Rapid recurrence of craniopharyngioma during pregnancy with recovery of vision: a case report.

Although enlargement of pituitary adenomas during pregnancy is a well documented phenomenon, this is rarely seen with craniopharyngiomas. Discussed here is the case of a patient whose initial presentation, operation, rapid regrowth, and reoperation of a pathologically proven solid craniopharyngioma, occurred during the course of a single pregnancy. Further, the rapid regrowth of the tumor resulted in total blindness for 48 hours prior to reoperation. Repeat transsphenoidal operation resulted in a gross total removal, restoration of vision, and allowed for the cesarean section delivery of a healthy infant.