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Benomar A, Khellaf A, Kadi L, Ferreira J, Lavergne P, Bergeron F, Laroche M. Giant metastatic mixed-type spinal ependymoma presenting with hydrocephalus. Radiol Case Rep 2024; 19:4751-4754. [PMID: 39228951 PMCID: PMC11366887 DOI: 10.1016/j.radcr.2024.07.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Revised: 07/21/2024] [Accepted: 07/22/2024] [Indexed: 09/05/2024] Open
Abstract
Ependymomas are rare nervous system tumors that can arise anywhere in the neuraxis. While having a high propensity for leptomeningeal dissemination, retrograde dissemination (from the spine to the CNS) remains infrequent. We describe the case of a 31-year-old female who presented with hydrocephalus secondary to an intracranial leptomeningeal metastasis of a giant spinal ependymoma with mixed (classic and myxopapillary) histopathologic features, successfully treated with surgical resection and radiotherapy of the entire neuraxis. This case highlights the importance of including ependymomas in the differential diagnosis for lesions in atypical extra-axial locations, of systematically obtaining imaging of the entire neuraxis when suspecting it, and of considering retrograde dissemination when both intracranial and spinal lesions are present.
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Affiliation(s)
- Anass Benomar
- Department of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada
| | - Abdelhakim Khellaf
- Department of Anatomical Pathology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada
| | - Lynda Kadi
- Department of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada
| | - José Ferreira
- Department of Anatomical Pathology, Maisonneuve-Rosemont Hospital, Montréal, Quebec, Canada
| | - Pascal Lavergne
- Division of Neurosurgery, Department of Surgery, Sacré-Coeur Hospital, Montréal, Quebec, Canada
| | - François Bergeron
- Department of Radiology, Sacré-Coeur Hospital, Montréal, Quebec, Canada
| | - Mathieu Laroche
- Division of Neurosurgery, Department of Surgery, Sacré-Coeur Hospital, Montréal, Quebec, Canada
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Márquez YB, Johnson AR, Cafferata GN, Jaimovich SG. Analysis of the different pathways of ectopic recurrence of craniopharyngioma in pediatric patients: presentation of cases and review of the literature. Childs Nerv Syst 2024; 40:3511-3518. [PMID: 39187634 DOI: 10.1007/s00381-024-06585-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2024] [Accepted: 08/19/2024] [Indexed: 08/28/2024]
Abstract
PURPOSE Craniopharyngioma is a tumor derived from the squamous epithelium of Rathke's pouch. Despite successful excision, recurrence is common, typically occurring at the original tumor site. More rarely, recurrences can manifest at distant locations. This article reports on three distinct types of ectopic recurrence and reviews the existing literature. METHODS We reviewed clinical records and neuroimaging data of craniopharyngioma patients at our institution, identifying three cases of ectopic recurrence. Additionally, we conducted a literature review of similar cases published between 1975 and 2023, focusing on historical background, pathophysiology, clinical and radiological features, and treatment options. RESULTS We identified nineteen articles detailing ectopic recurrence of craniopharyngiomas in pediatric patients. The right frontal lobe was the most frequently reported site of recurrence. The shortest interval to recurrence was 11 months, while the longest was 14 years. Most cases were managed with surgical resection, yielding positive outcomes. In our cases, the recurrence sites were temporal intraparenchymal, intraosseous orbital, and occipital intraventricular. All were successfully treated with surgery, with no subsequent recurrences. CONCLUSION Although craniopharyngiomas are histologically benign, they can recur locally and, more rarely, at distant sites. Surgical intervention is generally well-tolerated. Further research into tumor cell dissemination mechanisms is essential to develop strategies for preventing ectopic recurrence.
