Optic-chiasmatic pilocytic astrocytoma

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Known brain tumor. Now increasing facial weakness.

Patient Data

Age: 6 months
Gender: Male

Very large mixed density mass with peripheral calcification in the suprasellar cistern eroding the dorsum sellae, compressing the hypothalamus, midbrain and third ventricle, obstructing the foramina of Monro (drained on the right). Associated large middle cranial fossae arachnoid cysts.

Case Discussion

Appearances are typical for this condition but there is a differential diagnosis of craniopharyngioma

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