Bilateral vision loss, craniopharyngioma, magnetic resonance imaging
A 65-year-old man developed bilateral vision loss 4 months after magnetic resonance imaging demonstrated no lesion in the vicinity of the optic chiasm, hypothalamus, and suprasellar tissues. Repeat computed tomography 3 months later showed a predominantly cystic mass of the suprasellar cistern with extension into the anterior third ventricle, which histologically was a craniopharyngioma. The clinical course of this case fuels the controversy whether craniopharyngiomas arise from embryonic rests or can be acquired. From a clinical perspective, it raises questions about when to obtain imaging studies dedicated to the chiasm and the appropriate interval in which a scan should be repeated to exclude structural causes of bilateral vision loss.
Digital Object Identifier (DOI)
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Citation / Publisher Attribution
Journal of Neurosciences in Rural Practice, v. 6, issue 3, p. 392-394
Scholar Commons Citation
Betts, Rainy; Margo, Curtis E.; and Drucker, Mitchell, "Craniopharyngioma causing Bilateral Vision Loss 4 Months after Unremarkable Magnetic Resonance Imaging of the Brain" (2015). Ophthalmology Faculty Publications. 3.
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