Adamantinoma of the Craniopharyngeal Duct

Craniopharyngioma or para‐pituitary adamantinoma (Erdheim's tumour)

“…Modern knowledge allows us to say that certain signs and symptoms are specific evidence of dysfunction of the optic chiasma, while other signs point with equal certainty to the pituitary or hypothalamus, but overlying these, and pwsibly altering the balance between such regionally determined factors, there can be the general effort of increased intracranial pressure, whether by mere growth of the tumour or by varied degrees of blockage to the flow of cerebrospinal fluid. The varied syndromes thus encountered are available in the scattered case reports and reviews, especially those of Critchley and Ironside (1926), Beckmann and Kubie (1929), Frazier and Alpers (1931), Cushing (1932) and Friedgood (1946). The anienorrhma, polyuria, abnormal drowsiness and optic atrophy of the present case are all of common occurrence in adult patients.…”

“…There is likewise difference in behaviour from case to case. It is thus rather difficult to produce a satisfactory classification of the tumours taking origin from the embryonic craniopharyngeal canal (Duffy, 1920 ;Frazier and Alpers, 1931 ;Friedgood, 1946) and it is obvious that with increasing knowledge the suggested categories are having to be modified and subdivided. What may be called the typical para-pituitary adamantinoma or basal-cell carcinoma, of which t,he present case is a good example, is only locally invasive ; it is usually solid, although multiple cysts may be present, especially if the tumour itself be large.…”

Craniopharyngioma or para‐pituitary adamantinoma (Erdheim's tumour)

“…Modern knowledge allows us to say that certain signs and symptoms are specific evidence of dysfunction of the optic chiasma, while other signs point with equal certainty to the pituitary or hypothalamus, but overlying these, and pwsibly altering the balance between such regionally determined factors, there can be the general effort of increased intracranial pressure, whether by mere growth of the tumour or by varied degrees of blockage to the flow of cerebrospinal fluid. The varied syndromes thus encountered are available in the scattered case reports and reviews, especially those of Critchley and Ironside (1926), Beckmann and Kubie (1929), Frazier and Alpers (1931), Cushing (1932) and Friedgood (1946). The anienorrhma, polyuria, abnormal drowsiness and optic atrophy of the present case are all of common occurrence in adult patients.…”

“…There is likewise difference in behaviour from case to case. It is thus rather difficult to produce a satisfactory classification of the tumours taking origin from the embryonic craniopharyngeal canal (Duffy, 1920 ;Frazier and Alpers, 1931 ;Friedgood, 1946) and it is obvious that with increasing knowledge the suggested categories are having to be modified and subdivided. What may be called the typical para-pituitary adamantinoma or basal-cell carcinoma, of which t,he present case is a good example, is only locally invasive ; it is usually solid, although multiple cysts may be present, especially if the tumour itself be large.…”

Untitled

“…1 The sellar and suprasellar region is a site of intense and precise actions in the first trimester, wherein the formation of adenohypophysis and neurohypophysis occurs in a definite sequence. Some of the cells rests can be found in the sella, suprasellar region, pituitary stalk, third ventricle, and posterior pharyngeal wall.…”

Development of intracranial approaches for craniopharyngiomas: an analysis of the first 160 historical procedures

“…Table 1 features a summary of data corresponding to the fundamental epidemiological, surgical, and pathological variables selected and analyzed for the 160 CPs. 1,2,6,7,[9][10][11]13,[15][16][17]19,20,[22][23][24][25]27,[29][30][31][32][34][35][36]40,41,[44][45][46][47][48][49][50][51][52][54][55][56]64,66,68,69,71,72,[74][75][76]78,82,84,…”

“…51 Frazier then changed his technique to a coronal incision to approach the pituitary from the side, along the wing of the sphenoid rather than from directly in front, to avoid excessive retraction on the frontal lobe. 54,55 In the case of cystic CPs, Frazier opened the capsule of the le- Fig. 13.…”

Craniopharyngioma or para‐pituitary adamantinoma (Erdheim's tumour)

“…Modern knowledge allows us to say that certain signs and symptoms are specific evidence of dysfunction of the optic chiasma, while other signs point with equal certainty to the pituitary or hypothalamus, but overlying these, and pwsibly altering the balance between such regionally determined factors, there can be the general effort of increased intracranial pressure, whether by mere growth of the tumour or by varied degrees of blockage to the flow of cerebrospinal fluid. The varied syndromes thus encountered are available in the scattered case reports and reviews, especially those of Critchley and Ironside (1926), Beckmann and Kubie (1929), Frazier and Alpers (1931), Cushing (1932) and Friedgood (1946). The anienorrhma, polyuria, abnormal drowsiness and optic atrophy of the present case are all of common occurrence in adult patients.…”

