Radical surgery in a neonate with craniopharyngioma. report of a case.
Ultrasonography revealed a suprasellar tumor in a fetus at 28 weeks of gestation. The male newborn, delivered 10 weeks later, was operated at the age of 17 days, and a craniopharyngioma was completely removed. Intraoperatively, inappropriate secretion of antidiuretic hormone occurred and was followed by diabetes insipidus causing imbalance of fluid and electrolytes. The tumor recurred and was totally removed 1 year later. Further development was uneventful and, at the age of 8 years, the boy is in generally good mental and physical condition except for a left-sided hemiparesis. In contrast to the poor outcome of neonatal craniopharyngioma reviewed in the literature, this case may encourage radical surgery even in the very young.
Müller-Scholden
J
J
Department of Pediatrics, University of Würzburg, Germany.
Lehrnbecher
T
T
Müller
H L
HL
Bensch
J
J
Hengen
R H
RH
Sörensen
N
N
Stockhausen
H B
HB
D001932:Brain Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D003397:Craniopharyngioma / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D009364:Neoplasm Recurrence, Local; D019635:Neurosurgical Procedures / Q000379:methods*; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016216:Ultrasonography, Prenatal