Case contributed by Dr Ahmed Abd Rabou


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

Patient Data

Age: 14 years old
Gender: Male

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.

Diagnosis: craniopharyngioma (pathologically removed)

Case Discussion

Craniopharyngioma 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
Case created: 24th Mar 2014
Last edited: 25th Jul 2017
Inclusion in quiz mode: Included

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