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Suprasellar epidermoid cyst

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Suprasellar epidermoid cyst

History: This 47 year old man had a history of organic brain syndrome and blindness in the left eye for one year. He presented to the emergency department following the new onset of a seizure. He had headaches, weakness or sensory abnormalities.

Findings: Extensive lobulated suprasellar mass, largely homogeneous and of nearly water attenuation.

Ddx: <li>Craniopharynioma <li>Epidermoid inclusion cyst <li>Rathke cleft cyst <li>Dermoid inclusion cyst

Exam: Physical examination disclosed the patient to be alert but oriented only to person. There was a Marcus Gunn pupil on the left while the right pupil was normally reactive. The left eye was blind and there was a visual field cut on the right. There was no papilledema. The patient had anosmia. Cranial nerves 3 through 12 were intact. Strength was 5/5 throughout. The sensory examination to light touch was intact. The deep tendon reflexes were 2+ and the toes were down going.

No MeSH data available.


CT disclosed a cystic suprasellar mass with extension to the right temporal tip and frontal lobes.
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MPX2166_synpic16314: CT disclosed a cystic suprasellar mass with extension to the right temporal tip and frontal lobes.


Suprasellar epidermoid cyst

USU Teaching File MUTF - MedPix

CT disclosed a cystic suprasellar mass with extension to the right temporal tip and frontal lobes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2166&req=5

MPX2166_synpic16314: CT disclosed a cystic suprasellar mass with extension to the right temporal tip and frontal lobes.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Suprasellar epidermoid cyst

History: This 47 year old man had a history of organic brain syndrome and blindness in the left eye for one year. He presented to the emergency department following the new onset of a seizure. He had headaches, weakness or sensory abnormalities.

Findings: Extensive lobulated suprasellar mass, largely homogeneous and of nearly water attenuation.

Ddx: <li>Craniopharynioma <li>Epidermoid inclusion cyst <li>Rathke cleft cyst <li>Dermoid inclusion cyst

Exam: Physical examination disclosed the patient to be alert but oriented only to person. There was a Marcus Gunn pupil on the left while the right pupil was normally reactive. The left eye was blind and there was a visual field cut on the right. There was no papilledema. The patient had anosmia. Cranial nerves 3 through 12 were intact. Strength was 5/5 throughout. The sensory examination to light touch was intact. The deep tendon reflexes were 2+ and the toes were down going.

No MeSH data available.