Suprasellar epidermoid cyst with atypical imaging findings

Abstract A 65-year female presented with progressive unilateral vision loss leading to blindness and features of central diabetes insipidus (DI) for 3 months duration. Imaging showed a well-circumscribed, lobulated, rim enhancing suprasellar lesion with inhomogeneous diffusion restriction. Through a...

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Bibliographic Details
Published in:World neurosurgery 2017-02, Vol.98, p.870.e1-870.e3
Main Authors: Prasad, G Lakshmi, Pavithra, P
Format: Article
Language:English
Subjects:
Aged
Atypical
Blindness - etiology
Blindness - pathology
Blindness - surgery
Central Nervous System Cysts - pathology
Central Nervous System Cysts - surgery
Craniotomy - methods
Diabetes insipidus
Diabetes Insipidus, Neurogenic - etiology
Diabetes Insipidus, Neurogenic - pathology
Diabetes Insipidus, Neurogenic - surgery
Epidermal Cyst - pathology
Epidermal Cyst - surgery
Epidermoid
Epidermoid cyst
Female
Humans
Imaging
Magnetic Resonance Imaging
Nerve Compression Syndromes - etiology
Nerve Compression Syndromes - pathology
Nerve Compression Syndromes - surgery
Neurosurgery
Optic Nerve Diseases - etiology
Optic Nerve Diseases - pathology
Optic Nerve Diseases - surgery
Suprasellar
Treatment Outcome
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Summary:Abstract A 65-year female presented with progressive unilateral vision loss leading to blindness and features of central diabetes insipidus (DI) for 3 months duration. Imaging showed a well-circumscribed, lobulated, rim enhancing suprasellar lesion with inhomogeneous diffusion restriction. Through a pterional trans-sylvian approach, subtotal resection was performed and histopathology revealed features of an epidermoid cyst. At 5 months follow-up, she had improvement of her DI but no visual improvement. This paper presents a case of a suprasellar epidermoid with atypical imaging findings.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2016.12.024