Primary isolated cerebellopontine angle papillary craniopharyngioma

Papillary craniopharyngioma: A clinicopathologic study of a rare entity from a major tertiary care center in Pakistan

“…[2] Rare cases with involvement of the nasopharynx, sphenoid bone, and cerebellopontine angle have also been reported. [12], [13] Papillary CPs are usually suprasellar in location and can be seen in the proximity of the third ventricle. [10] Eight (61.5%) cases in our study were suprasellar, 7 (53.8%) were sellar, and 1 case involved the third ventricle.…”

Compound elevated skull fracture: Should we incorporate in skull fracture classification?

“…[ 1 2 3 4 5 ] Clinical features in these patients depend on the site, extent, and severity of the brain injury. [ 3 4 6 7 8 ] Almost in all reported cases, the patient sustained compound wound (with herniation of the brain parenchyma and dural tear) and had maximum neurological deficits at the time of presentation[ 2 3 4 7 8 9 10 ] (except rare instance of delayed neurological deterioration). [ 6 ] CT brain plain with bone window is the primary investigation of choice to diagnose “elevated skull fractures”.…”

“…[ 1 2 3 4 5 6 11 ] In contrast to the depressed compound fractures, in patients with elevated compound fractures because of the tangential direction of the injury; a lesser force is transmitted to the skull and underlying brain and its coverings. [ 9 ] Probably because of this fact, the patient who sustain elevated compound fracture carries a better prognosis. [ 2 3 5 6 9 ] The basic principles for the management of compound elevated skull fractures are same for any the other compound wound compound depressed skull fractures, that is, early recognition and prompt intervention (broad spectrum antibiotics, wound debridement, removal of loose bone fragments, and dural repair).…”

“…[ 9 ] Probably because of this fact, the patient who sustain elevated compound fracture carries a better prognosis. [ 2 3 5 6 9 ] The basic principles for the management of compound elevated skull fractures are same for any the other compound wound compound depressed skull fractures, that is, early recognition and prompt intervention (broad spectrum antibiotics, wound debridement, removal of loose bone fragments, and dural repair). [ 1 2 3 4 5 6 8 11 12 13 ] In patients with “elevated skull fracture”, compound nature of the wound makes it vulnerable to develop several complications (e. g., meningitis, abscess formation, or cerebrospinal fluid (CSF) fistula) and any delay in intervention can be catastrophic and can alter the prognosis.…”

“…[ 1 2 3 4 5 6 8 11 12 13 ] In patients with “elevated skull fracture”, compound nature of the wound makes it vulnerable to develop several complications (e. g., meningitis, abscess formation, or cerebrospinal fluid (CSF) fistula) and any delay in intervention can be catastrophic and can alter the prognosis. [ 2 3 5 6 9 ] Like for any other compound injury, early recognition and adequate treatment of elevated skull fracture subgroup will prevent unnecessary complications (i. e., intracranial sepsis or CSF fistula), and thus will reduce the morbidity and mortality. [ 5 9 ] In literature there are several reports which describe “elevated skull fracture” as a unique entity, and based on their finding, it can be advocated that “elevated skull fracture” can be included in the traditional classification of skull fractures.…”