Intraosseous Sphenoid Bone Craniopharyngioma

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 1/35

Case discussions 

Dr Subhash Kumar MD, DM 

Associate Consultant ‐Neuroradiology 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 2/35

46 

years 

old 

male 

Left frontal and temporal headache 

Left ptosis 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 3/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 4/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 5/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 6/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 7/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 8/35

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 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 9/35

Does 

not 

fit 

in 

‘typical’ 

central 

skull 

base 

mass description 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 10/35

Chordoma 

Chondrosarcoma 

Metastasis  Aneurysmal bone cyst (Secondary) 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 11/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 12/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 13/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 14/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 15/35

Chordoma, post RT 

Som and Curtin 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 16/35

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

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 17/35

Chordoma 

Som and

 Curtin

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 18/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 19/35

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

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 20/35

Chondrosarcoma 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 21/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 22/35

Chondrosarcoma ‐ sphenoid wing 

http://radiopaedia.org/images/21403 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 23/35

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 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 24/35

Som and Curtin 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 25/35

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 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 26/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 27/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 28/35

Craniopharyngioma 

Som and

 Curtin

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 29/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 30/35

http://radiopaedia.org/images/173 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 31/35

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 32/35

Mucocele 

Som and

 Curtin

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 33/35

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 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 34/35

TNTS 

Hemorrhagic fluid 

Grape 

like 

soft 

tissue 

came 

out 

after 

the 

fluid 

8/2/2019 Intraosseous Sphenoid Bone Craniopharyngioma

http://slidepdf.com/reader/full/intraosseous-sphenoid-bone-craniopharyngioma 35/35

Craniopharyngioma