Adamantinomatous craniopharyngioma

Case contributed by Dr Luis Arturo Mendoza Pérez

Presentation

Headache and unspecified short course of visual disturbances

Patient Data

Age: 20 years
Gender: Female

There is a partially cystic mass with central calcifications in the sellar and suprasellar region with extension to the prepontine cistern.

Heterogeneous mass in sellar and suprasellar region, predominantly cystic with solid component that shows enhancement. There is no restriction to diffusion. At the suprasellar level it displaces the optic chiasm and recesses of the third ventricle without hydrocephalus. The mass extends towards the prepontine cistern, displacing the brainstem and enveloping the basilar artery. There are areas with susceptibility artifacts corresponding to calcifications seen at CT. Note the misplaced probe.

Case Discussion

Histology.

In this case, tumor resection was performed; the histopathological study showed fragments of squamous epithelium with keratinization, extensive hyalinization and calcifications, chronic inflammation and vascular proliferation.

Final diagnosis: adamantinomatous craniopharyngioma

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