Pediatric abscessed craniopharyngioma: A case report and review of literature - 04/08/24
, Khalid AnibaHighlights |
• | Sellar abscesses are rare intrasellar infections with potentially high disability due to local disturbances. |
• | Presurgical diagnosis is challenging due to non-specific clinical and radiological findings. |
• | The management of these conditions relies on surgical evacuation and antibiotics treatment. |
• | Culture of the purulent material is usually negative. |
Abstract |
Background |
Craniopharyngiomas are rare sellar and suprasellar tumors affecting children and adults. The spontaneous abscessation of this lesion is an extremely rare occurrence with a total of 10 cases reported in the literature including 2 cases in the pediatric population.
Observation |
We report a case of abscessed craniopharyngioma in a 10-year-old girl, revealed by intracranial hypertension and diabetes insipidus with a double component (solid and cystic) lesion of the sella visualized on cerebral MRI. The patient underwent surgical decompression via endoscopic endonasal transsphenoidal approach coupled with antibiotic treatment with an uneventful postoperative course and improvement of her symptoms.
Conclusion |
Abscessed craniopharyngiomas are rare and challenging entities. We highlight through our case and literature review the importance of an in-depth patient’s history as well as a clinical-radiological correlation in allowing for a positive preoperative diagnosis even in patients with no meningeal or infection signs.
Le texte complet de cet article est disponible en PDF.Abbreviations : CSF, CT, FSH, LH, mL, MRI, SA, T4, TSH, WHO
Keywords : Sellar abscess, Craniopharyngioma, Secondary pituitary abscess, Abscessed craniopharyngioma
Plan
Vol 70 - N° 5
Article 101584- septembre 2024 Retour au numéro
Article précédent
- Symptomatic spinal metastasis of a supratentorial glioblastoma in a pediatric patient: a case report and comprehensive review of the literature
- Uriel Tagle-Vega, Javier G. Patiño-Gómez, Nadin J. Abdalá-Vargas, Paula A. Pulido Bayona, Edgar G. Ordoñez-Rubiano
- Are name characteristics of UK neurosurgeons associated with their career success?
- Marianna Evangelia Kapsetaki
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?