A 9-year-old female child with history of head ache and visual disturbance. What could be your possible diagnosis:: (A) Pituitary macroadenoma, (B) Rathke's cleft cyst, (C) Craniopharyngioma, (D) Hypothalamichamartoma
Answer is C. Ans. C CraniopharyngiomaA calcified, solid-cystic, mass in the suprasellar region in a child - is Craniopharyngioma unless proven otherwise!! It is a clincher. Visual loss is due to mass effect on optic chaisma. Arises from Rathke's pouch epitheliumQ.