Pediatric Craniopharyngioma

  • Etiology: adamantinomatous in children vs. papillary in adults
  • Imaging: 95% type of tumor – 95% calcify, 95% suprasellar, 95% cystic component
  • MRI: cyst may contain material T1+T2 hyperintense
  • Clinical: growth hormone deficiency,

Radiology Cases of Craniopharyngioma

MRI of craniopharyngioma
Lateral radiograph of the skull (top image) shows an enlarged sella turcica. Sagittal TI MRI without and with contrast of the sella (middle two images) shows a large heterogenous mass arising in the sella and extending superiorly into the suprasellar region that shows primarily rim enhancement with contrast. Coronal T2 MRI of the sella (bottom image) shows the sellar and suprasellar mass to have a high signal intensity implying it has cystic and or proteinaceous components.