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Published in: Child's Nervous System 3/2005

01-03-2005 | Case-based Update

Prenatal diagnosis of a craniopharyngioma: a new case with radical surgery and review

Authors: M. Lonjon, G. Dran, F. Casagrande, F. Vandenbos, J. C. Mas, C. Richelme

Published in: Child's Nervous System | Issue 3/2005

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Abstract

Case report

A case of the antenatal diagnosis of a craniopharyngioma with radical surgery in the neonatal period is reported.

Review of the literature

We have reviewed the literature of such cases in an attempt to isolate specific features in this age group and to determine the appropriate management. Only six cases of the truly antenatal diagnosis of craniopharyngiomas have been reported. Diagnosis has resulted from routine ultrasound during pregnancy or from polyhydramnios. Clinically, there is often macrocephaly due to hydrocephalus or a significant-sized tumor.

Conclusions

Management of these rare cases is controversial with high postoperative mortality and significant morbidity, including panhypopituitarism, visual disturbance, and neuropsychological disorders. From the available literature, no conclusions concerning the management can be drawn at present, due to the rarity of early surgical intervention. Our case, despite the lack of important follow-up, seems to confirm the possibility of attempting radical surgery in the neonatal period as a result of advances both in surgical techniques and in neonatal intensive care.
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Metadata
Title
Prenatal diagnosis of a craniopharyngioma: a new case with radical surgery and review
Authors
M. Lonjon
G. Dran
F. Casagrande
F. Vandenbos
J. C. Mas
C. Richelme
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 3/2005
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-004-1019-y

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