Craniopharyngioma in the Elderly

Russell, Richard A.; Pennybacker, Joe

doi:10.1136/jnnp.24.1.1

Cited by 70 publications

(33 citation statements)

References 15 publications

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“…There is predominance of dementia and signs of increased intracranial pressure in adults [11], whereas in children the predominant manifestation is of endocrine deficiency. Visual symptoms are common in both [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Suprasellar Papillary Squamous Epithelioma (Papillary Craniopharyngioma)

Chatterjee

Desai

LAKHTAKIA³

et al. 2000

Medical Journal Armed Forces India

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Section: Discussionmentioning

confidence: 99%

Suprasellar Papillary Squamous Epithelioma (Papillary Craniopharyngioma)

Chatterjee

Desai

LAKHTAKIA³

et al. 2000

Medical Journal Armed Forces India

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“…Since the review by Satoh et al in 1993 [1] there have been six additional reports of spontaneous craniopharyngioma rupture, for a total of 20 cases [2][3][4][5][6]. Of these 20 cases, there have been only three in which rupture was secondary to trauma [7]. Here we present a rare case of temporary shrinkage of a cystic craniopharyngioma following head trauma.…”

Section: Introductionmentioning

confidence: 82%

“…Mental status changes have been described, with both improvement and deterioration [3]. If the cystic material enters the subarachnoid space, patients may present with a chemical meningitis manifested by headaches, fever and nuchal rigidity [1,5,7,[9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Rupture of a craniopharyngioma cyst following trauma: a case report

2007

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There have been only 20 reported cases of non-surgical rupture of a craniopharyngioma cyst, with only 3 cases secondary to trauma. Here we present a rare case of temporary shrinkage of a cystic craniopharyngioma following head trauma. After a motor vehicle accident in May 2001, a 61-year old woman began to have blurred vision and headaches. Magnetic resonance imaging (MRI) of the head revealed a primarily cystic mass measuring approximately two centimeters, involving the sellar and suprasellar area with compression of the pituitary. Visual field testing showed a left hemianopsia and the patient was referred for surgical evaluation. Transsphenoidal drainage of the cystic lesion in November 2001 provided histologic confirmation of the craniopharyngioma. Post-operative MRI showed cyst reduction and visual fields improved. Late in 2002, the patient again experienced progressive visual loss. Repeat MRI revealed a recurrent cystic craniopharyngioma, now measuring approximately three centimeters with subfrontal and parasellar extension and compression of the optic chiasm. A bifrontal surgical approach was advocated; however, prior to the scheduled surgery, the patient sustained a fall with trauma to the head. Following this event she experienced dramatic improvement in her headache and vision and repeat MRI showed the cystic lesion to be significantly decreased in size. Spontaneous rupture of craniopharyngioma cysts is uncommon but has been reported with increasing frequency. It is, however, exceedingly rare for a cyst to rupture following trauma.

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“…61 At both extremes of life, features due to visual loss or raised intracranial pressure dominate presentation, but endocrine deficiency is usually found. In a surprising number of patients the aetiology is unknown but may have a vascular basis and particularly affects hypothalamic regulation of the pituitary.…”

Section: Diseases Affecting the Anterior Pituitarymentioning

confidence: 99%

Endocrine disorders

Belchetz

1993

Rev. Clin. Gerontol.

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Craniopharyngioma in the Elderly

Cited by 70 publications

References 15 publications

Suprasellar Papillary Squamous Epithelioma (Papillary Craniopharyngioma)

Suprasellar Papillary Squamous Epithelioma (Papillary Craniopharyngioma)

Rupture of a craniopharyngioma cyst following trauma: a case report

Endocrine disorders

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