8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

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Case discussions 

Dr Subhash Kumar MD, DM 

Associate Consultant ‐Neuroradiology 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

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46 

years 

old 

male 

Left frontal and temporal headache 

Left ptosis 

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Central 

skull 

base 

mass 

in 

a 

46 

years 

old 

male, 

showing heterogeneous appearance with 

solid and cystic/necrotic areas and 

hemorrhage with

 enhancement

 of 

 solid

 portions and septae/periphery 

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Does 

not 

fit 

in 

‘typical’ 

central 

skull 

base 

mass description 

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Chordoma 

Chondrosarcoma 

Metastasis  Aneurysmal bone cyst (Secondary) 

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Chordoma, post RT 

Som and Curtin 

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http://emedicine.medscape.com/article/339169‐overview 

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Chordoma 

Som and

 Curtin

 

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http://radiographics.rsna.org/content/23/5/1244.full 

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Chondrosarcoma 

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Chondrosarcoma ‐ sphenoid wing 

http://radiopaedia.org/images/21403 

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Y.W. Lui, ,S.B. Dasari, ,and  R.J. Young. Sphenoid Masses in Children: Radiologic Differential Diagnosis with 

Pathologic 

Correlation. 

AJNR 

Am 

J 

Neuroradiol 

2011 

32: 

617‐

626 

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Som and Curtin 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

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Y.W. Lui, ,S.B. Dasari, ,and  R.J. Young. Sphenoid Masses

 in

 Children:

 Radiologic

 Differential

 Diagnosis

 with

 

Pathologic Correlation. AJNR Am J Neuroradiol 2011 32: 617‐626 

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Craniopharyngioma 

Som and

 Curtin

 

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http://radiopaedia.org/images/173 

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Mucocele 

Som and

 Curtin

 

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Mucocele 

Y.W. Lui, ,S.B. Dasari, ,and  R.J. Young. Sphenoid Masses in Children: Radiologic Differential Diagnosis with Pathologic Correlation. AJNR Am J Neuroradiol 2011 32: 617‐626 

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TNTS 

Hemorrhagic fluid 

Grape 

like 

soft 

tissue 

came 

out 

after 

the 

fluid 

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Craniopharyngioma