Citation, DOI and case data
The only complaint was headache. Neurological examination including fundoscopy was normal.
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There is hydrocephalus with transependymal CSF transition in cerebral parenchyma adjacent to both lateral ventricles. There is a suprasellar mass with small solid and larger cystic components. The solid component shows heterogeneous contrast enhancement in the left lateral wall adjacent to the defined cystic lesion. The most likely diagnosis was felt to be a craniopharyngioma.
The patient was operated shortly after the examination confirming the diagnosis of craniopharyngioma and returned to daily life without sequelae.
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 in this age group and the dominant cystic component with intermediate-high T1 signal this most likely represents an adamantinomatous craniopharyngioma.
- Childhood Craniopharyngioma Treatment (PDQ®) Health Professional Version PDQ Pediatric Treatment Editorial Board. Published online: September 28, 2017.
- Topographic Diagnosis of Craniopharyngiomas: The Accuracy of MRI Findings Observed on Conventional T1 and T2 Images R. Prieto, J.M. Pascual and L. Barrios American Journal of Neuroradiology September 2017, DOI: https://doi.org/10.3174/ajnr.A5361