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Craniopharyngioma NOS

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Headache, vomiting and blurring of vision of gradual onset

Patient Data

Age: 45 years
Gender: Female
mri

Large suprasellar retrochiasmal cystic lesion with mural nodule. After contrast administration, there is marginal enhancement of the cyst and enhancement of the soft tissue component. No diffusion restriction.

Case Discussion

Histologically proved suprasellar craniopharyngioma.

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. 

For the purposes of this case it has been given the diagnosis of craniopharyngioma not otherwise specified (NOS)

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