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Case Reports
. 2023 Nov 21;101(21):974-978.
doi: 10.1212/WNL.0000000000207857. Epub 2023 Oct 3.

Pearls & Oy-sters: Adult-Onset Craniopharyngioma Presenting With Cognitive Dysfunction and Obstructive Hydrocephalus

Laura E Schroeder  1 , Michael Kritselis  2 , Nupur Lala  2 , Jerrold Boxerman  2 , Saud Alhusaini  2
Affiliations
Case Reports

Pearls & Oy-sters: Adult-Onset Craniopharyngioma Presenting With Cognitive Dysfunction and Obstructive Hydrocephalus

Laura E Schroeder et al. Neurology. .

Erratum in

  • Corrections to Received Date Information.
    [No authors listed] [No authors listed] Neurology. 2024 Jul 9;103(1):e209596. doi: 10.1212/WNL.0000000000209596. Epub 2024 Jun 3. Neurology. 2024. PMID: 38830175 Free PMC article. No abstract available.
No abstract available

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Conflict of interest statement

The authors report no relevant disclosures. Go to Neurology.org/N for full disclosures.

Figures

Figure 1
Figure 1. Neuroimaging and Histopathologic Findings of Adamantinomatous Craniopharyngioma
Axial CT images demonstrating hydrocephalus with lateral ventricle dilatation (A) secondary to a suprasellar mass (arrow, B and C) with intrinsic calcification at its base anterior to the dorsum sella (arrow, D). MRI brain axial T2-weighted (E), fluid-attenuated inversion recovery (F), gradient-echo (G), and sagittal T1-weighted (H) images demonstrate a proteinaceous cyst in the suprasellar cistern with rim enhancement on sagittal (I) and axial (J) postcontrast T1-weighted images (solid arrows) and solid enhancement at the base of the lesion (curved arrow, I). Susceptibility artifact on the axial gradient-echo image (arrow, G) corresponds to the calcification at the base of the lesion. Paraffin-embedded, hematoxylin and eosin–stained section (K) reveals a multilobulated mass that is composed of palisading epithelium surrounding a loose stellate reticulum. Whorls of squamous epithelium (arrow), nodules of anucleate squames (arrowhead), and calcifications (circle) are present within the reticulum (scale bar 10 μm).
Figure 2
Figure 2. MRI Brain Postresection and Radiosurgery of the Adamantinomatous Craniopharyngioma
Axial T2-weighted (A) and fluid-attenuated inversion recovery (B) MR brain images and sagittal postcontrast T1-weighted image (C) demonstrating postoperative changes after tumor resection and radiosurgery with resection cavity in suprasellar region (arrow, A; asterisk, C), gliosis in right frontal lobe beneath a craniotomy defect (arrow, B), resolution of hydrocephalus, and normal appearance to the pituitary gland (curved arrow, C).
See this image and copyright information in PMC

References

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