Case Reports in Neurological Medicine / 2014 / Article / Tab 1

Case Report

Haemorrhagic Presentation of a Craniopharyngioma in a Pregnant Woman

Table 1

Case reports of haemorrhages in craniopharyngiomas.

Author, yearAge, sex of patientPrevious clinical historySymptoms of presentationType of haemorrhageHospital courseHistologyFollow-up

Gass, 1956 [7]<1 yrBilateral SDH

Lloyd and Belchetz, 1977 [8]29 yrs, FSecondary amenorrhea and frequent HAs for a few monthsHA, vomiting, fever, drowsiness, neck rigidity, right temporal field defect, and hypopituitarismIntratumoral1st craniotomy: partial resection, irradiation of the pituitary fossa, hormone replacement, and 2nd reintervention30 mths later: persistent right temporal field defect, hormone replacement-dependent

Kubota et al., 1980 [9]>29 yrsSAH

Wakai et al., 1982 [10]>15 yrs

Kellen et al., 1988 [11]37 yrs, MMinor head injury in a car accident Diplopia“Secondary” intratumoralSq

Yamamoto et al., 1989 [12]59 yrs, FSciatic pain and mild HA for two months previouslyHA, nauseaIntratumoralRight F-T craniotomy: subtotal resection AdTransient DI

Masuda et al., 1990 [13]63 yrs, FBitemporal hemianopsia, late visual symptomsIntratumoral1st transsphenoidal removal of hematoma; other 3 operations: partial resection SqRecurrence, enlargement and histological modification of the tumor

Yousem et al., 1990 [14]1–23 yrsIntratumoral

Yousem et al., 1990 [14]16 mthsVisual disturbancesIntratumoral

Makwane et al., 1996 [15]46 yrs, MHA, vomitingIntratumoral

Ishii et al., 1999 [16]44 yrs, FHA, bitemporal hemianopsia, hypopituitarism, and DIIntratumoralTranssphenoidal partial resection Sq

Nishioka et al., 2000 [17]49 yrs, F22 yrs previously right F-T craniotomy, partial resection, and residual right visual defectHA, nausea, anorexia, hypopituitarism, and left visual disturbance IntratumoralHormone replacement, transsphenoidal complete resectionSqLeft visual function improved immediately after surgery

Yamashita et al., 2004 [18]22 yrs, MDeclining vision and bitemporal hemianopsia after two lumbar taps, mild DIIntratumoralDDAVP, craniotomy with total resection of the tumour and haemorrhageSqVision returned to normal, hormone replacement

Yamashita et al., 2004 [18]29 yrs, F1st transsphenoidal suprasellar resection (vision normalized after surgery)HA and bitemporal hemianopsia a few months after 1st operationIntraresidual of the lesion Craniotomy with partial resection of the haemorrhagic tumour SqVisual field returned to normal, Gamma-Knife for residual

Zoia, 201432 yrs, FVisual problems (temporal hemianopia RE and inferior-temporal field cut LE) during pregnancyIntratumoralDelivery via CS, endoscopic transsphenoidal subtotal resection and decompression of the optic chiasm, lumbar drainage for 6 days, and DDAVPAdVision returned to normal, RMN (3 mths later) small residual, and no chiasm compression

SDH: subdural hematoma; HA: headache; SAH: subarachnoid haemorrhage; Sq: squamous papillary, Ad: adamantinomatous, F-T: frontotemporal; DI: diabetes insipidus; DDAVP: desmopressin acetate, RE: right eye; LE: left eye; CS: caesarean section.