A 55-Year-Old Woman Presenting with a Second Diagnosis of Craniopharyngioma Following Diagnosis and Successful Treatment of Craniopharyngioma as a 5-Year-Old Child

• DOI: 10.12659/ajcr.943300
• Publication Date: 2024-04-25T07:48:50Z
• Authors: Amani Alarayedh; Riad Sulimani; Eyad Alsaeed; Hisham Alkhalidi; Abdulrazag Ajlan; Ali Abdu; Ashwag Alqurashi
• Keywords: Craniopharyngioma

Unusual clinical course Background:Craniopharyngioma is a rare, partly cystic embryonic malformation of the sellar and parasellar region usually benign.This report 55-year-old woman presenting with second diagnosis craniopharyngioma following successful treatment as 5-year-old child. Case report:Our patient was diagnosed at age 5 when she presented headaches accompanied by nausea vomiting, decreased visual acuity, polyurea, polydipsia for 6 months.She found to have diplopia grade II papilledema.A skull X-ray showed separation sutures calcified mass in suprasellar region.A pneumoencephalogram extension tumor into third ventricle.Surgery performed via transcallosal approach followed radiotherapy 5000 rays.She up clinically radiologically had been disease-free until 55, headache facial numbness.On examination, right-eye Horner syndrome, sensation right side face, diplopia, 2 palsy.An MRI revealed interval significant recurrence sellar/suprasellar Meckel's cave posterior fossa.On April 6, 2023, underwent surgical resection through right-sided craniotomy Kawase approach.This CyberKnife radiation therapy. Conclusions:This has rare 50-year highlighted challenges multidisciplinary management.