Faust Taylor F, Reddy Punuru, Weiss Jillian, Steadman Michael, Morizio Connie, Cail Garrett
Department of Research, Alabama College of Osteopathic Medicine, Dothan, Alabama, USA.
Department of Internal Medicine, Decatur Morgan Hospital, Decatur, Alabama, USA.
Case Rep Endocrinol. 2024 Oct 4;2024:1333552. doi: 10.1155/2024/1333552. eCollection 2024.
In this report, we present the case of a 71-year-old African-American woman experiencing 2 months of intermittent headaches and episodes of blurred vision. Despite a comprehensive medical history that revealed chronic conditions and previous unrelated surgeries, the initial evaluation appeared to be unremarkable. Following the discovery of a mass on an imaging and a subsequent biopsy, the diagnosis of craniopharyngioma (WHO grade I) was confirmed. However, a brain mass was identified after additional ophthalmologic examination and MRI. This case explores the significance of recognizing atypical presentations of a brain injury that required a specific approach for diagnosis, surgical intervention and treatment, and postoperative care. This case contributes to the constantly evolving understanding of atypical manifestations of tumor characteristics and their complexities, along with the need to develop appropriate patient management strategies and provide optimal outcomes.
在本报告中，我们介绍了一名71岁非裔美国女性的病例，她经历了两个月的间歇性头痛和视力模糊发作。尽管全面的病史显示有慢性病和既往无关手术史，但初步评估似乎并无异常。在影像学检查发现肿块并随后进行活检后，确诊为颅咽管瘤（世界卫生组织一级）。然而，在进一步的眼科检查和磁共振成像后又发现了一个脑内肿块。本病例探讨了认识脑损伤非典型表现的重要性，这需要采用特定的诊断、手术干预和治疗方法以及术后护理。本病例有助于不断深化对肿瘤特征非典型表现及其复杂性的理解，以及制定适当的患者管理策略并提供最佳治疗效果的必要性。
