EURORAD ESR

Case 14911

Adamantinomatous craniopharyngioma

Author(s)
Navarro-Baño, Antonio; Fernández-Hernández, Carmen M; Serrano-García, Cristina; Doménech-Abellán, Ernesto; Ibáñez-Caturla, Santiago; Jiménez-Sánchez, Andrés; Guillén-Navarro, Jose María.

Hospital Clinico Universitario Virgen de la Arrixaca,
Servicio Murciano de Salud;
Carretera Madrid-Cartagena, s/n.
30120 El Palmar, Spain;
Email:navarba@gmail.com
 
Patient
male, 9 year(s)
 
 
  • Figure 1
    Axial NECT

    Hypodense sellar mass with suprasellar extension. Clumpy calcifications are visualised.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Sagittal NECT

    Hypodense sellar mass with suprasellar extension (red arrow). Clumpy calcifications are visualised.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Sagittal T1WI

    The cysts content consist of oily brownish fluid with cholesterol crystals, which often produces a hyperintense appearance on T1WI (yellow arrow). Cysts with higher water content are more hypointense (red arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial T2WI

    Adamantinomatous craniophatyngiomas typically have a lobulated contour as a result of usually multiple cystic lesions (arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    T1+Gd

    The mass enhances vividly on MRI (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Hypodense sellar mass with suprasellar extension. Clumpy calcifications are visualised.
 
Hypodense sellar mass with suprasellar extension (red arrow). Clumpy calcifications are visualised.
 
The cysts content consist of oily brownish fluid with cholesterol crystals, which often produces a hyperintense appearance on T1WI (yellow arrow). Cysts with higher water content are more hypointense (red arrow).
 
Adamantinomatous craniophatyngiomas typically have a lobulated contour as a result of usually multiple cystic lesions (arrow).
 
The mass enhances vividly on MRI (arrows).
 
 
 
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