Presentation
Headache, vomiting and blurring of vision of gradual onset
Patient Data
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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).