Craniopharyngioma

Cranipharyngiomas are suprasellar partially calcified benign tumors that arise from remnants of Rathke’s pouch. It usually presents with headache, visual impairment, impaired growth in children and hypopituitarism in adults. Treatment modalities includes surgery, radiotherapy or both.

Reference:
Harrison’s Principles of Internal Medicine 18th edition chapter 379.

Ans. is ‘b’ i.e., Suprasellar

Answer is C (Present in sella or infrasellar location):

Some of these lesions arise from the sella, but most are suprasellar ^Q (Not infra-sellar). They arise from near the pituitary stalk and commonly extend into the supra sellar cistern.

• Craniopharyngiomas arise from Rathke’s pouch and constitute 3-5% of all intracranial neoplasms.
• Some of these lesions arise from the sella, but most are suprasellar ^Q (Not infra-sellar). They arise from near the pituitary stalk and commonly extend into the supra sellar cistern.
• Consists of nests of cords of stratified squamous or columnar epithelium embedded in a spongy reticulum — Robbins 61h/1129
• Visual complaints are the presenting feature in about 80% of adults and 60% of children.