CRANIOPHARYNGIOMA

• 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.

Investigations-

• MRI

Treatment-

• Transphenoidal surgical resection is the treatment of choice.

Exam Important