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  • Title: Unilateral hearing loss as primary symptom of craniopharyngioma in a six-year-old girl.
    Author: Hofman R, Rosingh HJ.
    Journal: J Laryngol Otol; 2008 Mar; 122(3):e10. PubMed ID: 18252012.
    Abstract:
    OBJECTIVE: We report a rare case of otological presentation of craniopharyngioma. METHOD: Case report and review of world literature concerning presentations of craniopharyngioma. RESULTS: A six-year-old girl was referred to our department with unilateral hearing loss. This appeared to be a complete sensorineural hearing loss. Otoacoustic emissions were reproducible on both sides. Magnetic resonance scanning revealed a massive, cystic craniopharyngioma exerting pressure on the patient's ventricular system and brainstem and also invading the internal acoustic canal. The mass was resected via a craniotomy. The patient's hearing loss completely recovered, and she experienced no neurological or endocrinological side effects of the treatment. Craniopharyngioma have a prevalence of 0.13-2:100,000. CONCLUSION: Craniopharyngioma is a rare disease. First presentation with otological symptoms is extremely rare. Otoacoustic emissions can differentiate between cochlear and retrocochlear causes of sensorineural hearing loss.
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