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Title: A RARE CASE REPORT ON CRANIOPHARYNGIOMA IN YOUNG FEMALE
e-poster Number: EPOS 35
Category: e Poster
Author Name: Dr. Prafulla Ramnath Kute
Institute:
Co-Author Name:
Abstract :
Craniopharyngiomas are a rare group of intracranial tumors that typically develop in the sellar or suprasellar region of the brain. Among these, adamantinomatous craniopharyngiomas are notably more prevalent than papillary craniopharyngiomas. The former primarily occurs in children, while the latter is predominantly found in adults.
We present the case of a 30-year-old female with visual disturbances and other vague complaints MRI scan of the brain was performed using T1 & T2 weighted sequences in multiple planes.
Found to have a large lobulated well defined heterogenous extra-axial solid mass in the sellar and Suprasellar region with widening and complete destruction of the sella. Mineralization and enhancement was seen in the mass. Mass is extending superiorly upto the interventricular region at the level of atria of lateral ventricles and extending into the adjacent right medial temporal lobe and middle cranial fossa posteriorly. No extension seen into ventricles , there is no hydrocephalus.Anteriorly the mass was causing severe compression on orbital apices and optic nerve on both sides. There was significant bony erosion and destruction of petrous part of temporal bone, anterior part of clivus and inferolateral wall of sphenoid sinus. Right cavernous sinus was involved with complete encasement of right ICA. Left cavernous sinus was also involved with left ICA pushed laterally.On post contrast study the lesion was showing vivid enhancement of solid component.Features are suggestive of Craniopharyngioma.
Since adamantinomatous craniopharyngiomas rarely occur in adulthood, particularly in middle-aged individuals, this case is considered unusual. Aim to raise awareness of the need to include adamantinomatous craniopharyngioma in the differential diagnosis for sellar lesions in this age group and Early diagnosis and intervention are crucial for optimal outcomes in patients with adamantinomatous craniopharyngiomas.
