eMedicine Specialties > Radiology > Brain/Spine

Craniopharyngioma: Multimedia

Author: Jeffrey R Wasserman, DO, Diagnostic Radiologist, Manatee Memorial Hospital and Lakewood Ranch Medical Center
Coauthor(s): Robert A Koenigsberg, DO, MSc, FAOCR, Professor, Director of Neuroradiology, Program Director, Diagnostic Radiology and Neuroradiology Training Programs, Department of Radiology, Hahnemann University Hospital, Drexel University College of Medicine; Kiran Batra, MD, DNB, Neuroradiology Fellow, Radiology Resident, Drexel University College of Medicine; Christopher P Gange Jr, MA, Drexel University College of Medicine
Contributor Information and Disclosures

Updated: Jun 11, 2008

Multimedia

Contrast-enhanced T1-weighted image demonstrates ...Media file 1: Contrast-enhanced T1-weighted image demonstrates a complex cystic mass (arrow) in the suprasellar space.
Contrast-enhanced T1-weighted image demonstrates ...

Contrast-enhanced T1-weighted image demonstrates a complex cystic mass (arrow) in the suprasellar space.

Sagittal contrast-enhanced T1-weighted MRI demons...Media file 2: Sagittal contrast-enhanced T1-weighted MRI demonstrates a complex cystic, suprasellar mass that is heterogeneously enhancing (arrow).
Sagittal contrast-enhanced T1-weighted MRI demons...

Sagittal contrast-enhanced T1-weighted MRI demonstrates a complex cystic, suprasellar mass that is heterogeneously enhancing (arrow).

Axial contrast-enhanced T1-weighted MRI demonstra...Media file 3: Axial contrast-enhanced T1-weighted MRI demonstrates enhancement of the solid component (arrows) of the lesion.
Axial contrast-enhanced T1-weighted MRI demonstra...

Axial contrast-enhanced T1-weighted MRI demonstrates enhancement of the solid component (arrows) of the lesion.

T1-weighted MRI of a 23-year-old woman (same pati...Media file 4: T1-weighted MRI of a 23-year-old woman (same patient as in Images 5-7 in Multimedia) demonstrates a suprasellar mass with characteristic intermediate- to high-signal material in the cystic material (arrows).
T1-weighted MRI of a 23-year-old woman (same pati...

T1-weighted MRI of a 23-year-old woman (same patient as in Images 5-7 in Multimedia) demonstrates a suprasellar mass with characteristic intermediate- to high-signal material in the cystic material (arrows).

Sagittal T1-weighted MRI in a 23-year-old woman (...Media file 5: Sagittal T1-weighted MRI in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates the high signal intensity of the cystic material (yellow arrow).
Sagittal T1-weighted MRI in a 23-year-old woman (...

Sagittal T1-weighted MRI in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates the high signal intensity of the cystic material (yellow arrow).

Gadolinium-enhanced parasagittal T1-weighted MRI ...Media file 6: Gadolinium-enhanced parasagittal T1-weighted MRI in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates the characteristic enhancement of the solid component (arrow) of craniopharyngioma.
Gadolinium-enhanced parasagittal T1-weighted MRI ...

Gadolinium-enhanced parasagittal T1-weighted MRI in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates the characteristic enhancement of the solid component (arrow) of craniopharyngioma.

Digital radiograph in a 23-year-old woman (same p...Media file 7: Digital radiograph in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates characteristic calcifications (arrow) in the suprasellar space. This appearance can easily be misinterpreted as that of an aneurysm.
Digital radiograph in a 23-year-old woman (same p...

Digital radiograph in a 23-year-old woman (same patient as in Image 4 in Multimedia) demonstrates characteristic calcifications (arrow) in the suprasellar space. This appearance can easily be misinterpreted as that of an aneurysm.

Axial CT scan in a 39-year-old man (same patient ...Media file 8: Axial CT scan in a 39-year-old man (same patient as in Images 9-10 in Multimedia) obtained without contrast enhancement demonstrates a large, cystic mass (arrow) in the suprasellar space that has predominantly fluid attenuation.
Axial CT scan in a 39-year-old man (same patient ...

Axial CT scan in a 39-year-old man (same patient as in Images 9-10 in Multimedia) obtained without contrast enhancement demonstrates a large, cystic mass (arrow) in the suprasellar space that has predominantly fluid attenuation.

CT scan in a 39-year-old man (same patient as in ...Media file 9: CT scan in a 39-year-old man (same patient as in Image 8 in Multimedia) obtained with intravenous contrast agent shows enhancement of the anterior, solid component (arrows).
CT scan in a 39-year-old man (same patient as in ...

CT scan in a 39-year-old man (same patient as in Image 8 in Multimedia) obtained with intravenous contrast agent shows enhancement of the anterior, solid component (arrows).

Digital radiograph in a 39-year-old man (same pat...Media file 10: Digital radiograph in a 39-year-old man (same patient as in Image 8 in Multimedia) demonstrates characteristic expansion of the sella turcica (arrows).
Digital radiograph in a 39-year-old man (same pat...

