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Extracranial Craniopharyngioma Confined to the Sphenoid Sinus. J Craniofac Surg 2022; 33:e537-e538. [PMID: 35762626 DOI: 10.1097/scs.0000000000008660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 02/28/2022] [Indexed: 11/26/2022] Open
Abstract
ABSTRACT Craniopharyngioma is rare epithelial tumor that develops along the craniopharyngeal duct, and most of these tumors occur in the sellar and suprasellar regions. Although it rarely occurs in the extracranial region, sphenoid solitary lesions were not reported in previous literature. In this study, we report a case of infrasellar craniopharyngioma within the sphenoid sinus without intracranial lesion. A patient with intermittent headache visited a private clinic and presented with sphenoid lesions based on the Magnetic resonance imaging scan results. The mass was completely removed using endoscopic endonasal transsphenoidal approach without any complications and showed characteristic pathologic findings, which lead to the diagnosis of craniopharyngioma.
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2
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Noureldine MHA, Khodmehr S, Sabahi M, Alikhani P, Jallo GI, Arjipour M. Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma. Cureus 2021; 13:e18123. [PMID: 34692333 PMCID: PMC8528039 DOI: 10.7759/cureus.18123] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2021] [Indexed: 11/10/2022] Open
Abstract
The literature is rich with many studies reporting different treatment modalities and approaches for cystic craniopharyngioma (CC), including microsurgery, neuroendoscopic transventricular approach, endoscopic transnasal surgery, stereotactic drainage, and Ommaya reservoir insertion. The goals of this manuscript are to report the successful treatment of an atypical case of CC using the neuroendoscopic transventricular approach (NTVA) as well as discuss the different surgical modalities for these tumors following a comprehensive review of the literature. Our patient is a nine-year-old female with a large CC who was managed using the NTVA. No complications or recurrence occurred over two years of follow-up. Results of our literature review showed lower recurrence and complication rates of the NTVA compared to other surgical modalities.The NTVA is potentially efficient, reliable, and safe for managing CC and cystic-dominant craniopharyngiomas, with low recurrence and complication rates compared to microsurgery and Ommaya reservoir insertion. Future randomized clinical studies comparing the various treatment modalities of CC are needed to solidify these conclusions.
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Affiliation(s)
| | - Sajjad Khodmehr
- Neurosurgery Research Group (NRG) Student Research Committee, Hamadan University of Medical Sciences, Hamadan, IRN
| | - Mohammadmahdi Sabahi
- Neurological Surgery, Neurosurgery Research Group (NRG) Student Research Committee, Hamadan University of Medical Sciences, Hamadan, IRN
| | - Puya Alikhani
- Neurosurgery and Brain Repair, University of South Florida, Tampa, USA
| | - George I Jallo
- Neurosurgery, Johns Hopkins All Children's Hospital, Baltimore, USA
| | - Mahdi Arjipour
- Neurosurgery, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IRN.,Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IRN
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Ectopic sinonasal craniopharyngioma arising from the anterior ethmoid sinus – Case report and literature review. OTOLARYNGOLOGY CASE REPORTS 2020. [DOI: 10.1016/j.xocr.2020.100151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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4
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Tolebeyan AS, Kuruvilla DE. Headache in Ruptured Intracranial Dermoid Cysts. Curr Pain Headache Rep 2020; 24:31. [PMID: 32472229 DOI: 10.1007/s11916-020-00863-x] [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: 10/24/2022]
Abstract
PURPOSE OF REVIEW Intracranial dermoid cysts are benign, rare mass-occupying lesions of the central nervous system arising from the neuroectodermal cell lines. While rupture of intracranial dermoid cysts is rare, it can present with a variety of clinical manifestations. To explore the headache manifestations among patients with ruptured intracranial dermoid cysts. To our knowledge, limited studies focusing on headache due to the intracranial dermoid cysts rupture have been published to date. A literature review was done through PubMed/Medline. Articles within the past 10 years were reviewed. Articles in languages other than English were excluded. RECENT FINDINGS Rupture of intracranial dermoid cysts could have various manifestations including headache, seizure, and meningitis. Depending on the location of the cyst, headache secondary to the rupture of the intracranial dermoid cysts could present in different ways. A detailed systematic literature review of headache presentations due to intracranial dermoid cysts rupture is provided.
