A 9-year-old female child with history of head ache and visual disturbance. What could be possible diagnosis?
Craniopharyngioma
Pituitary macroadenoma
Hypothalamic Hamartoma
Optic glioma
Ans. a. CraniopharyngiomaCRANIOPHARYNGIOMAIt is most commonly seen in children and diagnosed between 5-12 years of age.Incidence rate 7-10% of the population.Calcification on X-ray is the minimal invasiveness.Symptoms includes:Bitemporal hemianopsiaHeadachePanhypopituitarismGrowth failureVomitingConfusionDelayed pubertyRadiological findings: Calcified lesion seen above the sella turcica.Treatment: Surgery and radiation; no role for chemotherapy
Nervous System