Continuous Minor Bleeding from Tumor Surface in Patients with Craniopharyngiomas: Case Series of Nonobstructive Hydrocephalus.

Abstract

Nonobstructive hydrocephalus in patients with craniopharyngiomas is uncommon. We describe our surgical series of 25 consecutive patients with craniopharyngioma who presented with hydrocephalus. Obstructive hydrocephalus was evident in most cases, and nonobstructive hydrocephalus was revealed in three cases. Even after improvement of cerebrospinal fluid (CSF) pathway obstruction by tumor removal, 10 patients (40%) required CSF diversion. Preoperative imaging study revealed thin intraventricular hemorrhage or superficial siderosis in five cases, and CSF examination revealed hemosiderin-laden phagocytes in one case. These findings indicate continuous bleeding into the CSF that might be associated with CSF malabsorption. We also describe a representative case of craniopharyngioma associated with nonobstructive hydrocephalus due to continuous minor bleeding from the tumor surface in a 62-year-old man with a complaint of disorientation and a decline in daily living activity.Our study demonstrated that minor bleeding into the CSF is a possible mechanism of the development of nonobstructive hydrocephalus in patients with craniopharyngiomas.

• Authors: Takuhiro Shoji, Tomohiro Kawaguchi, Yoshikazu Ogawa, Mika Watanabe, Miki Fujimura, Teiji Tominaga
• Journal: Journal of neurological surgery. Part A, Central European neurosurgery (J Neurol Surg A Cent Eur Neurosurg) Vol. 79 Issue 5 Pg. 436-441 (Sep 2018) ISSN: 2193-6323 [Electronic] Germany
• PMID: 29871026 (Publication Type: Case Reports, Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Cerebral Hemorrhage (complications, surgery)
• Child
• Child, Preschool
• Craniopharyngioma (complications, surgery)
• Female
• Humans
• Hydrocephalus (complications, surgery)
• Male
• Middle Aged
• Pituitary Neoplasms (complications, surgery)