Board Review 2 – Case 7

Neuroradiology board review. This lecture is geared towards the ABR core exam for residents, but it would be useful for review for the ABR certifying exam or certificate of added qualification (CAQ) exam for neuroradiology.

More description and the answer (spoiler!) are seen below the video.

This case shows a suprasellar mixed solid and cystic mass. There is relative preservation of the normal pituitary, which makes adenoma less likely. There is mass effect on the optic chiasm, which probably accounts for the patients visual symptoms.

The diagnosis is: craniopharyngioma. There are two major types of craniopharygioma, adamantinous and papillary. Adamantinous are more common in younger patients and more likely to have calcification.