The Diagnosis and Microsurgical Management of Intracranial and Extracranial Tumors

Objective A retrospective study has been made on 42 cases of tumors with intracranial and extracranial extension treated in our hospital between the year 1992 till now in order to increase the clinical outcome of theses diseases. Methods There are 31 males and 11 females with an age from 11 month to 69 years (mean 32.2 years) in this study.14 cases were tumors with intraorbital extension,6 with extension to paranasal sinuses;The extracranial prats of 8 cases were located in infratemporal fossa,2 in sphenoidal sinus and remaining located in neck.CT and MRI evaluation were made for all the patients.DSA was proceeded for 38cases but only 35 cases for embolization of intracranial and extracranial tumors.Microsurgiacl techniques and different approaches have been utilized to remove tumors. Results 28 cases had total removal and others subtotal resection.The postoperative morbidity is zero.7 month～7 years follow-up study showed that only 24 cases resume normal life and 8 cases with dependent life and 5 with recovery to some extent. Conclusion The symptoms of intracranial and extracranial tumors are different due to the location of the tumors,which often leads to false dagnosis and management.Microsurgical and piecemeal techniques as well as combined approaches from different department may result in improved clinical results.