Epidermoid (frontal) and pituitary macroadenoma

Case contributed by A.Prof Frank Gaillard

Presentation

Presenting with bitemporal hemianopia.

Patient Data

Age: Adult

At the medial aspect of the right frontal lobe a lobulated lesion demonstrates predominantly low T1 and very high T2 signal with little if any enhancement. Diffusion weighted imaging reveals prominent restricted diffusion.

MRI

MRI of the pituitary: same day

Case Discussion

Appearances of the frontal lobe mass are most consistent with an epidermoid cyst

Additionally as pituitary mass is noted, consistent with a coincidental pituitary macroadenoma.

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Case information

rID: 5493
Published: 27th Jan 2009
Last edited: 13th Jan 2019
Inclusion in quiz mode: Included

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