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Affiliation(s)
| | - Agustin Ruiz Johnson
- Department of Neurosurgery, Hospital de Pediatría J.P. Garrahan, Buenos Aires, Argentina
| | | | - Sebastian G Jaimovich
- Department of Neurosurgery, Hospital de Pediatría J.P. Garrahan, Buenos Aires, Argentina
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Nogueira J, Sobreiro Silva J, Marques R, Antunes C, Pereira R, Afonso Filipe M. Ectopic Craniopharyngioma Recurrence: A Case Report and Literature Review. Cureus 2024; 16:e69607. [PMID: 39429347 PMCID: PMC11486633 DOI: 10.7759/cureus.69607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2024] [Indexed: 10/22/2024] Open
Abstract
Craniopharyngiomas are tumors of the central nervous system, typically located in the sellar/parasellar region. Despite being benign, they behave aggressively due to their propensity to invade nearby important structures, making total resection challenging. Distant spread of craniopharyngioma is a rare but significant complication. Most cases result from spread along the surgical path, while others result from dissemination along the cerebrospinal fluid (CSF) pathways. We report a case of a parasellar adamantinomatous craniopharyngioma with progressive visual loss. The patient was operated on through a right pterional craniotomy three times due to recurrence. After the last surgery, fractionated stereotactic radiotherapy was performed on the tumor residue. On follow-up brain MRI, a new extra-axial lesion was found in the left frontal region with solid and cystic components, with apparent dural implantation. Left frontal craniotomy was performed, and the lesion was excised with resection of its dural implant. Histological findings revealed it to be adamantinomatous craniopharyngioma, grade 1, according to the World Health Organization (WHO). Despite being rare, craniopharyngioma ectopic recurrence is a possible surgical complication. Despite the poorly understood mechanism, the literature highlights the importance of paying attention to tumor spillage during surgery to prevent distant recurrences.
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Ji C, Cheng H, Zhou X, Cao X, Qiao N, Shi C, Zhang Y, Ye Z, Zhao Y. Ectopic recurrence craniopharyngioma: series report and literature review. Chin Neurosurg J 2023; 9:13. [PMID: 37147737 PMCID: PMC10163818 DOI: 10.1186/s41016-023-00326-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 04/22/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGROUND Craniopharyngioma is a common intracranial tumor located in the sellar-suprasellar region. Due to the involvement of adjacent structures, it can lead to increased intracranial pressure, visual impairment, and endocrine deficiencies. Surgical resection is the primary treatment, but it is a tough challenge to achieve total resection, which will led to the frequency of recurrences and progressions. Among them, distant spread is extremely rare, but important complication, identifying and providing proper therapy, is crucial. METHODS We report two cases of ectopic recurrence craniopharyngioma and make a literature review for the published similar case reports. RESULTS Our literature review revealed 63 cases (including our patient). The onset age in children group and adult group ranges from 2-14 years old (6.70 ± 3.33) to 17-73 years old (40.63 ± 15.58), while the interval year between tumor initiation and ectopic recurrence ranges from 0.17-20 (7.28 ± 6.76) years to 0.3-34 (6.85 ± 7.29). Achieving gross total resection seems not to prevent the ectopic recurrence. The major pathology of ectopic recurrence craniopharyngioma is adamantinomatous type. The most common site of ectopic recurrence is frontal lobe. According to the pathogenesis, 35 cases were seeding along the surgical approach, and 28 cases were seeding via the CSF pathway. CONCLUSION Ectopic recurrence craniopharyngioma is rare, but it can lead to serious symptoms. Delicate surgical procedure can help to reduce the risk of ectopic recurrence, and standardized follow-up can provide valuable information for treatment.
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Affiliation(s)
- Chenxing Ji
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
| | - Haixia Cheng
- Department of Pathology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
| | - Xiang Zhou
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
| | - Xiaoyun Cao
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
| | - Nidan Qiao
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
| | - Chengzhang Shi
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
| | - Yichao Zhang
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
| | - Zhao Ye
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China.
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China.
| | - Yao Zhao
- Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
- Neurosurgical Institute of Fudan University, Shanghai, 200040, China
- Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China
- State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China
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Selfa A, Arráez C, Ros Á, Linares J, Cerro L, Arráez MÁ. Ectopic recurrence of craniopharyngioma in the posterior fossa: Case report and review of the literature. NEUROCIRUGIA (ENGLISH EDITION) 2023; 34:32-39. [PMID: 36623891 DOI: 10.1016/j.neucie.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 02/19/2022] [Indexed: 06/17/2023]
Abstract
Craniopharyngiomas are benign epithelial tumors which may very occasionally recur in ectopic locations. We present two cases of ectopic recurrence, both in the posterior fossa, and provide a review of the literature with basic statistics. Two patients admitted to our institution with posterior fossa lesions underwent gross total resection. Pathological studies showed adamantinomatous craniopharyngiomas (ACP). Both patients had a prior history of suprasellar tumor surgery. We also reviewed the related data and undertook a basic statistical analysis. We found 67 cases of ectopic recurrent craniopharyngioma (including the present cases): 51 cases were adamantinomatous (76%), 6 papillary (9%) and 10 unknown (15%). 18 cases occurred in the posterior fossa, all of them diagnosed as the ACP subtype. The intervals until recurrence were 15.15 years for posterior fossa recurrences and 5.75 years for supratentorial cases. Student t test showed significant differences in time to recurrence (p 0.002). Gross total resection was performed in 53 cases (79%), subtotal resection+radiotherapy in 3 (5%) and 11 (16%) cases were treated with other options. Ectopic recurrence is a rare but possible event. Those in the posterior fossa may appear later than in the supratentorial space. ACP is likely to be the most common subtype in these cases, possibly due to its more aggressive behavior compared to the papillary subtype. Long term follow-up should be performed to detect ectopic recurrences. Ectopic recurrences are often surgically accessible and gross total resection should be achieved.