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A Rare Case of Craniopharyngioma in the Temporal Lobe. Case Rep Neurol Med 2018; 2017:4973560. [PMID: 29441211 PMCID: PMC5758938 DOI: 10.1155/2017/4973560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 11/22/2017] [Indexed: 11/17/2022] Open
Abstract
Herein, we report on a rare case of craniopharyngioma arising in the left temporal lobe with no prior history of head trauma or surgery. There was a solid-cystic mass in the left temporal lobe on MR images. To the best of our knowledge, this is the second case of a craniopharyngioma occurring in the temporal lobe.
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Muçaj S, Ugurel MS, Dedushi K, Ramadani N, Jerliu N. Role of MRI in Diagnosis of Ruptured Intracranial Dermoid Cyst. Acta Inform Med 2017; 25:141-144. [PMID: 28883682 PMCID: PMC5544451 DOI: 10.5455/aim.2017.25.141-144] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Introduction: Intracranial dermoid cystic tumors account for <1% of all intracranial masses. Case report: A 52-year-old male, having headaches, nausea and is presented with a history of 2 episodes of new onset seizures. On presentation, the patient had a normal physical exam, including a complete neurological and cranial nerve exam. Methods: Precontrast MRI; TSE/T2Wsequence in axial/coronal planes; 3D – HI-resolution T1W sagittal; FLAIR/T2W axial; FLAIR/T2W, Flash/T2W oblique coronal plane, GRE/T2W axial. Post-contrast TSE/T1W sequence in axial, coronal and sagittal planes. Diffusion weighted and ADC mapping, postcontrast: TSE/T1W sequence in axial, coronal and sagittal planes. Results: Subsequent MRI of the brain revealed an oval and lobulated 47x34x30mm (TRxAPxCC) non-enhancing T1-hyperintense mass in right cavernous sinus, with compression of surrounding mesial temporal lobe and right anterolateral aspect of mesencephalon. Findings are consistent with ruptured dermoid cyst, given the evacuated sebum content at its lower half. Sebum particles in millimetric sizes are seen within right Sylvian fissure, anterior horns of lateral ventricles and to a lesser extent within left Sylvian fissure, right parietal sulci, cerebral aqueduct, and basal cisterns. No restricted diffusion is seen, eliminating the possibility of epidermoid. A shunt catheter is evident traversing between right lateral ventricle and right parietal bone; besides, slit-like right lateral ventricle is noted (likely secondary to over-draining shunt catheter). Conclusion: Intracranial dermoid cysts are benign rare slow-growing tumors that upon rupture, however, widespread presence of T1 hyperintense droplets and leptomeningeal enhancement can be noted–making MRI the best imaging modality for diagnosis of this rare entity.
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Affiliation(s)
- Sefedin Muçaj
- Faculty of Medicine, Pristine University, Pristine, Kosovo.,National Institute of Public Health of Kosovo, Pristine, Kosovo
| | | | - Kreshnike Dedushi
- Faculty of Medicine, Pristine University, Pristine, Kosovo.,Department of Radiology, Diagnostic Centre, UCCK, Pristine, Kosovo
| | - Naser Ramadani
- Faculty of Medicine, Pristine University, Pristine, Kosovo.,National Institute of Public Health of Kosovo, Pristine, Kosovo
| | - Naim Jerliu
- Faculty of Medicine, Pristine University, Pristine, Kosovo.,National Institute of Public Health of Kosovo, Pristine, Kosovo
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7
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Giant cranionasal and cystic-solid craniopharyngioma associated with extensive bone erosion and ossification. J Craniofac Surg 2014; 24:e398-401. [PMID: 23851734 DOI: 10.1097/scs.0b013e318280249f] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Craniopharyngioma (CP), a rare benign and slow-growing epithelial tumor, is mainly located within the sellar/parasellar region. Primary CP involving the nasal cavity and the sellar region with extensive erosion of the skull base and ossification simultaneity has not been described previously. The authors report a 23-year-old man who presented to our institute with complaints of repeated nasal cavity bloodshed, liquid flow, and progressive visual loss. A neuroimaging examination showed a giant cranionasal and cystic-solid CP extending from the suprasellar region to the nasopharynx with inhomogeneous enhancement, which is associated with extensive erosion of the skull base and ossification. The patient underwent a transsphenoidal surgery to resect the nasopharyngeal component of CP and a subfrontal craniotomy with a total removal of intracranial component by grinding 3 months later. A histopathologic examination revealed characteristic features of adamantinomatous CP associated with ossification. The current study demonstrates that CP can exhibit cranionasal growth pattern and arise from residue of craniopharyngeal duct. Extensive erosion of the skull base, calcification, and ossification can present in tumor simultaneity. A 2-stage stratagem is important for its total removal because of the peculiar hardness. Postsurgical course is unevenly and should be dealt with carefully.
