Abstract
Craniopharyngiomas are epithelial tumours in the sellar/parasellar area accounting for 2–5% of all primary intracranial neoplasms and for up to 15% of intracranial tumours in children. The adamantinomatous histological subtype is the most common and the majority of them (94–95%) have a suprasellar component. Their potential proximity to, and the subsequent pressure effects on vital structures of the brain (visual pathways, brain parenchyma, ventricular system, major blood vessels and hypothalamo-pituitary system) can result to multiple clinical manifestations, the severity of which depends on the location, size and growth potential of the tumour. The main manifestations at diagnosis are neurological, visual and hypothalamo-pituitary with headaches, nausea/vomiting, visual disturbances, growth failure (in children) and hypogonadism (in adults) being the most frequently reported. One or more pituitary hormone deficits may be already present at the time of craniopharyngioma detection in a significant number of patients necessitating early diagnosis and appropriate treatment.
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Vardon, A.J., Karavitaki, N. (2017). Clinical Diagnosis of Human ACP. In: Martinez-Barbera, J., Lilian Andoniadou, C. (eds) Basic Research and Clinical Aspects of Adamantinomatous Craniopharyngioma. Springer, Cham. https://doi.org/10.1007/978-3-319-51890-9_4
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