Urasaki E, Fukumura A, Itho Y, Itoyama Y, Yamada M, Ushio Y, Yokota A, Wada S
Department of Neurosurgery, Shimonoseki Kosei Hospital, Yamaguchi, Japan.
No Shinkei Geka. 1988 Nov;16(12):1399-404.
A rare case of craniopharyngioma wholly located within the third ventricle is reported. A 55-year-old female was admitted to our hospital with the complaints of headache and fever of unknown origin. Neurological findings were normal. Computed tomography (CT) scan showed homogeneously enhanced mass lesion within the third ventricle. Axial and coronal CT scans disclosed an intact suprasellar cistern. The tumor was completely removed using an interhemispheric trans-lamina terminalis approach. Histological diagnosis was squamous cell type of craniopharyngioma. Post-operative diabetes insipidus was well controlled, and irradiation of 50 Gy was performed. Craniopharyngioma located entirely in the third ventricle was reviewed, and etiology, clinical feature and treatment were discussed.
报告了一例罕见的完全位于第三脑室内的颅咽管瘤病例。一名55岁女性因不明原因的头痛和发热入住我院。神经系统检查结果正常。计算机断层扫描（CT）显示第三脑室内有均匀强化的肿块病变。轴位和冠状位CT扫描显示鞍上池完整。采用经半球间终板入路将肿瘤完全切除。组织学诊断为鳞状细胞型颅咽管瘤。术后尿崩症得到良好控制，并进行了50 Gy的放疗。对完全位于第三脑室内的颅咽管瘤进行了回顾，并讨论了其病因、临床特征和治疗方法。
