title: Ectopic craniopharyngioma of the fourth ventricle: case report.
abstract: BACKGROUND
  Ectopic craniopharyngioma is an uncommon entity. We report the first case of ectopic craniopharyngioma confined purely within the fourth ventricle, exophytic from pons.
  
  
  METHODS
  A 12-year-old girl presented with 2 months history of headache and recent evidence of raised intracranial pressure and left abducent palsy. Magnetic resonance imaging suggested intra-fourth ventricular mass with hydrocephalus. The patient underwent midline posterior fossa craniotomy and tumor excision, with prompt relief of gaze palsy. Histologic examination proved the lesion to be craniopharyngioma. We found no evidence to correlate this tumor to the suprasellar region.
  
  
  CONCLUSIONS
  Craniopharyngioma may not always be in primary communication with suprasellar tumor.
authors.affiliation: Department of Neurosurgery and Gamma Knife Centre, P.D.Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400 016, India.
authors.forename: Gopal B
authors.initials: GB
authors.lastname: Shah
authors.forename: Anita S
authors.initials: AS
authors.lastname: Bhaduri
authors.forename: Basant K
authors.initials: BK
authors.lastname: Misra
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology; D002551:Cerebral Ventricle Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002648:Child; D003397:Craniopharyngioma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D020546:Fourth Ventricle / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D007427:Intracranial Pressure; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures