• Craniopharyngioma are benign tumours within the sella or suprasellar space.
  • They are derived from Rathke’s pouch.
  • They are large, cystic and invasive.
  • It is seen in 5- 15 years & after 65 years.
  • Contains epithelial cells.

It can be-

  1. Adamantinomatous craniopharyngioma-
  • Seen in children
  • Peripheral palisading positive
  • Keratin formation

2. Papillary craniopharyngioma-

  • Seen in adults
  • No keratin formation.

Clinical features-

  • Children with growth retardation.
  • Adults with visual disturbances.
  • Hypopituitarism and diabetes insipidus.
  • Headache, vomiting, papillaedema, hydrocephalor.


  • MRI


  • Transphenoidal surgical resection is the treatment of choice.

Exam Important

  • Craniopharyngioma are benign tumours within the sella or suprasellar space.
  • They are derived from Rathke’s pouch.
  • Contains epithelial cells.


  • Transphenoidal surgical resection is the treatment of choice.
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