Craniopharyngioma

Case contributed by Dr Ahmed Abdrabou

Presentation

Headache and blurring of vision followed by discovery of suprasellar mass and hydrocephalus. VP shunt was placed.

Patient Data

Age: 14 years
Gender: Male
MRI

Large lobulated predominantly cystic suprasellar mass is noted. It elevates the 3rd ventricle, extends downward to the prepontine cistern and posteriorly to splay the crus cerebri. It displays iso intense signal in T1 and bright signal in T2 and FLAIR with no diffusion restriction or enhancement. VP shunt is seen in situ.

Case Discussion

Craniopharyngioma (pathologically proven in this case) is a benign suprasellar mass that usually occurs in pediatric (5-15 years) and elderly (60-70 years) and believed to arise from Rathke's cleft remnant. Differential considerations include pituitary macroadenoma and Rathke's cleft cyst.

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Case information

rID: 28412
Published: 24th Mar 2014
Last edited: 15th May 2018
Inclusion in quiz mode: Included

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