Adamantinomatous craniopharyngioma

Case contributed by Dr Arthur Daire


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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