Extracranial infrasellar craniopharyngioma

Magnetic resonance imaging (MRI) showed T1 iso to hypointense and T2 predominately hyperintense solid lesion enhancing intensely with contrast in both nasal cavities, extending into the ethmoidal sinuses and eroding sphenoid sinus, clivus and reaching up to sellar floor [Figure 1]a and b. He underwe...

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Bibliographic Details
Published in:Neurology India 2014-01, Vol.62 (1), p.100
Main Authors: Senthilvel, Hari Nivas Periyakottai, Krishnan, Shyam Sundar, Vasudevan, Madabhushi Chakravarthy
Format: Article
Language:English
Subjects:
Aged
Care and treatment
Case studies
Cranial Fossa, Posterior - pathology
Craniopharyngioma - pathology
Craniopharyngioma - surgery
Cysts
Diagnosis
Ethmoid Sinus - pathology
Humans
Magnetic Resonance Imaging
Male
Migration
NMR
Nose
Nuclear magnetic resonance
Paranasal Sinus Neoplasms - pathology
Paranasal Sinus Neoplasms - surgery
Pituitary gland tumors
Sella Turcica - pathology
Sphenoid Sinus - pathology
Tumors
Citations: Items that cite this one
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Summary:Magnetic resonance imaging (MRI) showed T1 iso to hypointense and T2 predominately hyperintense solid lesion enhancing intensely with contrast in both nasal cavities, extending into the ethmoidal sinuses and eroding sphenoid sinus, clivus and reaching up to sellar floor [Figure 1]a and b. He underwent endoscopic transnasal approach, the lesion was greyish white, moderately vascular, flaky and suckable in nature [Figure 2]a. The nasal part of the tumor was radically removed and the sphenoidal rostrum was visualized [Figure 2]b. The floor of the sphenoid sinus was eroded and occupied by the lesion and was eroding the clivus up to the level of choana with intact sellar floor. Magnetic resonance image reveals the cyst as high signal intensity on T1- and T2-weighted sequences indicating high water and protein content whereas the solid component have high signal intensity on T2 and variable intensity on T1-weighted images.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.128356