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Congenital craniopharyngioma: a case report and literature review.
- Source :
-
Journal of pediatric endocrinology & metabolism : JPEM [J Pediatr Endocrinol Metab] 2012; Vol. 25 (11-12), pp. 1181-3. - Publication Year :
- 2012
-
Abstract
- Introduction: Although craniopharyngiomas are congenital tumors, they are rarely diagnosed in the prenatal or early neonatal period. Sometimes they are very large, debilitating and life-threatening, as in the case discussed here.<br />Observation: A 21-month-old girl was referred for craniopharyngioma that had been diagnosed at 5 months because of neurologic complications. The pregnancy and birth were considered to be unremarkable. The birth weight was 4 kg, length 53 cm, head circumference 38 cm (n=35±1). Brain CT revealed active hydrocephalus caused by a very large solid, cystic and calcified supra sellar mass. MRI confirmed the process measuring 5 cm in height, multidirectional, diving into pituitary sella, displacing the brainstem. After several resections and reservoir drainage, the patient was blind, hemiparetic and she convulsed frequently. The patient died when she was 2.<br />Conclusion: The large head circumference at birth, the size of the tumor, blindness, and hemiparesis observed before the age of 5 months suggested an antenatal process unnoticed because of inadequate gestational monitoring.
- Subjects :
- Craniopharyngioma congenital
Craniopharyngioma surgery
Fatal Outcome
Female
Humans
Hydrocephalus congenital
Hydrocephalus diagnosis
Hydrocephalus surgery
Infant
Magnetic Resonance Imaging
Pituitary Neoplasms congenital
Pituitary Neoplasms surgery
Tomography, X-Ray Computed
Craniopharyngioma diagnosis
Pituitary Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0334-018X
- Volume :
- 25
- Issue :
- 11-12
- Database :
- MEDLINE
- Journal :
- Journal of pediatric endocrinology & metabolism : JPEM
- Publication Type :
- Academic Journal
- Accession number :
- 23329768
- Full Text :
- https://doi.org/10.1515/jpem-2012-0251