Skip to main content
Case #6

PRO Plan Required

Unlock this case with a PRO membership

View Plans Log In
Demographics: 9 years old, Male
Indication: Precocious puberty

Case #6

Findings

  • Suprasellar mass measuring 3.5 x 2 x 3.3 cm with heterogeneous internal T1 and T2 signal
  • Nodular enhancing component superiorly measuring up to 1.8 cm
  • The optic chiasm appears to be incorporated within the mass
  • The pituitary gland is visualized separate from the mass
  • The mass contacts the right A1 ACA segment, both supraclinoid internal carotid arteries, the basilar artery, the posterior communicating arteries, and the P1 segments of both PCAs
  • The mass also contacts and deforms the floor of the third ventricle

Diagnosis

Optic pathway glioma (pilocytic astrocytoma)

Differential Diagnosis

Become a PRO member to unlock the differential diagnosis

Pearls

Become a PRO member to unlock the pearls

References

  • Poretti A, Meoded A, Huisman TAGM. Neuroimaging of pediatric posterior fossa tumors including review of the literature. J Magn Reson Imaging 2012; 35(1): 32-47.

    • Site Feedback

    Your feedback helps us improve CaseStacks. Please share your thoughts, suggestions, or report any issues you've encountered.

    /5
    Thank you for your feedback! We appreciate your input.