Craniopharyngioma with erosion and drainage into the nasopharynx

Maier, Herbert C.

doi:10.3171/jns.1985.62.1.0132

Cited by 30 publications

(17 citation statements)

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“…Such craniopharyngioma may have completely different presentation from typical endocrinopathy and visual deficit and instead it may present with conglomeration of variable symptoms, which depends on extent of involvement and obstruction of ostia of the paranasal sinuses causing difficulty in breathing, nasal obstruction and sinus headache. These craniopharyngioma with sellar component can also encroach and the sella floor and cause direct compression of pituitary gland or secondary to vascular compromise leads endocrinopathy [10][11][12][13][14][15][16][17]19,21,25,27,28,32]. So, majority of infrasellar reported craniopharyngioma usually had an intrasellar extension.…”

Section: Discussionmentioning

confidence: 99%

“…The anterior wall of Rathke's pouch forms both the pars tuberalis and pars distalis of anterior lobe of pituitary, being regarded as the commonest site of origin of craniopharyngioma and rarely also occur along the carniopharyngeal duct which extends from the pharynx up to the floor of sella [2][3][4]. Craniopharyngioma is mostly located usually above the sella floor but extension into sinus is very rare and with unusual [5][6][7][8][9][10][11][12][13][14][15][16][17]. About eleven cases of infrasellar craniopharyngioma are reported in the literature, whose either majority of the chief epicenter or wholly tumour is located in the infrasellar region.…”

Section: Introductionmentioning

confidence: 99%

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Craniopharyngioma with infrasellar extension in an eight-year boy: An unusual entity

Satyarthee¹

2017

Surg Rehabil

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Craniopharyngiomas are mostly lactated in the suprasellar region. However, ectopic craniopharyngioma may be rarely located in the infrasellar region. We report an 8-year -old boy, who had large craniopharyngioma predominantly involving sella turcica, sphenoid sinus, ethmoid sinus, and nasal cavity. He presented with progressive visual impairment. He underwent transsphenoidal decompression. He made unremarkable visual recovery following surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Craniopharyngioma with infrasellar extension in an eight-year boy: An unusual entity

Satyarthee¹

2017

Surg Rehabil

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“…The signs of pituitary dysfunction appear early in the cases in which the tumor expands within the sella. The tumor located at the sphenoid sinus usually presents with headache and cavernous sinus syndrome [6][7][8]11,12,15,17,20,23,24,27 . The craniopharyngiomas located in the nasopharyngeal region usually present with frontal headache, nasal obstruction, epistaxis, nasopharyngeal and/or nasal fossa masses 3,5,9,10,13,15,18,19,22,25,26,29,32,34 .…”

Section: Discussionmentioning

confidence: 99%

“…Multiple calcifications are observed within the tumor, especially in younger patients. In adults, craniopharyngiomas are often not calcified 17,19,[21][22][23]26,27,29,30,32,35,40 . Magnetic resonance image clearly showed the tumor extension, cystic portions, mixed intensity signal, inhomogeneous or heterogeneous enhancement 17,23,[25][26][27][28][29][30]32,34,40 .…”

Section: Discussionmentioning

confidence: 99%

Infrasellar craniopharyngioma: case report

Falavigna

Kraemer

2001

Arq. Neuro-Psiquiatr.

