Pediatric abscessed craniopharyngioma: A case report and review of literature

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY Neurochirurgie Pub Date : 2024-07-31 DOI:10.1016/j.neuchi.2024.101584

Lamia Benantar, Hajar Hamadi, Khalid Aniba

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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.

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小儿颅咽管瘤脓肿：病例报告和文献综述。

背景：颅咽管瘤是一种罕见的鞍上和鞍下肿瘤，多发于儿童和成人。这种病变的自发性脓肿极为罕见，文献中总共报道了 10 例，其中 2 例发生在儿童身上：我们报告了一例颅咽管瘤脓肿病例，患者是一名 10 岁女孩，因颅内高压和糖尿病引起，脑部核磁共振成像显示蝶鞍有双成分（实性和囊性）病变。患者通过鼻内镜经蝶窦途径接受了手术减压和抗生素治疗，术后病程顺利，症状有所改善：颅咽管瘤脓肿是一种罕见且具有挑战性的肿瘤。通过我们的病例和文献回顾，我们强调了深入了解患者病史以及临床放射学相关性的重要性，即使患者没有脑膜或感染征兆，也能在术前得到肯定的诊断。

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来源期刊

Neurochirurgie 医学-临床神经学

CiteScore

2.70

自引率

6.20%

发文量

100

审稿时长

29 days

期刊介绍： Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal. With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published. Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.