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Affiliation(s)
- Antonio Selfa
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain.
| | - Cinta Arráez
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain
| | - Ángela Ros
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain
| | - Jorge Linares
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain
| | - Laura Cerro
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain
| | - Miguel Ángel Arráez
- Department of Neurological Surgery, Hospital Regional Universitario, Malaga, Spain
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Spinal ectopic recurrence of craniopharyngioma in a pediatric patient. Childs Nerv Syst 2023; 39:279-284. [PMID: 35831710 DOI: 10.1007/s00381-022-05604-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 07/02/2022] [Indexed: 11/03/2022]
Abstract
Craniopharyngiomas are rare, benign lesions that can be treated with surgery, radiation therapy, or a combination of these modalities. They have a propensity for local recurrence, but there have also been rare cases reported of ectopic recurrence. Here, we present the case of a 15-year-old girl with a recurrence of craniopharyngioma in the spine, which is the second-ever reported case of recurrence outside of the brain in a pediatric patient, and review the 19 reported cases of ectopic recurrence in pediatric patients due to cerebrospinal fluid dissemination.
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Selfa A, Arráez C, Ros Á, Linares J, Cerro L, Arráez MÁ. Ectopic recurrence of craniopharyngioma in the posterior fossa: Case report and review of the literature. Neurocirugia (Astur) 2022. [DOI: 10.1016/j.neucir.2022.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Characteristics of ectopic recurrence of craniopharyngioma: Case report and literature review. INTERDISCIPLINARY NEUROSURGERY 2020. [DOI: 10.1016/j.inat.2020.100804] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Nguyen B, Blasco M, Svider PF, Lin HS, Liu JK, Eloy JA, Folbe AJ. Recurrence of Ventral Skull Base Lesions Attributed to Tumor Seeding: A Systematic Review. World Neurosurg 2019; 124:e395-e403. [PMID: 30605757 DOI: 10.1016/j.wneu.2018.12.104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 12/12/2018] [Accepted: 12/13/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To evaluate ventral skull base lesion recurrences along surgical access pathways attributed to iatrogenic seeding. METHODS A systematic review of the literature was performed searching for recurrence of ventral skull base lesions attributed to iatrogenic implantation. Studies were assessed for level of evidence. Primary intervention, pathology, and other clinical factors were reported following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. RESULTS Among 69 patients with recurrent skull base lesions attributed to seeding, the most common pathologies were craniopharyngioma (52.2%), chordoma (33.3%), adenocarcinoma (4.3%), adenoid cystic carcinoma (2.9%), and squamous cell carcinoma (2.9%). Median time to recurrence was 36 months. Time to recurrence was significantly longer for craniopharyngiomas than for chordomas (42 months vs. 24 months, P ≤ 0.05). Surgical approaches included craniotomy (62.0%), transseptal (11.3%), transfacial (12.7%), and transpalatal (4.2%). Mean time to recurrence after craniotomy was 69 months. Endoscopic/endoscopic-assisted approaches were used in 5 cases (7.0%). Commonly reported recurrence sites included subarachnoid (29.6%), dura (21.1%), incision (12.7%), septum (7.0%), and ethmoid sinuses (4.2%). CONCLUSIONS The potential for iatrogenic tumor seeding exists for numerous skull base lesions, most notably craniopharyngioma and chordomas. Routine surveillance may be necessary owing to significant latency intervals to ectopic recurrence. Although transnasal endoscopic techniques have been extensively employed in recent decades, only a handful of reported cases involve lesions originally treated with this approach. Further direct comparison of traditional approaches with endoscopic approaches may be invaluable in further elucidating the role of surgical technique in tumor implantation and recurrence.