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-We report a case of infrasellar craniopharyngioma in a 34 year-old woman who presented with progressive headache and diplopia. Computed tomographic and magnetic resonance images showed a heterogeneous tumor originating from the sphenoid bone with ethmoid sinus and sella turcica extension. A sublabial rhinoseptal transsphenoidal surgery was performed. Craniopharyngiomas with infrasellar development are very rare. Infrasellar craniopharyngioma is uncommon, thirty-five cases has been reported in literature. The embryology, clinical features and radiographic investigation of these tumors are discussed.KEY WORDS: craniopharyngioma, sphenoid sinus, skull base tumor.Craniofaringioma infra-selar: relato de caso RESUMO -Relatamos um caso de craniofaringioma infra-selar em uma paciente de 34 anos com sintomas de cefaléia e diplopia. A investigação radiológica com tomografia computadorizada e ressonância magnética de encéfalo demonstrou um tumor heterogêneo localizado no osso esfenoidal e com extensão para o seio etmoidal e sela turcica. Realizada cirurgia pela via transesfenoidal. A ocorrência de craniofaringioma com topografia infra-selar é incomum, havendo relato na literatura de 35 casos. A literatura é revisada, sendo discutidas a embriologia, a apresentação clínica e características radiológicas do tumor. . Occasionally, the tumor can occur without sellar involvement. These tumors rarely extend below the sellar floor into the sphenoid sinus or invade the pharynx and the nasal cavities . The infrasellar craniopharyngioma may then originate anywhere along the tract of the obliterated craniopharyngeal duct, which would include the sphenoid bone, vomer, and nasopharynx 35,36 . In this study we report a case of infrasellar craniopharyngioma with the epicenter situated in the sphenoid sinus and review the 35 other reported cases in the literature of this unusual localization since 1924. PALAVRAS-CHAVE CASEA 34 years-old woman presented with frontal headache with progression of 7 months and diplopia that appeared in the last month. Clinical evaluation revealed left abducens nerve palsy. No signs and symptoms of pituitary dysfunction were evident. The laboratory studies, including hypophyseal function were normal.Coronal computed tomographic (CT) scans after intravenous contrast showed a large sphenoid sinus heterogeneous mass with destruction of the ethmoid sinus and sella turcica (Fig 1). T1-weighted (plain and gadoliniumenhanced 600/11/2 [repetion-time/echo time/excitations]) and T2-weighted (3000/108/1) magnetic resonance showed isointense image (Fig 2). Post-contrast the brightly enhancing, heterogeneous mass was clearly visible in the sphenoid bone (Fig 3). There was extension of the tumor to ethmoid sinus and to the sella turcica. Carotid and vertebral angiography revealed that the tumor was avascular.Sublabial rhinoseptal transsphenoidal surgery was performed. After removal of the anterior wall of the sphenoid sinus, a solid firm mass was filled the sphenous sinus. The circumferential wall of the tumor was...

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“…To our knowledge, 40 craniopharyngiomas involving the infrasellar region have been reported to date in 23 male and 17 female patients with a median age of 25 years (range 0–71 years) [5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42]. The peak incidence is in the 21- to 30-year-old group, which is higher than that of the series of Yaşargil [43](6–10 years old).…”

Section: Discussionmentioning

confidence: 99%

Craniopharyngioma Involving the Infrasellar Region

Fujimoto

Matsushita²,

Velasco³

et al. 2002

Pediatr Neurosurg

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Craniopharyngiomas are most commonly located in the intradural suprasellar region. However, ectopic craniopharyngiomas can originate in the infrasellar region. The authors present the case of an 8-year-old boy diagnosed with a large cystic craniopharyngioma involving the nasal cavities and maxillary, ethmoid and sphenoid sinuses, in addition to the sella turcica. The primary symptoms of this patient were nasal obstruction, unilateral decreased visual acuity and exophthalmos. He subsequently underwent combined radical resection of the tumor by means of an endonasal transsphenoidal approach followed by radiation therapy. During the surgery, the dura mater of the sellar floor was found to be intact. The neuroradiological and surgical findings suggested that this tumor originated in the extradural infrasellar region and invaded the sella turcica.

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Craniopharyngioma with erosion and drainage into the nasopharynx

Cited by 30 publications

References 2 publications

Craniopharyngioma with infrasellar extension in an eight-year boy: An unusual entity

Craniopharyngioma with infrasellar extension in an eight-year boy: An unusual entity

Infrasellar craniopharyngioma: case report

Craniopharyngioma Involving the Infrasellar Region

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