WE REPORT THE case of a patient with a nasopharyngeal craniopharyngiom
a. The presenting symptoms included a diminished visual acuity, a dysm
orphic syndrome, and impaired endocrine function. The computed tomogra
phy and magnetic resonance imaging scans showed a partially cystic tum
or that had destroyed most of the craniofacial sinus and anterior part
of the cranial base. The patient was operated on through a rhinosepta
l approach. We found 14 similar cases in the available neurosurgical a
nd otorhinolaryngologic literature. The pathogenesis of this tumor and
more especially its origin from Rathke's pouch remnants or pharyngeal
hypophysis are discussed.