Recurrent meningitis and persistence of craniopharyngeal canal: case report

Neurocirugia (Astur). 2009 Feb;20(1):50-3. doi: 10.1016/s1130-1473(09)70195-2.

Abstract

Objects: Craniopharyngeal Canal is a rare malformation of the sphenoid bone described in up to 0.42% of the asymptomatic population. It's been related to the development of the Rathke's pouch during embrionary period although some authors think it's a vestige of a former vascular channel.

Methods: This report details a case of a four and a half years old child that developed recurrent meningitis associated with this anomaly. Its origin, clinical manifestations and treatment options are discussed.

Conclusion: Due to its low incidence and diagnostic difficulties, a high suspicion index is required while studying a case of recurrent meningitis or CSF leakage. Surgical approach is still controversial.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Meningitis / physiopathology*
  • Meningocele / pathology*
  • Meningocele / surgery
  • Recurrence
  • Sphenoid Bone / abnormalities*
  • Sphenoid Bone / surgery