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8
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Khalatbari MR, Borghei-Razavi H, Samadian M, Moharamzad Y, Schick U. Isolated primary craniopharyngioma in the cerebellopontine angle. J Clin Neurosci 2012; 19:1516-9. [PMID: 22595351 DOI: 10.1016/j.jocn.2011.09.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2011] [Revised: 09/20/2011] [Accepted: 09/30/2011] [Indexed: 10/28/2022]
Abstract
Between January 2000 and January 2011, we diagnosed three patients with isolated craniopharyngioma in the cerebellopontine angle (CPA). Brain MRI revealed cystic lesions with various imaging characteristics, including hypointensity on T1-weighted (T1W) images and hyperintensity on T2-weighted (T2W) images. The first patient's lesion showed rim enhancement after gadolinium administration. The second patient's lesion showed mixed signal intensity on both T1W and T2W images. The third patient's MRI showed a well-defined cystic lesion in the right CPA that compressed the brainstem. This lesion was hyperintense on T1W images and hypointense relative to cerebrospinal fluid on T2W images, and was peripherally enhanced after gadolinium administration. All three patients underwent surgical intervention through a suboccipital retrosigmoid craniotomy/craniectomy and lesions that did not adhere to adjacent tissues were removed completely. Histopathological examination confirmed the tumors to be adamantinomatous craniopharyngioma. The post-operative course was uneventful for all patients uneventful and no tumor recurrences were detected at the last follow-up. Primary CPA craniopharyngioma can be completely removed surgically, provided it does not densely adhere to vital structures.
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Affiliation(s)
- Mahmoud Reza Khalatbari
- Department of Neurosurgery, Arad Hospital, Somayeh Street, Between Dr. Shariati and Bahar Avenue, Tehran 1445613131, Iran.
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9
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Yu X, Liu R, Wang Y, Wang H, Zhao H, Wu Z. Infrasellar craniopharyngioma. Clin Neurol Neurosurg 2011; 114:112-9. [PMID: 22018920 DOI: 10.1016/j.clineuro.2011.09.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Accepted: 09/21/2011] [Indexed: 11/29/2022]
Abstract
OBJECT Infrasellar craniopharyngioma (IC) is a rare tumor. This study aimed to investigate the clinical manifestations, treatment methods, and prognosis of IC, which invades the cranial base, nasal sinuses, nasopharynx and clivus. METHODS Eleven consecutive cases of IC who received treatment in People's Liberation Army Navy General Hospital from 1988 to 2007 were retrospectively analyzed, and the clinical manifestations of IC were summarized. At the same time, literature pertinent to IC was reviewed. These patients consisted of six males and five females with an average age of 28.5 years (range 7-52 years old). Among them, nine cases were identified as simple IC and two cases as suprasellar and IC. Clinical manifestations included headache (seven cases), nasal obstruction (four cases), polydipsia and polyuria (four cases), visual disorder (five cases), delayed sex organ development (three cases), menstrual disorder (one case) and no symptoms (one case). Tumor invasion regions included sellar bottom, ethmoidal sinus, maxillary sinus, sphenoidal sinus, infrasellar region, clivus, nasopharynx and nasal cavity. Solid craniopharyngioma was observed in three cases, cystic craniopharyngioma in seven cases, and mixed cystic and solid type in one case. Four cases underwent craniotomy for tumor resection (three cases also received adjuvant external beam radiation therapy), two cases underwent transnasal approach tumor resection under endoscope guidance (one case simultaneously received adjuvant interstitial brachytherapy) and four cases underwent stereotactic interstitial radiation (radioisotope (32)P brachytherapy). RESULTS All cases were followed up for an average of 22.5 years (range 9-98 months). Imaging results showed that tumors disappeared in one case, were clearly reduced in eight cases and were stable in two cases. Clinical symptoms disappeared in three cases, and improved in seven cases. No symptoms appeared in the case presenting with no symptoms. All patients were able to resume work, study and daily tasks. CONCLUSIONS IC is rare (the present cases account for 0.23% of all retrieved cases). Its chief clinical manifestations include headache, nasal obstruction, polydipsia and polyuria, and visual disorder. Lesions include solid, cystic, and mixed cystic and solid types. It is very difficult to resect the whole diseased region because this disease invades the cranial base, nasal sinuses and nasopharynx. Individualized treatments should be used according to lesion characteristics and invasion range, for example, stereotaxic interstitial brachytherapy. Radical resection or partial resection plus external beam radiation therapy produces better prognosis in IC than intracranial craniopharyngioma.
