot, v. Bernier, c. Moret, p. viagra daily build Chastagner … show all 6 hide look inside get access abstract background medium- and long-term prognosis of craniopharyngioma is overwhelmed by the risks of hypothalamic and visual impairment. This problem has been underestimated for a long time because the major concern for the neurosurgeon was the risk of recurrences, their best prevention being thought to be complete tumour resection. Today, we know that radical surgery not only is not an absolute guarantee against recurrences but also can cause hypothalamic and visual complications. viagra daily how long does it take to work Methods the authors suggest that instead of complete removal, the first choice treatment should be, when possible, a less aggressive, multistaged and personalized treatment. In this perspective they focus on other therapeutic methods: endocavity treatment of cysts with rhenium-186, triconformational radiotherapy, radiosurgery, and widespread use of the trans-sphenoidal approach. viagra daily how long does it take to work Conclusions these simple methods should reduce the risks of visual aggravation and metabolic syndrome. viagra without a doctor prescription Page %p close plain text look inside within this article: introduction risk factors of visual complications risk factors of hypothalamic complications risk factors of recurrence methods of treatment mr and ct follow-up indications references other actions export citations register for journal updates about this journal related content supplementary material (0) references (31) abrams ls, repka mx (1997) visual outcome of craniopharyngioma in children. buy cheap viagra J pediatr ophthalmol strabismus 34:223–228 berenger n, lebtahi r, piketti ml, munari c, merienne l et al (1993) endocavitary treatment of craniopharyngioma cysts by 186-rhenium (in french). Med nucl 17:120–128 cavalheiro s, sparapani fvc, franco job, silva mc, braga fm (1996) use of bleomycin in intratumoral chemotherapy for cystic craniopharyngioma. generic viagra without prescription J neurosurg 84:124–126 choux m, lena g, genitori l (1991) craniopharyngioma in children (in french). Neuro-chir 37:1–174 de vile cj, grant db, kenda.