Case Description A 17-year-old girl presented with primary amenorrhea with computed tomography and magnetic resonance imaging showing a large calcified enhancing suprasellar mass, which was presumptively diagnosed as a craniopharyngioma on the basis of its clinical and radiologic appearance. Gross total ...
CT of the brain showed no calcification in the mass. GnRH agonist injections of 7.5 mg every 4 weeks halted his pubertal progression clinically and biochemically. Subsequent investigations demonstrated no other endocrinological involvement. Neurosurgical evalu-ation concluded that surgical intervention was ...
Results The meningioma was clearly visualised as a roundish mass, with well‐defined borders, heterogeneously hyperechogenic compared with the surrounding brain structures; multiple intralesional calcifications were detectable as highly echogenic spots. Latero‐lateral and antero‐posterior diameters were ...
Postcontrast scan shows marked homogeneous enhancement of the mass on both CT and MRI (Fig. 23.1). The presence of a ring of CSF delineating the tumor contours is frequent. Hyperostosis is commonly associated with meningiomas of the planum sphenoidale, tuberculum sellae, and clinoid processes ...
Medical therapy was not offered because of the proximity to the optic chiasm and the partial calcification of the lesion leading to the presumption that the mass was non-viable. The patient underwent successful endoscopic endonasal resection of the suprasellar NCC and experienced significant improvement...
Contrast enhanced magnetic resonance imaging (MRI) revealed an enhancing soft tissue mass in the right eye with involvement of optic nerve and optic chiasma and contiguous with a large suprasellar mass causing hydrocephalus. Non-contrast computed tomography (CT) showed extensiv...
More passive dependent immature responses were noted in most children with anterior chiasmal gliomas due to persistent residual mass after irradiation, although they have survived long. An attention to details of the clinical picture, the age at presentation, the finding of diabetes insipidus, and ...