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Affiliation(s)
- Xin Yu
- Department of Neurosurgery, Navy General Hospital, Beijing, China.
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10
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Kucera JN, Roy P, Murtagh R. Ruptured intracranial dermoid cyst manifesting as new onset seizure: a case report. J Radiol Case Rep 2011; 5:10-8. [PMID: 22470786 PMCID: PMC3303440 DOI: 10.3941/jrcr.v5i4.592] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Intracranial dermoid cysts are rare tumors derived from ectopic epithelial cells. They are slow-growing benign entities, but can cause significant morbidity through compression of neurovascular structures and, rarely, rupture into the subarachnoid space. We present a rare case of a spontaneously ruptured intracranial dermoid cyst presenting as new onset seizures due to chemical meningitis caused by dissemination of fat droplets.
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Affiliation(s)
| | - Pinakpani Roy
- University of South Florida College of Medicine, Tampa, FL, USA
| | - Ryan Murtagh
- Department of Radiology, Moffitt Cancer Center, Tampa, FL, USA
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11
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FUJIMOTO Y, HARADA Y, TOYOTA S, WAKAYAMA A, SO H, YOSHIMINE T. Primary Clival Mucocele -Case Report-. Neurol Med Chir (Tokyo) 2011; 51:250-2. [DOI: 10.2176/nmc.51.250] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Yasunori FUJIMOTO
- Department of Neurosurgery, Osaka Neurological Institute
- Department of Neurosurgery, Osaka University Graduate School of Medicine
| | - Yu HARADA
- Department of Neurosurgery, Osaka Neurological Institute
- Department of Neurosurgery, Osaka University Graduate School of Medicine
| | - Shingo TOYOTA
- Department of Neurosurgery, Osaka Neurological Institute
| | | | - Hiroyuki SO
- Department of Pathology, So Dermatological Clinic
| | - Toshiki YOSHIMINE
- Department of Neurosurgery, Osaka University Graduate School of Medicine
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Frangou EM, Tynan JR, Robinson CA, Ogieglo LM, Vitali AM. Metastatic craniopharyngioma: case report and literature review. Childs Nerv Syst 2009; 25:1143-7. [PMID: 19517118 DOI: 10.1007/s00381-009-0917-4] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2009] [Indexed: 10/20/2022]
Abstract
BACKGROUND Distant spread of craniopharyngioma is a rare but important complication. Most cases are a result of spread along the surgical path. We describe a rare case of metastatic leptomeningeal craniopharyngioma as a result of dissemination along CSF pathways in a child. A review of previously described cases is provided. CASE PRESENTATION A 14-year-old male was diagnosed with metastatic craniopharyngioma on routine follow-up imaging after multiple surgeries and radiation for locally recurrent craniopharyngioma. The lesion was erosive through the right parietal bone, but had remained clinically silent. The lesion was distant from previous surgical paths. The patient underwent right parietal craniotomy and resection of the lesion. Duraplasty and cranioplasty were necessary for closure. Histopathology confirmed adamantinomatous craniopharyngioma. One-year follow-up demonstrated no recurrence. DISCUSSION A review of reported cases suggests that leptomeningeal implantation may be an important step in metastases of craniopharyngioma, although the mechanism is poorly understood. Attention to tumor spillage at the time of surgery may be important in preventing distant recurrences.
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Affiliation(s)
- Evan Mark Frangou
- Division of Neurosurgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK S7K 0W8, Canada.
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13
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Harzallah F, Harzallah L, Ben Brahim A, Mekaouer A, Slimane H. [Macroprolactinoma revealed by an exophthalmos]. J Fr Ophtalmol 2009; 32:133.e1-3. [PMID: 20579476 DOI: 10.1016/j.jfo.2008.12.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2008] [Accepted: 12/19/2008] [Indexed: 10/21/2022]
Abstract
With the purpose of illustrating a particular circumstance of giant macroprolactinoma diagnosis, we report the case of a 54-year-old woman who was seen in the Endocrinology department with the suspected diagnosis of hyperthyroidism in presence of unilateral exophthalmos. The patient reported headaches during the last year and secondary amenorrhea since she was 38 years old. The ophthalmologic examination confirmed the unilateral left exophthalmos, which was associated with oculomotor paralysis and vision loss. The computed tomography demonstrated a great mass of the sella extending in all directions and destroying the bone. The hormonal investigation confirmed the diagnosis of prolactinoma, with a level of 8723 ng/ml, and revealed hypopituitarism. The start of bromocriptin treatment was followed by a fall in the prolactin level to less then 200 ng/ml in 1 month. This case is particular regarding the giant macroprolactinoma in a woman discovered by an unusual visual complication.
