Bipartite craniopharyngeal canal with a lipoma and cephalocele: a previously unreported entity

A 13-year-old male child was evaluated for headache and visual deterioration; he underwent routine MRI imaging which revealed a large craniopharyngeal canal, divided by an abnormal bony septum giving a bipartite appearance of the canal, with a lipoma and cephalocele on either side of the septum. The...

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Bibliographic Details
Published in:Acta neurochirurgica 2019-02, Vol.161 (2), p.355-359
Main Authors: Vinayagamani, S., Thomas, Bejoy, Gohil, Jaypalsinh, Sekar, Sabarish, Nair, Prakash, Kesavadas, Chandrasekharan
Format: Article
Language:English
Subjects:
Adolescent
Birth defects
Brain cancer
Canals (anatomy)
Case Report - Pediatric Neurosurgery
Cleft lip/palate
Encephalocele
Encephalocele - diagnostic imaging
Encephalocele - pathology
Encephalocele - surgery
Headache
Headaches
Humans
Hypotheses
Interventional Radiology
Lipoma
Lipoma - diagnostic imaging
Lipoma - pathology
Lipoma - surgery
Magnetic Resonance Imaging
Male
Medical imaging
Medicine
Medicine & Public Health
Meningitis
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Pediatric Neurosurgery
Pediatrics
Pituitary
Pituitary gland
Pituitary Gland - diagnostic imaging
Pituitary Gland - pathology
Septum
Surgery
Surgical Orthopedics
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Summary:A 13-year-old male child was evaluated for headache and visual deterioration; he underwent routine MRI imaging which revealed a large craniopharyngeal canal, divided by an abnormal bony septum giving a bipartite appearance of the canal, with a lipoma and cephalocele on either side of the septum. The child had undergone a previous surgery for cleft palate repair at the age of 7. The child had normal pituitary function inspite of nonvisualization of pituitary gland in MRI. To best our knowledge, this is the first case with such a variation. We have also discussed the possible embryological hypothesis for this previously unreported entity. Knowledge about this rare variant might have surgical relevance in selected cases.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-018-03795-z