Modern concepts of topographic-anatomical classification of craniopharyngiomas: literature review

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OBJECTIVE

To analyze topographic and anatomical classifications of CP available in the world literature.

MATERIAL AND METHODS

Searching for literature data on classifications of CPs was performed in the PubMed, eLibrary and CyberLeninka databases between 1960 and 2023. We used the following keywords: «craniopharyngioma», «third ventricle», «endoscopic transnasal surgery for craniopharyngiomas».

RESULTS

We found 21 eligible manuscripts. The vast majority of studies are devoted to topographic and anatomical location of CPs in their own series: baseline growth along hypothalamic-pituitary axis (4 classifications), relation to the third ventricle (5 classifications), pituitary stalk (2 classifications), optic nerves (2 classifications) and meninges (3 classifications), classification of papillomatous CPs (1 report) and adamantinomatous CPs (1 report), functional classifications of hypothalamic lesions (3 reports).

CONCLUSION

Topographic classifications of CPs characterize their relation to the most important basal brain structures: pituitary gland, hypothalamus, optic pathways and circle of Willis. There are also single topographic and anatomical classifications with emphasis on morphological component of CP. Exact anatomical and topographic variant of CP is often of decisive importance for choosing the optimal surgical approach, possibility and expediency of total resection. Further clarification of relationship of CP to diencephalic structures is associated with improvement of diagnostic methods, in particular, high-resolution MRI (7.0 T) and MR tractography.

Keywords:

craniopharyngioma

third ventricle

chiasmatic-sellar region

neurosurgery

hypothalamus

Authors:

Ivanov V.V.

Burdenko Neurosurgical Center

ORCID: 0000-0003-3827-8676

Konovalov A.N.

Burdenko Neurosurgical Center

ORCID: 0000-0002-1731-6568

Kutin M.A.

Burdenko Neurosurgical Center

ORCID: 0000-0002-6520-4296

Klochkova I.S.

Burdenko Neurosurgical Center

ORCID: 0000-0002-7440-4687

Pronin I.N.

Burdenko Neurosurgical Center

SPIN RSCI: 9223-9217
Scopus AuthorID: 7006011755
ORCID: 0000-0002-4480-0275

Semenova Zh.B.

Research Institute of Emergency Pediatric Surgery and Traumatology

ORCID: 0000-0002-2018-050X

Kalinin P.L.

Burdenko Neurosurgical Center

ORCID: 0000-0001-9333-9473

Received:

04.06.2024

Accepted:

21.06.2024

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