Title |
Craniopharyngioma: pitfalls in diagnosis. |
Creator |
Brummitt, M.L.; Kline, L.B.; Wilson, E.R. |
Affiliation |
Combined Program in Ophthalmology, University of Alabama School of Medicine, Birmingham. |
Abstract |
A 28-year old man presented with decreased vision and a bitemporal hemianopia. Magnetic resonance (MR) imaging demonstrated what appeared to be an enlarged optic chiasm and, on T2-weighted images, hypersignal extending along the optic tracts. This was felt to represent an intrinsic chiasmal mass, most likely a chiasmal glioma. Biopsy specimens from the first craniotomy were nondiagnostic. With continued visual failure, the patient underwent a second operation, and the correct diagnosis of craniopharyngioma was established. This article emphasizes the difficulties encountered with neuroradiologic evaluation and histopathologic study of craniopharyngioma. |
Subject |
Adult; Cranial Nerve Neoplasms; Craniopharyngioma; Diagnosis, Differential; Glioma; Hemianopsia; Humans; Magnetic Resonance Imaging; Male; Optic Nerve Diseases; Pituitary Neoplasms; Visual Acuity |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
226073 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6dj8mr3/226073 |