Presentation
Headache, giddiness and blurring of vision.
Patient Data
A large well-defined space occupying lobulated mass lesion is seen in suprasellar/ sellar region, which reveals predominantly solid and partially cystic component within it. The pituitary gland is not seen separate from mass lesion. On post contrast study intense heterogeneous enhancement is seen in solid portion of the lesion with few non-enhancing areas. It is encasing the adjacent both ICA, both MCA and proximal ACA bilaterally.
Case Discussion
A well-defined heterogeneously enhancing space-occupying mass lesion in the suprasellar/sellar region, most likely represents craniopharyngioma.
The possibility of this representing a pituitary macroadenoma or other lesions seems unlikely.
Editors note: Unfortunately additional diagnostic information is not available and it is uncertain whether this represents an adamantinomatous craniopharyngioma or papillary craniopharyngioma. Given baseline frequency and the dominant cystic component with intermediate-high T1 signal this most likely represents an adamantinomatous craniopharyngioma.
For the purposes of this case, it has been given the diagnosis of craniopharyngioma not otherwise specified (NOS).