Adamantinomatous craniopharyngioma

Case contributed by Dr Arthur Daire

Presentation

Long standing history of headaches. Presenting now with vomiting and loss of vision. Clinically the child had optic atrophy.

Patient Data

Age: 7 years
Gender: Male

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

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