“…There is likewise difference in behaviour from case to case. It is thus rather difficult to produce a satisfactory classification of the tumours taking origin from the embryonic craniopharyngeal canal (Duffy, 1920 ;Frazier and Alpers, 1931 ;Friedgood, 1946) and it is obvious that with increasing knowledge the suggested categories are having to be modified and subdivided. What may be called the typical para-pituitary adamantinoma or basal-cell carcinoma, of which t,he present case is a good example, is only locally invasive ; it is usually solid, although multiple cysts may be present, especially if the tumour itself be large.…”

Untitled

“…1 The sellar and suprasellar region is a site of intense and precise actions in the first trimester, wherein the formation of adenohypophysis and neurohypophysis occurs in a definite sequence. Some of the cells rests can be found in the sella, suprasellar region, pituitary stalk, third ventricle, and posterior pharyngeal wall.…”

Development of intracranial approaches for craniopharyngiomas: an analysis of the first 160 historical procedures

“…Table 1 features a summary of data corresponding to the fundamental epidemiological, surgical, and pathological variables selected and analyzed for the 160 CPs. 1,2,6,7,[9][10][11]13,[15][16][17]19,20,[22][23][24][25]27,[29][30][31][32][34][35][36]40,41,[44][45][46][47][48][49][50][51][52][54][55][56]64,66,68,69,71,72,[74][75][76]78,82,84,…”

“…51 Frazier then changed his technique to a coronal incision to approach the pituitary from the side, along the wing of the sphenoid rather than from directly in front, to avoid excessive retraction on the frontal lobe. 54,55 In the case of cystic CPs, Frazier opened the capsule of the le- Fig. 13.…”

Craniopharyngioma or para‐pituitary adamantinoma (Erdheim's tumour)

“…Modern knowledge allows us to say that certain signs and symptoms are specific evidence of dysfunction of the optic chiasma, while other signs point with equal certainty to the pituitary or hypothalamus, but overlying these, and pwsibly altering the balance between such regionally determined factors, there can be the general effort of increased intracranial pressure, whether by mere growth of the tumour or by varied degrees of blockage to the flow of cerebrospinal fluid. The varied syndromes thus encountered are available in the scattered case reports and reviews, especially those of Critchley and Ironside (1926), Beckmann and Kubie (1929), Frazier and Alpers (1931), Cushing (1932) and Friedgood (1946). The anienorrhma, polyuria, abnormal drowsiness and optic atrophy of the present case are all of common occurrence in adult patients.…”

“…There is likewise difference in behaviour from case to case. It is thus rather difficult to produce a satisfactory classification of the tumours taking origin from the embryonic craniopharyngeal canal (Duffy, 1920 ;Frazier and Alpers, 1931 ;Friedgood, 1946) and it is obvious that with increasing knowledge the suggested categories are having to be modified and subdivided. What may be called the typical para-pituitary adamantinoma or basal-cell carcinoma, of which t,he present case is a good example, is only locally invasive ; it is usually solid, although multiple cysts may be present, especially if the tumour itself be large.…”

Untitled

“…1 The sellar and suprasellar region is a site of intense and precise actions in the first trimester, wherein the formation of adenohypophysis and neurohypophysis occurs in a definite sequence. Some of the cells rests can be found in the sella, suprasellar region, pituitary stalk, third ventricle, and posterior pharyngeal wall.…”

Development of intracranial approaches for craniopharyngiomas: an analysis of the first 160 historical procedures

“…Table 1 features a summary of data corresponding to the fundamental epidemiological, surgical, and pathological variables selected and analyzed for the 160 CPs. 1,2,6,7,[9][10][11]13,[15][16][17]19,20,[22][23][24][25]27,[29][30][31][32][34][35][36]40,41,[44][45][46][47][48][49][50][51][52][54][55][56]64,66,68,69,71,72,[74][75][76]78,82,84,…”

“…51 Frazier then changed his technique to a coronal incision to approach the pituitary from the side, along the wing of the sphenoid rather than from directly in front, to avoid excessive retraction on the frontal lobe. 54,55 In the case of cystic CPs, Frazier opened the capsule of the le- Fig. 13.…”