Document Detail


Diagnosis of a craniopharyngioma after acute brainstem herniation in an emergency department.
MedLine Citation:
PMID:  21822087     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 9-year-old previously healthy girl presented with 3 weeks of intermittent emesis and headache to a community emergency department, where she had rapid decompensation due to increased intracranial pressure. Head computed tomography revealed a calcified suprasellar mass consistent with a craniopharyngioma. Despite medical and surgical intervention, the patient had progression of herniation with global cerebral infarction, and care was withdrawn. Although craniopharyngiomas are typically thought to be benign, slow-growing intracranial tumors, this case emphasizes the need for an expeditious diagnostic evaluation when symptoms that may be referable to intracranial hypertension are evident. Craniopharyngiomas and emergency management of intracranial hypertension are reviewed.
Authors:
Scott L Weiss; Lindsay Wegg-Uzunlar; Robin M Bowman; Melissa L Brannen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  27     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  747-50     Citation Subset:  IM    
Affiliation:
From the Divisions of *Critical Care Medicine, †Medical Education, Department of Pediatrics, and ‡Division of Pediatric Neurosurgery, Department of Pediatric Surgery, Children's Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL.
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