作者: Taisuke Okada , Hiroaki Hisakawa , Makiko Koga , Kumiko Araki , Takanobu Kurashige
关键词: Craniopharyngioma 、 Homonymous hemianopsia 、 Polyuria 、 Cyst 、 Medicine 、 Radiology 、 Diabetes insipidus 、 Surgery 、 Magnetic resonance imaging 、 Transsphenoidal surgery 、 Rathke's cleft cyst
摘要: We report a 13-year-old boy with Rathke's cleft cyst who had diabetes insipidus (DI), visual disturbance, and GH deficiency. He was admitted to our hospital in 1988 because of polyuria disturbance. homonymous hemianopsia DI; however, the brain computed tomography (CT) normal. received 1-deamino-8-D-arginine vasopressin (DDAVP) therapy. In 1989, he found have deficiency treatment started. 1991, 1.2 cm sized mass sella area by magnetic resonance imaging (MRI) removed microscopic transsphenoidal surgery. Histological examination revealed craniopharyngioma. spite disturbance at first visit, no been CT or MRI during two years treatment. However, mixed form craniopharyngioma grown rapidly subsequently detected MRI. has be followed up very carefully for long period.