Prabhu Vishaal, Anand Vijay K, Schwartz Theodore H
Neurological Surgery, University of Rochester Medical Center.
Otolaryngology, New York-Presbyterian/Weill Cornell Medical Center.
Cureus. 2015 Aug 17;7(8):e305. doi: 10.7759/cureus.305.
Craniopharyngiomas comprise approximately 3% of all intracranial tumors. Preservation of pituitary function after resection represents a significant challenge due to their location in the anterior skull base and aggressive local behavior. We report a case of a 79-year-old woman with a large suprasellar craniopharyngioma who presented with visual loss. MRI revealed a suprasellar cystic mass with mass effect on the optic chiasm and pituitary gland. Following endoscopic endonasal gross total resection of the tumor, the patient's pituitary function returned to normal.
颅咽管瘤约占所有颅内肿瘤的3%。由于其位于前颅底且具有侵袭性的局部行为,切除术后垂体功能的保留是一项重大挑战。我们报告一例79岁女性,患有巨大鞍上颅咽管瘤,表现为视力丧失。磁共振成像(MRI)显示鞍上囊性肿块,对视交叉和垂体有占位效应。经鼻内镜下肿瘤全切术后,患者垂体功能恢复正常。