1027 Title: Hypersomnolence following resection of a craniopharyngioma
نویسندگان
چکیده
Abstract Introduction Craniopharyngiomas are rare tumors that arise from Rathke’s pouch remnants along the pituitary-hypothalamic axis. The tumor and its treatment can lead to significant neurological endocrinological complications including alterations in appetite, endocrine insufficiency, circadian rhythms sleep. We report case of a woman who developed hypersomnia following resection craniopharyngioma Report case(s) This 38-year-old female with neither past medical history sleep, medical, neurological, or psychiatric disorders nor family narcolepsy presented galactorrhea amenorrhea. Imaging showed pituitary tumor. She underwent tissue diagnosis an adamantinomatous craniopharyngioma. MRI post procedure post-surgical changes without new lesions. Diabetes insipidus panhypopituitarism for which appropriate replacement therapy was initiated. gained approximately one hundred pounds weeks post-surgery. Her described onset snoring supine sleeping position witnessed apneas. denied hypnagogic hallucinations, cataplexy, sleep paralysis. medicine clinic few months later evaluation persistent hypersomnolence. Conclusion most common sleep-related breathing disorder, hypersomnia, rhythm disorder. Sleep appetite felt be altered because direct surgical compression, injury vascular compromise structures involved control wakefulness, appetite. produce hypothalamic dysfunction induced obesity secondary disorder worsening In this temporal relationship between surgery symptoms is suggestive injury, resulting abnormal regulation both Improvements weight use stimulant setting obstructive apnea have been reported addition standard positive airway pressure therapies give hope management these resection. Support (if any)
منابع مشابه
Temporary central hypoventilation following craniopharyngioma resection
A case of temporary acquired central hypoventilation following craniopharyngioma surgery is presented. This is a complication which has not been previously described in suprasellar surgery. Potentially mechanisms of the respiratory disorder are discussed. The most likely etiology is felt to be respiratory drive depression stemming from hypothalamic injury. (J Pediatr Neurol 2004; 2(3): 165-168).
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Aseptic Meningitis with Craniopharyngioma Resection: Consideration after Endoscopic Surgery
Objectives While bacterial meningitis is a concerning complication after endoscopic skull base surgery, the diagnosis can be made without consideration for aseptic meningitis. This article aims to (1) present a patient with recurrent craniopharyngioma and multiple postoperative episodes of aseptic meningitis and (2) discuss the diagnosis and management of aseptic meningitis. Design Case report ...
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ژورنال
عنوان ژورنال: Sleep
سال: 2023
ISSN: ['0302-5128']
DOI: https://doi.org/10.1093/sleep/zsad077.1027