Description

A craniopharyngioma is a rare suprasellar tumor that arises from remnants of Rathke's pouch. It may present with a number of signs and symptoms.


 

Clinical features:

(1) headaches (which may be associated with intracranial hypertension or hydrocephalus)

(2) neurologic disorders

(3) psychiatric disorders

(4) visual deficits

(5) endocrine dysfunction

 

Neurologic disorders:

(1) confusion and/or dementia

(2) slow mentation

(3) drowsiness

(4) impaired memory

(5) cranial nerve palsy

(6) motor deficits

 

Psychiatric disorders:

(1) personality change

(2) depression

 

Visual deficits

(1) decreased visual acuity in one or both eyes

(2) visual field defects (bitemporal hemianopia, other)

(3) papilledema

 

Endocrine disorders:

(1) growth hormone deficiency with short stature

(2) asthenia

(3) sexual dysfunction (precocious puberty, delayed puberty, amenorrhea, abnormal menses, other)

(4) diabetes insipidus with polydipsia and polyuria

(5) hypothyroidism

(6) panhypopituitarism

 


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