Case contributed by Dr Ahmed Abdrabou


Headache and blurring of vision followed by discovery of suprasellar mass and hydrocephalus. VP shunt was placed.

Patient Data

Age: 14 years
Gender: Male

Large lobulated predominantly cystic suprasellar mass is noted. It elevates the 3rd ventricle, extends downward to the prepontine cistern and posteriorly to splay the crus cerebri. It displays iso intense signal in T1 and bright signal in T2 and FLAIR with no diffusion restriction or enhancement. VP shunt is seen in situ.

Case Discussion

Craniopharyngioma (pathologically proven in this case) is a benign suprasellar mass that usually occurs in pediatric (5-15 years) and elderly (60-70 years) and believed to arise from Rathke's cleft remnant. Differential considerations include pituitary macroadenoma and Rathke's cleft cyst.

PlayAdd to Share

Case information

rID: 28412
Published: 24th Mar 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.