Synowitz H J, Unger R R, Lehmann R
Zentralbl Neurochir. 1977;38(1):63-72.
Age of affection, preferential seat, clinical picture and instrumental diagnosis of craniopharyngiomas are discussed on the basis of 30 observations. Although childhood and adolescence are the leading age groups, there also was a 64-year-old patient. Three courses of the disease were selected: a 6-year-old girl presented both clinically and by instrumental examination indications of a cerebellar tumour; a mandarin-sized arachnoid cyst near the midline was removed. One year later, a suprasellar craniopharyngioma of the size of a chestnut was removed subtotally. Retrospectively, the arachnoid cyst was only seen as a side-finding. A 13-year-old girl showed angiographically and in the pneumoencephalogram signs of a cerebellar tumour located in the middle; the operation showed regular conditions. Only frontal trepanation showed a plum-sized cystic retrochiasmal craniopharyngioma. Similar conditions were found in another 6-year-old girl.
基于30例观察病例,对颅咽管瘤的发病年龄、优先就诊情况、临床表现及影像学诊断进行了讨论。虽然儿童期和青少年期是主要发病年龄段,但也有一名64岁的患者。选取了三个病程病例:一名6岁女孩临床及影像学检查均显示小脑肿瘤迹象;切除了中线附近一个橘子大小的蛛网膜囊肿。一年后,次全切除了一个栗子大小的鞍上颅咽管瘤。回顾来看,蛛网膜囊肿仅为附带发现。一名13岁女孩血管造影和气脑造影显示小脑中部有肿瘤迹象;手术显示情况正常。仅额部开颅手术发现一个李子大小的囊性视交叉后颅咽管瘤。另一名6岁女孩也有类似情况。