The patient initially presented with headaches, although deteriorated over the course of a year. Upon development of visual deficits they were subsequently referred to our service for imaging evaluation.

Adamantinomatous craniopharyngioma is the third of three pathologies derived from Rathke's cleft epithelium.

Technically these are benign tumors, but unlike Rathke's cleft cysts, they have thick walls and are locally invasive.