Presentation
Long standing history of headaches. Presenting now with vomiting and loss of vision. Clinically the child had optic atrophy.
Patient Data
There is a large left, predominantly multicystic, suprasellar mass causing compression of the 3rd ventricle. Cystic fluid - fluid levels are demonstrated, best seen on sagittal T1W. This is resulting in mild hydrocephalus.
Minimal associated soft tissue components.
Case Discussion
This case demonstrates a late presentation of craniopharyngioma with loss of vision due to its mass effects on the optic chiasma/tracts.
Editors note:
Unfortunately, additional diagnostic information is not available and it is uncertain whether this represents an adamantinomatous craniopharyngioma or papillary craniopharyngioma. Given baseline frequency and the dominant cystic component with intermediate-high T1 signal this most likely represents an adamantinomatous craniopharyngioma.
Unable to process the form. Check for errors and try again.