Chemical meningitis from a leaking craniopharyngioma: a case report.

Acta Neurochir (Wien)

Department of Neurosurgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Published: June 2018

AI Article Synopsis

  • A rare case is presented where a patient experienced repeated episodes of sterile meningitis due to a leaking cystic craniopharyngioma.
  • Symptoms included depression and paranoia and were initially misdiagnosed as hypophysitis after surgery.
  • The patient’s condition improved only after complete surgical removal of the tumor, which was ultimately identified as a craniopharyngioma through histological analysis.

Article Abstract

Recurrent chemical meningitis from cyclic leakage of cyst content from a craniopharyngioma is a rare phenomenon. Here, we report a case of leaking cystic craniopharyngioma presenting with recurrent episodes of sterile meningitis, depression, and paranoia. The diagnosis after an initial craniotomy and exploration was hypophysitis. Signs and symptoms were not alleviated by puncture and biopsy of the tumour but they disappeared after complete resection with a final histological diagnosis of craniopharyngioma.

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Source
http://dx.doi.org/10.1007/s00701-018-3530-zDOI Listing

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