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Affiliation(s)
- F Harzallah
- Service d'endocrinologie-diabétologie, Hôpital La Rabta, Tunis, Tunisie.
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14
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Ragel BT, Bishop FS, Couldwell WT. Recurrent infrasellar clival craniopharyngioma. Acta Neurochir (Wien) 2007; 149:729-30; discussion 730. [PMID: 17533510 DOI: 10.1007/s00701-007-1168-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2006] [Accepted: 04/10/2007] [Indexed: 11/30/2022]
Abstract
The patient is a 44-year-old man who underwent resection of a posterior nasopharynx tumor 12 years earlier via left lateral rhinotomy approach. The final pathological analysis indicated the tumor was a craniopharyngioma, and the patient subsequently underwent focal radiation. The patient returned to medical attention complaining of dysequilibrium. A neurologic exam was nonfocal. Magnetic resonance imaging revealed a clival mass, separate from the sella turcica, with imaging characteristics concerning for chordoma or primary bone tumor (Fig. 1). The lesion was resected via an endoscope-assisted endonasal transsphenoidal approach, with gross total resection achieved. Intraoperatively, the mass was noted to erode through the posterior nasopharynx, without extension superiorly into the sella or posteriorly through the clival dura (i.e., lesion was infrasellar). The final pathological results indicated the tumor was adamantinomatous craniopharyngioma.
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Affiliation(s)
- B T Ragel
- Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA
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15
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Shuman AG, Heth JA, Marentette LJ, Blaivas M, Muraszko KM. EXTRACRANIAL NASOPHARYNGEAL CRANIOPHARYNGIOMA. Neurosurgery 2007; 60:E780-1; discussion E781. [PMID: 17415187 DOI: 10.1227/01.neu.0000255411.69022.a1] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Abstract
OBJECTIVE
Craniopharyngiomas (CPs) are benign tumors that almost always occur in a suprasellar location, making complete resection difficult and often necessitating radiotherapy. A case of CP presenting in an unusual location in an 8-year-old boy highlights the goals of CP treatment.
CLINICAL PRESENTATION
An 8-year-old boy sought treatment for symptoms of nasal obstruction and snoring. He also had a history of mild developmental delay, and his father had a thyroglossal duct cyst resected in his own youth. After tonsillectomy and adenoidectomy failed to improve the patient's symptoms, nasal endoscopy and biopsy revealed an intranasal CP. After this treatment, he experienced chronic thin brown nasal discharge. Magnetic resonance imaging further revealed tumor invading the sphenoid body and the clivus and that the tumor had no intracranial extension.
INTERVENTION
The child underwent surgical resection via a Le Fort I osteotomy approach. Complete resection was accomplished based on intraoperative frozen section pathological examination and postoperative magnetic resonance imaging results.
CONCLUSION
CP with no intracranial extension is a very rare but benign tumor. We recommend vigorous attempts to resect such tumors completely to minimize the chance of recurrence and the possible need for radiotherapy. Although radiotherapy controls CP growth quite well, it has its own risks that should be avoided if possible. Cranial base techniques may facilitate total resection.
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Affiliation(s)
- Andrew G Shuman
- Department of Otolaryngology, University of Michigan Health System, Ann Arbor, Michigan 48109-0338, USA
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Trejos H, Caceres A, Segura JL. Monstrous craniopharyngioma. Case presentations and term proposal. Childs Nerv Syst 2005; 21:1049-53; discussion 1054-5. [PMID: 15759158 DOI: 10.1007/s00381-004-1101-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2004] [Revised: 09/20/2004] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Craniopharyngiomas (CF) are benign tumors, which can be cured by total resection; however, this is not always possible to achieve, thus leading to tumor recurrence. When these tumors achieve disproportionate growth, the treatment is even more difficult, fortunately grotesque CF are not frequent, making experience and data collection more arduous to obtain. CASE REPORTS Four patients are presented here to illustrate the need for the use of a new term, "monstrous craniopharyngioma," which is proposed with the aim of making the evaluation of the different kinds of treatment available more accurate. CONCLUSIONS Craniopharyngiomas that have grown into more than one cranial fossa with mixed solid and cystic components pose a special challenge for resection, and therefore a systematic classification and approach are required in order to obtain the best surgical results.
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Affiliation(s)
- Humberto Trejos
- National Children's Hospital, P.O. Box 225-6151, Santa Ana 2000, Costa Rica.
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