PMC7398189_01
The pre- and post - operative MR images. a, b, c: coronal T2-weighted magnetic resonance image (a) and sagittal T1-weighted MR image (b) and sagittal T1-weighted MR with contrast image (c) taken before operation showed a huge cyst-solid craniopharyngioma lesion; d, e, f: coronal T2-weighted MR image (d) and sagittal T1-weighted MR image (e) and sagittal T1-weighted MR with contrast image (f) taken on postoperative day 1 showed that the tumor were total resection. The Yellow arrows showed auto-adipose tissue for repairing diaphragma sellae after tumor section
41016_2018_125_Fig1_HTML.jpg
PMC7398189_01_41016_2018_125_Fig1_HTML.jpg
Fig1
The Fig. 1 shows the pre- and post- operative MR images.
Postoperative day 16 and 30 MR images. a, b, c: The three images showed slightly symmetrical abnormal lesions at basal ganglia nucleus taken on postoperative day 16. Coronal FLAIR image (a) and axial T1-weighted MR image (b) show hypointense abnormality in the basal ganglia area. Axial T2-weighted MR image (c) showed slightly hyperintense change in the same areas. d, e, f: the three images were all taken on postoperative day 30. axial T2-weighted MR image (d) showed markedly symmetrical hyperintense abnormalities in caudate nucleus and lenticular nucleus; coronal T2-weighted (e) and T1-weighted (f) images showed a lesion in right frontal lobe with central hypointense and peripheral hyperintense signal, that was demyelination pseudotumor
41016_2018_125_Fig2_HTML.jpg
PMC7398189_01_41016_2018_125_Fig2_HTML.jpg
Fig2
On postoperative day 16, his brain MR imaging showed symmetrical abnormalities in the extrapontine (Fig. 2). The postoperative day 16 and 30 MR images (Fig. 2).
Postoperative fluctuation of serum sodium leves, urine volume and clinical course
41016_2018_125_Fig5_HTML.jpg
PMC7398189_01_41016_2018_125_Fig5_HTML.jpg
Fig5
The Fig. 5 shows postoperative fluctuation of serum sodium leves, urine volume and clinical course.
PMC7398189_02
The pre- and post - operative MR images. a, b, c,: sagittal T1-weighted image with contrast enhancement and T1-weighted image (a, b) and coronal T2-weighted image (c) taken before endoscopic surgery showed a lesion in sellar area with calcification. d, e, f: the four images taken on postoperative day 2 showed the craniopharyngioma lesion was total resected. The green arrow showed calcification in tumor; the Yellow arrows showed auto-adipose tissue
41016_2018_125_Fig3_HTML.jpg
PMC7398189_02_41016_2018_125_Fig3_HTML.jpg
Fig3
Fig. 3 shows pre- and post - operative MR images.
Postoperative day 20 and 49 MR images. a, b, c: coronal FLAIR MR image (a) taken on postoperative day 20 showed symmetrical bilateral hyperintense lesions in the lenticular nucleus. Axial T2-weighted MR image (c) showed markedly hyperintense signal in the same area. d, e, f: coronal FLAIR MR image (d) taked on postoperative day 49 showed the lesions with increased intensity and axial T1-weighted MR image showed hypointense abnormality in the basal ganglia area. Axial T2-weighted MR images (f) showed the lesions even worse, hyperintense lesions developed in bilateral caudate nucleus and lenticular nucleus
41016_2018_125_Fig4_HTML.jpg
PMC7398189_02_41016_2018_125_Fig4_HTML.jpg
Fig4
The MRI examination showed developed symertrical hypersignal at the lenticular nucleus in T2WI and FLAR compatible with extrapontine myelinolysis on the postoperative day 20 (Fig. 4).
Postoperative fluctuation of serum sodium leves, urine volume and clinical course
41016_2018_125_Fig6_HTML.jpg
PMC7398189_02_41016_2018_125_Fig6_HTML.jpg
Fig6
Postoperative fluctuation of serum sodium leves, urine volume and clinical course (Fig. 6).