An Analysis of One Case of Pituitary Blastoma Misdiagnosed as Craniopharyngioma and Literature Review
To improve the ability of differential diagnose of sellar region lesions,a case of pituitary blastoma misdiagnosed as craniopharyngioma was retrospectively,from clinical,imaging,pathological and the course of diagnosis and treatment.The patient is two years old,the main complaints were right lower limb weakness for two weeks and right upper limb weakness for three days,there were no obvious causes of walking instability,no crying,no fever,no headache,no vomiting,no convulsions,no convulsions.The right knee and achilles tendon reflexes were slightly weakened,and the right Babinski's sign was suspiciously positive.Functional evaluation showed central diabetes insipidus and hypofunction of anterior pituitary.MRI showed solid and cystic space-occupying in sellar and suprasellar region,which was diagnosed as craniopharyngioma.The pathological diagnosis was pituitary blastoma after operation.For the younger,sellar and suprasellar space-occupying,suspected of craniopharyngioma or pituitary tumor patients,should be timely biopsy or surgery to make a definite diagnosis.
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