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Betts R, Margo CE, Drucker M. Craniopharyngioma causing bilateral vision loss 4 months after unremarkable magnetic resonance imaging of the brain. J Neurosci Rural Pract. 2015;6(3):392-4doi: 10.4103/0976-3147.158770.
Betts, R., Margo, C. E., & Drucker, M. (2015). Craniopharyngioma causing bilateral vision loss 4 months after unremarkable magnetic resonance imaging of the brain. Journal of neurosciences in rural practice, 6(3), 392-4. https://doi.org/10.4103/0976-3147.158770
Betts, Rainy, et al. "Craniopharyngioma causing bilateral vision loss 4 months after unremarkable magnetic resonance imaging of the brain." Journal of neurosciences in rural practice vol. 6,3 (2015): 392-4. doi: https://doi.org/10.4103/0976-3147.158770
Betts R, Margo CE, Drucker M. Craniopharyngioma causing bilateral vision loss 4 months after unremarkable magnetic resonance imaging of the brain. J Neurosci Rural Pract. 2015 Jul-Sep;6(3):392-4. doi: 10.4103/0976-3147.158770. PMID: 26167023; PMCID: PMC4481794.
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J Neurosci Rural Pract. 2015 Jul-Sep;6(3):392-4. doi: 10.4103/0976-3147.158770.

Craniopharyngioma causing bilateral vision loss 4 months after unremarkable magnetic resonance imaging of the brain.

Journal of neurosciences in rural practice

Rainy Betts, Curtis E Margo, Mitchell Drucker

Affiliations

  1. Department of Ophthalmology, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
  2. Department of Ophthalmology, University of South Florida, Morsani College of Medicine, Tampa, FL, USA ; Department of Pathology and Cell Biology, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.

PMID: 26167023 PMCID: PMC4481794 DOI: 10.4103/0976-3147.158770

Abstract

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.

Keywords: Bilateral vision loss; craniopharyngioma; magnetic resonance imaging

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