Infrasellar Craniopharyngioma of The Posterior Nasal Septum: A Rare Entity
- Author:
Chiun Kian Chai
;
Ing Ping Tang
;
Vikneswaran Tharumalingam
;
Nurshaline Pauline Hj Kipli
- Publication Type:Case Reports
- Keywords:
Craniopharyngioma, Infrasellar, Septum
- From:
The Medical Journal of Malaysia
2012;67(1):131-132
- CountryMalaysia
- Language:English
-
Abstract:
Objective: To report an unusual location of infrasellar
craniopharyngioma in a peadiatric patient.
Case Report: A six-year-old boy presented with persistent
bilateral nasal obstruction for one year. Clinical examination revealed a posterior choanal mass arising from septum and the finding was confirmed by paranasal sinuses computed tomography scan. He then underwent wide local excision. Histopathological examination confirmed the diagnosis of craniopharyngioma (adamantinomatous type). There were no signs and symptoms of recurrence after a year of followup.
Conclusion: Infracranial craniopharyngioma without sellar
involvement is extremely rare. Persistent nasal obstruction
without endocrine dysfunction is the common presentation.
Radiological imaging is important to diagnose and assess the extent. The mainstay of treatment for infrasellar
craniopharyngioma is surgery. Regular follow up is
mandatory.
