Craniophrangioma: a diagnosis not to be missed

Abstract

In April 2007, a 21-year-old woman presented with secondary amenorrhoea for 5 years. Her past medical history included bilateral valgus heels with difficulty in walking as a toddler, fractured nose and epistaxis with nasal septum deviation (seen in ENT clinic in 1998). She had a family history of migraine and was referred to the neurology clinic for throbbing headaches in the right frontal region radiating to the occipital region and a few episodes of blurred vision with no focal neurological deficit; migraine was diagnosed and she was prescribed Nortriptyline in 2002. She was discharged from the neurology clinic in May 2004. She was again seen in ENT clinic in 2004 for right-sided tinnitus; her eardrums, external auditory meati, pure tone audiometry and tympanograms were normal bilaterally, and hence it was presumed that her tinnitus was most likely associated with migraine and she was discharged from the ENT clinic. She was seen in the gynaecology clinic in 2006 for 5-year history of secondary amenorrhoea with presumed diagnosis of polycystic ovarian syndrome and then referred to us in the …