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Short case...Parasellar craniopharyngioma

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Short case...Parasellar craniopharyngioma

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Short case...Parasellar craniopharyngioma

  1. 1. Short case publication... version 1.23 | Edited by professor Yasser Metwally | May 2008 Short case Edited by Professor Yasser Metwally Professor of neurology Ain Shams university school of medicine Cairo, Egypt Visit my web site at: http://yassermetwally.com 11 years old male patient presented clinically with obesity, delayed growth, bilateral diminution of vision, and manifestations of increased intracranial pressure. Clinical examination revealed bilateral primary optic atrophy. DIAGNOSIS: PARASELLAR CRANIOPHARYNGIOMA
  2. 2. Figure 1. Parasellar heavily calcified craniopharyngioma. Precontrast CT scan image (A) and postcontrast CT scan images (B,C) showing a heavily calcified cystic parasellar mass with forward extension to the subfrontal region. The brain stem and the 4th ventricle are compressed and pushed posteriorly. Obstructive hydrocephalus and transependymal edema are evident. The parasellar cystic mass showed dense contrast enhancement. Figure 2. Parasellar heavily calcified craniopharyngioma. The calcified parasellar mass extended upward to the level of the foramen of monro and resulted in bilateral dilatation of the lateral ventricles. Notice the transependymal edema.
  3. 3. Figure 3. CT scan precontrast A, and postcontrast B,C,D. A heavily calcified suprasellar cystic craniopharyngioma, with subfrontal extension, the lesion also showed suprasellar extension to the foramen of monro causing obstructive hydrocephalus. Dense contrast enhancement occurred in some parts of the tumour. Addendum A new version of short case is uploaded in my web site every week (every Saturday and remains available till Friday.) To download the current version follow the link quot;http://pdf.yassermetwally.com/short.pdfquot;. You can download the long case version of this short case during the same week from: http://pdf.yassermetwally.com/case.pdf or visit web site: http://pdf.yassermetwally.com To download the software version of the publication (crow.exe) follow the link: http://neurology.yassermetwally.com/crow.zip At the end of each year, all the publications are compiled on a single CD-ROM, please contact the author to know more details. Screen resolution is better set at 1024*768 pixel screen area for optimum display For an archive of the previously reported cases go to www.yassermetwally.net, then under pages in the right panel, scroll down and click on the text entry quot;downloadable short cases in PDF formatquot; References 1. Metwally, MYM: Textbook of neurimaging, A CD-ROM publication, (Metwally, MYM editor) WEB-CD agency for electronic publishing, version 9.1a January 2008

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