Persistent Craniopharyngeal Canal (Type 3C) with Vertebrobasilar Dolichoectasia and Bilateral Sclerochoroidal Calcification.

Asian journal of neurosurgery Pub Date : 2024-10-22 eCollection Date: 2025-03-01 DOI:10.1055/s-0044-1791948
Bheru Dan Charan, Savyasachi Jain, Shailesh B Gaikwad
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Abstract

The persistent craniopharyngeal canal is a rare, well-corticated midline congenital bony defect through the sphenoid bone between the sellar floor and the nasopharyngeal roof. The prevalence of persistent craniopharyngeal canal is reported to be 0.42%. A 42-year-old male was evaluated for nasal discharge and progressive vision loss; and underwent computed tomography and magnetic resonance imaging, which revealed a large craniopharyngeal canal with ectopic pituitary, lipoma, encephalocele, deformed globe with sclerochoroidal calcification and vertebrobasilar dolichoectasia. The presence of orbital and optic tract malformation, craniofacial anomalies, and tumors can be associated with the craniopharyngeal canal.

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顽固性颅咽管(3C型)伴椎基底动脉粘连扩张和双侧巩膜钙化。
持续性颅咽管是一种罕见的、皮质良好的中线先天性骨缺损,穿过蝶骨,位于蝶骨底和鼻咽顶之间。据报道,顽固性颅咽管的发病率为 0.42%。一名 42 岁的男性因流鼻涕和进行性视力减退接受了评估,并接受了计算机断层扫描和磁共振成像检查,结果显示颅咽管大,伴有异位垂体、脂肪瘤、脑疝、巩膜钙化的畸形眼球和椎基底动脉畸形。眼眶和视路畸形、颅面畸形和肿瘤的存在可能与颅咽管有关联。
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