Craniopharyngioma is a common intracranial congenital tumor that originates from the residual epithelial cells of the craniopharyngeal duct in the primitive oral ectodermal lineage and accounts for 2.5%-4% of all brain tumors. It is a common intracranial congenital tumor. Half of them develop in children. Most of the tumors are cystic or partially cystic. The capsule contains a large number of cholesterol crystals.
Preferred site: suprasellar, may progress to hypothalamus, parsaddle, intersaddle, third ventricle, frontal base, interpeduncular pool, pontocerebellar horn, etc.
Clinical manifestations.
1, visual acuity and visual field disorders.
2, endocrine disorders Delayed development, easy burnout, loss of appetite, pallor, sexual organ dysplasia, menopause, lactation, abnormal body temperature, disorders of consciousness and sleep, enuresis, obesity, mental disorders.
3, headache, vomiting and other hydrocephalus, cranial hypertension symptoms
4, local neurological dysfunction (tumor site related).
Imaging examination.
1.CT can see ring-shaped (eggshell Young) calcification.
2.MRI can see suprasellar occupancy.
Treatment.
1.Craniotomy.
2, Stereotactic cystic fluid aspiration + 32P internal radiation + Gamma knife radiation therapy.
Pictures of typical cases of craniotomy illustrate that the high signal shown by red arrow (white) is the tumor before surgery; the low signal shown by green arrow is the operative cavity (black) after surgery, and the tumor is completely removed.
Craniopharyngioma is a common intracranial congenital tumor that originates from the residual epithelial cells of the craniopharyngeal duct in the primitive oral ectodermal lineage and accounts for 2.5%-4% of all brain tumors. It is a common intracranial congenital tumor. Half of them occur in children. Most of the tumors are cystic or partially cystic. The capsule contains a large number of cholesterol crystals.
Preferred site: suprasellar, may progress to hypothalamus, parsaddle, intersaddle, third ventricle, frontal base, interpeduncular pool, pontocerebellar horn, etc.
Clinical manifestations.
1, visual acuity and visual field disorders.
2, endocrine disorders Delayed development, easy burnout, loss of appetite, pallor, sexual organ dysplasia, menopause, lactation, abnormal body temperature, disorders of consciousness and sleep, enuresis, obesity, mental disorders.
3, headache, vomiting and other hydrocephalus, cranial hypertension symptoms
4, local neurological dysfunction (tumor site related).
Imaging examination.
1.CT can see ring-shaped (eggshell Young) calcification.
2.MRI can see suprasellar occupancy.
Treatment.
1.Craniotomy.
2, Stereotactic cystic fluid aspiration + 32P internal radiation + Gamma knife radiation therapy.
Pictures of typical cases of craniotomy illustrate that the high signal shown by red arrow (white) is the tumor before surgery; the low signal shown by green arrow is the operative cavity (black) after surgery, and the tumor is completely removed.
Craniopharyngioma is a common intracranial congenital tumor that originates from the residual epithelial cells of the craniopharyngeal duct in the primitive oral ectodermal lineage and accounts for 2.5%-4% of all brain tumors. It is a common intracranial congenital tumor. Half of them occur in children. Most of the tumors are cystic or partially cystic. The capsule contains a large number of cholesterol crystals. Liu Rui, Department of Neurosurgery, Naval General Hospital
Preferred site: supra-saddle, may develop to hypothalamus, paracranial, intra-saddle, third ventricle, frontal base, interpeduncular pool, pontocerebellar horn, etc.
Clinical manifestations.
1, visual acuity and visual field disorders.
2, endocrine disorders Delayed development, easy burnout, loss of appetite, pallor, sexual organ dysplasia, menopause, lactation, abnormal body temperature, disorders of consciousness and sleep, enuresis, obesity, mental disorders.
3, headache, vomiting and other hydrocephalus, cranial hypertension symptoms
4, local neurological dysfunction (tumor site related).
Imaging examination.
1.CT can see ring-shaped (eggshell Young) calcification.
2.MRI can see suprasellar occupancy.
Treatment.
1.Craniotomy.
2, Stereotactic cystic fluid aspiration + 32P internal radiation + Gamma knife radiation therapy.
Pictures of typical cases of craniotomy illustrate that the high signal shown by red arrow (white) is the tumor before surgery; the low signal shown by green arrow is the operative cavity (black) after surgery, and the tumor is completely removed.