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Adamantinomatous Craniopharyngioma (WHO Grade I)

Loeb AL - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Childrens Hospital of Dayton, OH

ABSTRACT

Diagnosis: Adamantinomatous Craniopharyngioma (WHO Grade I)

History: 23 month old boy presents with headaches of 3 weeks duration. The episodes are accompanied by stumbling and vomiting, 1-3 times per day. He also has a decreased appetite and fluctuating weight. Birth history was unremarkable, vaginal delivery at 38 wks.

Findings: • Non-Contrast CT: A small intrasellar + suprasellar mass is demonstrated with peripheral rim calcifications. It measures 2.5 cm vertically, 1.7 cm transverse, 1.6 cm AP. Mild elevation of optic chiasm. • MRI w/ and w/out IV contrast: Sellar and suprasellar cystic mass, peripheral calcifications contents are slightly hyperintense to gray matter on precontrast T1 imaging. Shows peripheral enhancement. Optic nerves splayed by the mass and chiasm is elevated. Mass fills the sella, and the normal pituitary is not well seen. No hydrocephalus and no evidence of metastatic disease.

Ddx: Brain tumor (Craniopharyngioma), Pituitary Adenoma, Granuloma, Rathke’s cleft cyst, Aneurysm, Pituitary Apoplexy, Metastatic Carcinoma

Dxhow: Resection, Surgical Pathology

Exam: PE Neuro: Headache, Ataxia Labs: IGF-1:36, Cortisol: 16 T4(free): 0.95 TSH: 3.15

No MeSH data available.


There is a suprasellar mass (arrows) with intrasellar extension in the anterior suprasellar cistern (*asterisk).  This CT shows peripheral rim calcifications (arrows).
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MPX2212_synpic53874: There is a suprasellar mass (arrows) with intrasellar extension in the anterior suprasellar cistern (*asterisk). This CT shows peripheral rim calcifications (arrows).


Adamantinomatous Craniopharyngioma (WHO Grade I)

Loeb AL - MedPix (2010)

There is a suprasellar mass (arrows) with intrasellar extension in the anterior suprasellar cistern (*asterisk).  This CT shows peripheral rim calcifications (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2212&req=5

MPX2212_synpic53874: There is a suprasellar mass (arrows) with intrasellar extension in the anterior suprasellar cistern (*asterisk). This CT shows peripheral rim calcifications (arrows).

View Article: MedPix Image - MedPix Case

Affiliation: Childrens Hospital of Dayton, OH

ABSTRACT

Diagnosis: Adamantinomatous Craniopharyngioma (WHO Grade I)

History: 23 month old boy presents with headaches of 3 weeks duration. The episodes are accompanied by stumbling and vomiting, 1-3 times per day. He also has a decreased appetite and fluctuating weight. Birth history was unremarkable, vaginal delivery at 38 wks.

Findings: • Non-Contrast CT: A small intrasellar + suprasellar mass is demonstrated with peripheral rim calcifications. It measures 2.5 cm vertically, 1.7 cm transverse, 1.6 cm AP. Mild elevation of optic chiasm. • MRI w/ and w/out IV contrast: Sellar and suprasellar cystic mass, peripheral calcifications contents are slightly hyperintense to gray matter on precontrast T1 imaging. Shows peripheral enhancement. Optic nerves splayed by the mass and chiasm is elevated. Mass fills the sella, and the normal pituitary is not well seen. No hydrocephalus and no evidence of metastatic disease.

Ddx: Brain tumor (Craniopharyngioma), Pituitary Adenoma, Granuloma, Rathke’s cleft cyst, Aneurysm, Pituitary Apoplexy, Metastatic Carcinoma

Dxhow: Resection, Surgical Pathology

Exam: PE Neuro: Headache, Ataxia Labs: IGF-1:36, Cortisol: 16 T4(free): 0.95 TSH: 3.15

No MeSH data available.