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Main Warning Signs of a Craniopharyngioma

A craniopharyngioma is a slow-growing, non-cancerous tumor that sits near the pituitary gland, right behind the eyes. Because it hugs hormone control centers and the optic nerves, it can quietly cause trouble for years before anyone notices. Watch for these common clues:

  1. Vision changes
    Kids or adults may bump into doorframes, miss steps, or complain that the outer part of their sight picture is “missing.” The tumor presses on the nerves that carry images from the eyes to the brain.
  2. Delayed or stunted growth
    Children may drop off their growth curve even though they eat normally. Adults can notice clothes fitting loosely or loss of muscle bulk.
  3. Constant thirst and bathroom trips
    The tumor can knock out the hormone that tells kidneys to hold water, leading to gallons of diluted urine and an unquenchable need to drink.
  4. Weight gain without extra food
    Metabolism slows, so pounds pile on even when appetite falls.
  5. Morning headaches or vomiting
    Fluid buildup raises pressure inside the skull, especially on waking.
  6. Fatigue and low drive
    Everyday tasks feel uphill; kids may lose interest in sports or school.
  7. Late or absent puberty
    Girls may never start periods; boys may have no testicular growth.
  8. Milk-like nipple discharge
    Hormone imbalance can trigger breast leakage in either sex.
SymptomWhat it feels likeRed-flag age group
Side vision lossBumping into things, trouble catching ballsAny age
Short statureChild falls below lowest growth lineChildhood
Non-stop thirst & urinationDrinking liters at night, soaked diapersAny age
Rapid weight gainBelly grows while face stays puffyAny age
Morning headache + vomitWakes child from sleepChildhood
Zero energyNapping after school, grades slipAny age
No puberty by 13–14Flat chest, no body odorTeens
Milky nipple dripStains shirt without baby or nursingAny age