Headache and nausea for 25 days. Female patient who had not achieved menarche at 18 years old.
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Non-contrast CT shows a sellar-suprasellar mass (maximum diameter 5,5 cm x 5 cm), predominantly cystic, multiloculated, partially solid, with calcification inside. This lesion causes compression of the midbrain and the third ventricle, resulting in expansion of both lateral ventricles, with periventricular hypodensity, due to transependymal oedema.
Authors of this case are: Dr. Dario Giambelluca, Dr. Francesco Amato, Dr. Fabio Cannizzaro.
Features are consistent with an adamantinomatous craniopharyngioma:
- paediatric patient
- hormonal imbalances: primary amenorrhea
- involving both the suprasellar and intrasellar spaces
- CT features: multiloculated cystic lesions; solid component and calcification are present.
- Eldevik OP, Blaivas M, Gabrielsen TO et-al. Craniopharyngioma: radiologic and histologic findings and recurrence. AJNR Am J Neuroradiol. 1996;17 (8): 1427-39. AJNR Am J Neuroradiol (abstract) - Pubmed citation