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Affiliation(s)
- Brandon Nguyen
- Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan, USA; Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
| | - Michael Blasco
- Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA
| | - Peter F Svider
- Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
| | - Ho-Sheng Lin
- Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA; John D. Dingell VA Medical Center, Detroit, Michigan, USA; Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA
| | - James K Liu
- Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Center for Skull Base and Pituitary Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
| | - Jean Anderson Eloy
- Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Center for Skull Base and Pituitary Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New Jersey, USA
| | - Adam J Folbe
- Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan, USA; Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA
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Cai M, He H, Zhang B, Luo L, Gong J, Li W, Huang T, Guo Y. An Ectopic Recurrent Craniopharyngioma of the Temporal Lobe: Case Report and Review of the Literature. World Neurosurg 2019; 126:216-222. [PMID: 30877004 DOI: 10.1016/j.wneu.2019.02.196] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2019] [Revised: 02/19/2019] [Accepted: 02/20/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Ectopic recurrent craniopharyngioma is rare. We present a case of a temporal ectopic recurrent tumor after a trans-eyebrow supraorbital keyhole approach and provide a review of the reported data with basic statistics. METHODS We retrospectively reviewed 57 cases of craniopharyngiomas surgically treated at our institution. A temporal ectopic recurrent tumor with 10% high Ki-67 proliferation index expression was identified. The lesion underwent gross total resection without any complications. We also reviewed the related data and performed a basic statistical analysis. RESULTS Our review found 64 cases of ectopic recurrent craniopharyngioma that had been reported (including the present case). The median interval until ectopic recurrence was 4.0 years (interquartile range, 2.0-10.0). Of the 64 lesions, 48 (75%) were adamantinous, 6 (9%) were papillary, and 10 (16%) were unknown. Also, 34 tumors (53%) were located in the previous surgical tract, and 30 (47%) had disseminated along the cerebrospinal fluid pathway. Of the 64 ectopic tumors, 50 (78%) could be resected in total without complications. CONCLUSIONS Ectopic recurrent craniopharyngioma is a rare phenomenon. Meticulous protection of the entire surgical field and careful manipulation of the tumor during resection are required to prevent possible ectopic recurrence. Regular follow-up examinations are strongly recommended to detect any further recurrences. Gross total resection is the treatment of choice for ectopic recurrence.
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Affiliation(s)
- Meiqin Cai
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Haiyong He
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Baoyu Zhang
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Lun Luo
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Jin Gong
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Wensheng Li
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Tengchao Huang
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Ying Guo
- Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
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Prieto R, Pascual JM, Hofecker V, Winter E, Castro-Dufourny I, Carrasco R, Barrios L. Craniopharyngioma adherence: a reappraisal of the evidence. Neurosurg Rev 2018; 43:453-472. [DOI: 10.1007/s10143-018-1010-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 06/19/2018] [Accepted: 07/10/2018] [Indexed: 12/18/2022]
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12
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Marchesini N, Soda C, Ricci UM, Sedia M, Sala F, Pinna G. 12 Years delayed postoperative spinal recurrence of craniopharyngioma. Case report and literature review. Br J Neurosurg 2017; 33:687-689. [PMID: 29199465 DOI: 10.1080/02688697.2017.1406454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
A case of delayed spinal adamantinomatous craniopharyngioma recurrence is presented. A 54-year-old male patient was admitted in our Emergency Department complaining of urinary disorders and leg pains. He underwent surgical removal of intraventricular craniopharyngioma 12 years previously. On MR imaging a well-circumscribed intradural cistyc mass at the T12 level was reavealed. A T11 and T12 laminotomy was performed and total removal of the tumour was achieved. Histology examination showed adamantinous craniopharyngioma. The authors believe that this represents the third case described of spinal craniofaryngioma recurrence and the first involving the dorsal spine.
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Affiliation(s)
- Nicolò Marchesini
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
| | - Christian Soda
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
| | - Umberto Maria Ricci
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
| | - Mattia Sedia
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
| | - Francesco Sala
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
| | - Giampietro Pinna
- Neurosurgery Department, University of Verona, Borgo Trento Hospital, Verona, Italy
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