Dogiparthi Jaswanthi, Teru Smaran S, Bonitz Thomas J, Buzas Chris
Medical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.
Ophthalmology, Lake Erie College of Osteopathic Medicine, Erie, USA.
Cureus. 2023 Sep 18;15(9):e45493. doi: 10.7759/cureus.45493. eCollection 2023 Sep.
Craniopharyngiomas are benign epithelial tumors derived from the suprasellar region of the brain. The classical presentation of midline craniopharyngiomas includes bitemporal hemianopsia. However, atypical presentations can lead to diagnosis delays and challenges in managing associated visual and endocrine deficits. The persistence of visual deficits and tumor regrowth despite surgical intervention emphasizes the intricacies of craniopharyngioma management. This underscores the significance of timely diagnosis in patients with visual disturbances and hormonal imbalances related to mass effect. Here, we present a case of a unique and rare recurrent craniopharyngioma in a 58-year-old male, featuring progressive and atypical visual disturbances, along with the development of endocrine dysfunction following multiple tumor resections.
颅咽管瘤是起源于脑鞍上区的良性上皮性肿瘤。中线颅咽管瘤的典型表现包括双颞侧偏盲。然而,非典型表现可能导致诊断延迟以及在处理相关视觉和内分泌缺陷方面面临挑战。尽管进行了手术干预,但视觉缺陷持续存在且肿瘤复发,这凸显了颅咽管瘤治疗的复杂性。这强调了对有与占位效应相关的视觉障碍和激素失衡患者进行及时诊断的重要性。在此,我们报告一例58岁男性的独特且罕见的复发性颅咽管瘤病例,其特征为进行性和非典型视觉障碍,以及在多次肿瘤切除术后出现内分泌功能障碍。