Digital radiograph in a 39-year-old man (same patient as in Image 8 in Multimedia) demonstrates characteristic expansion of the sella turcica (arrows).

Angiogram obtained at the same time as Image 12 (...Media file 11: Angiogram obtained at the same time as Image 12 (see Image 12 in Multimedia) in anteroposterior projection clearly shows elevations of the A1 segment of the anterior cerebral artery (arrows) and anterior communicating artery.
Angiogram obtained at the same time as Image 12 (...

Angiogram obtained at the same time as Image 12 (see Image 12 in Multimedia) in anteroposterior projection clearly shows elevations of the A1 segment of the anterior cerebral artery (arrows) and anterior communicating artery.

Axial contrast-enhanced CT scan in a 65-year-old ...Media file 12: Axial contrast-enhanced CT scan in a 65-year-old man demonstrates a large, calcified suprasellar mass with anterior displacement of the A1 segment of the anterior cerebral arteries (yellow arrows). The anterior communicating artery is not well depicted.
Axial contrast-enhanced CT scan in a 65-year-old ...

Axial contrast-enhanced CT scan in a 65-year-old man demonstrates a large, calcified suprasellar mass with anterior displacement of the A1 segment of the anterior cerebral arteries (yellow arrows). The anterior communicating artery is not well depicted.

Coronal T1-weighted image in a 65-year-old man (s...Media file 13: Coronal T1-weighted image in a 65-year-old man (same patient as in Image 12 in Multimedia) obtained through the sella turcica. Image demonstrates a predominantly sellar lesion (arrows) with some suprasellar extension.
Coronal T1-weighted image in a 65-year-old man (s...

Coronal T1-weighted image in a 65-year-old man (same patient as in Image 12 in Multimedia) obtained through the sella turcica. Image demonstrates a predominantly sellar lesion (arrows) with some suprasellar extension.

Contrast-enhanced T1-weighted image in a 66-year-...Media file 14: Contrast-enhanced T1-weighted image in a 66-year-old woman obtained in a slightly lateral parasagittal plane demonstrates irregular enhancement of the solid components (arrow) and the outer rim of the tumor, which has a predominantly cystic composition.
Contrast-enhanced T1-weighted image in a 66-year-...

Contrast-enhanced T1-weighted image in a 66-year-old woman obtained in a slightly lateral parasagittal plane demonstrates irregular enhancement of the solid components (arrow) and the outer rim of the tumor, which has a predominantly cystic composition.

Sagittal nonenhanced T1-weighted image demonstrat...Media file 15: Sagittal nonenhanced T1-weighted image demonstrates a heterogeneous, cystic mass (arrows) in the suprasellar space (same patient as in Image 14 in Multimedia).
Sagittal nonenhanced T1-weighted image demonstrat...

Sagittal nonenhanced T1-weighted image demonstrates a heterogeneous, cystic mass (arrows) in the suprasellar space (same patient as in Image 14 in Multimedia).

More on Craniopharyngioma

Overview: Craniopharyngioma
Imaging: Craniopharyngioma
Follow-up: Craniopharyngioma
Multimedia: Craniopharyngioma
References

References

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Further Reading

Keywords

Rathke pouch tumor, craniopharyngeal duct tumor, hemangioblastoma, ameloblastoma, adamantinoma, dysodontogenic epithelial tumor, adamantinomatous tumor, papillary tumor, sellar craniopharyngioma, prechiasmatic craniopharyngioma, retrochiasmatic craniopharyngioma

Contributor Information and Disclosures

Author

Jeffrey R Wasserman, DO, Diagnostic Radiologist, Manatee Memorial Hospital and Lakewood Ranch Medical Center
Jeffrey R Wasserman, DO is a member of the following medical societies: American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Robert A Koenigsberg, DO, MSc, FAOCR, Professor, Director of Neuroradiology, Program Director, Diagnostic Radiology and Neuroradiology Training Programs, Department of Radiology, Hahnemann University Hospital, Drexel University College of Medicine
Robert A Koenigsberg, DO, MSc, FAOCR is a member of the following medical societies: American Osteopathic Association, American Society of Neuroradiology, Radiological Society of North America, and Society of NeuroInterventional Surgery
Disclosure: Nothing to disclose.

Kiran Batra, MD, DNB, Neuroradiology Fellow, Radiology Resident, Drexel University College of Medicine
Kiran Batra, MD, DNB is a member of the following medical societies: American Roentgen Ray Society, Pennsylvania Radiological Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Christopher P Gange Jr, MA, Drexel University College of Medicine
Disclosure: Nothing to disclose.

Medical Editor

Mahesh R Patel, MD, Chief, MRI, Department of Diagnostic Imaging, Santa Clara Valley Medial Center
Mahesh R Patel, MD is a member of the following medical societies: American Roentgen Ray Society, American Society of Neuroradiology, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Robert L DeLaPaz, MD, Director, Professor, Department of Radiology, Division of Neuroradiology, Columbia University
Robert L DeLaPaz, MD is a member of the following medical societies: American Society of Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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