Presentation
Signs of raised intracranial pressure with decreased vision.
Patient Data
Age: 12 years
Gender: Male
From the case:
Chiasmatic-hypothalamic glioma
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The MRI sequences demonstrate a lobulated suprasellar soft tissue mass centered on the optic chiasma and hypothalamic region with extension to the interpeduncular cistern and anterior portion of the 3rd ventricle. It displays a low signal on T1, high signal T2 with heterogeneous enhancement on postcontrast sequences. Significant obstructive hydrocephalus is noted.
Case Discussion
MRI features of a suprasellar soft tissue mass centered on the optic chiasma and hypothalamic region suggestive of chiasmatic/hypothalamic glioma with secondary obstructive hydrocephalus.
Additional contributor: ZE. Boudiaf, MD, CHU, Constantine, Algeria
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