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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.


Stratified squamous epithelium was adherent to some of the fragments of the pearly white tissue. No hair follicles or sebaceous glands were present.
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MPX2166_synpic16316: Stratified squamous epithelium was adherent to some of the fragments of the pearly white tissue. No hair follicles or sebaceous glands were present.


Suprasellar epidermoid cyst

USU Teaching File MUTF - MedPix

Stratified squamous epithelium was adherent to some of the fragments of the pearly white tissue. No hair follicles or sebaceous glands were present.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2166_synpic16316: Stratified squamous epithelium was adherent to some of the fragments of the pearly white tissue. No hair follicles or sebaceous glands were present.

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.