craniopharyngiom Mohammad Adnan Tariq

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Introduction Craniopharyngioma is a rare type of noncancerous (benign) brain tumor.
Craniopharyngioma begins near the brain's pituitary gland, which secretes hormones that control many body
functions. As a craniopharyngioma slowly grows, it can affect the function of the pituitary gland and other
nearby structures in the brain.
Craniopharyngioma can occur at any age, but it occurs most often in children and older adults. Children with
craniopharyngioma may grow slowly and may be smaller than expected.

Sign and  Headache

symptoms  Hypersomnia
 Myxedema
 Post surgical weight gain
 Polydipsia
 Polyurea
 Vision loss
 Vomiting
 Growth hormone (GH) insufficiency, causes stunted growth, delayed puberty, fatigue.
 Pituitary insufficiency, restrict different pituitary hormones to release, majorly TSH.
 Hypothyroidism, due to absence or lack of TSH.

Pathophysiology Craniopharyngioma is a rare neoplasm, which may be cystic, that develops from nests of epithelium derived
from Rathke’s pouch. Rathke's pouch is an embryonic precursor of the anterior pituitary.Craniopharyngiomas
are typically very slow-growing tumors.

Diagnosis Physical exam. Diagnosing a craniopharyngioma usually starts with a medical history review and a neurological
exam. During this procedure, vision, hearing, balance, coordination, reflexes, and growth and development are
tested.
Blood tests. Blood tests may reveal changes in hormone levels that indicate a tumor is affecting pituitary gland.
Imaging tests. Tests to create images of brain may include X-rays, magnetic resonance imaging (MRI) and
computerized tomography (CT).

Treatment As the craniopharyngioma is tumor, all forms of tumors arise from continuous stasis into the C+D temperamen
(herbal) First, body goes to C+W (phlegmatic) from H+W (normal temperament) and then it goes to C+D (chronic).
First of all, maintain six essential factors.
1. Maa-al-asool
 It is given to prepare phlegmatic humor and enhance the vital force (immunity).
2. Maajoon dabeed-ul-ward
 It is anti-inflammatory and dissolve tumors.
3. Mufar-e-mo’tadal.
 It increases immunity.
 It uplifts bodily defensive mechanisms.
 It takes body from C+D and C+W into H+W.
4. Laxatives i.e Hab-e-shabyar
 Once or twice in a week.
Along with symptomatic treatments, continuous Munzaj and laxatives should be used repetitively.