Craniopharyngioma Diagnosed After Head Trauma

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Abstract
WITHIN the past year we have seen two patients whose craniopharyngiomas were unknown prior to relatively minor head trauma. Most craniopharyngiomas are diagnosed when they lead to pressure symptoms, either from optic chiasm compression or from block of the foramen of Monro. Often by this time they have grown to a large size and are firmly attached to vital structures so that total removal may not be possible. The two cases to be presented are unusual in having been diagnosed shortly following head trauma; the second patient represents the youngest one known in whom successful removal of a craniopharyngioma has been achieved. Report of Cases CASE 1.—A 51/2-year-old Negro boy was admitted to University Hospitals in May 1963, because of drowsiness following a relatively minor head injury ten days previously. His growth and development had previously been normal. Neurological examination was entirely within normal limits. He was observed a

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