Presentation is loading. Please wait.

Presentation is loading. Please wait.

Clayton Wiley MD/PhD. The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia?

Published byAlice Adams Modified over 9 years ago

Similar presentations

Presentation on theme: "Clayton Wiley MD/PhD. The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia?"— Presentation transcript:

1 Clayton Wiley MD/PhD

2 The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia? Question 1

3 www.dwp.gov.uk

4 Coronal T1

5 Coronal +Contrast

6 Sagittal +contrast

7 What is the differential diagnosis based on MRI/age. Question 2

8 Suprasellar lesions include: Aneurysm Dermoid/epidermoid cyst Craniopharyngioma Granular cell tumor Hypophysitis Hypothalamic neuronal hamartoma Meningioma Metastasis Optic glioma Pituitary macroadenoma Rathke's cyst Xanthogranuloma Answer

9 The surgeon performs an endoscopic endonasal biopsy, and an intraoperative evaluation is requested. Describe the cytologic features of the smear. Click here to view slide.here Question 3

10 The patient undergoes resection. Review the permanent section. Describe the histologic features of this lesion. Click here to view slide.here Question 5

11 What is your final diagnosis? Question 6

12 Craniopharyngioma, adamantinomatous-type Answer

13 What is the corresponding WHO grade of this lesion? Question 8

14 WHO grade I Answer

15 How would you expect this material to appear grossly? Question 10

16 Thick brownish-yellow fluid, like machine oil, possibly with crumbly debris. Answer

17 From what embryologic structure is this tumor presumed to develop? Question 11

18 Rathke pouch epithelium Answer

Download ppt "Clayton Wiley MD/PhD. The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia?"

Similar presentations

Case Study 13 Gabrielle Yeaney, M.D.. 40-year-old female with headache and word-finding problems, no other past medical history. Describe the MRI findings.

Case Study 13 Gabrielle Yeaney, M.D.. 40-year-old female with headache and word-finding problems, no other past medical history. Describe the MRI findings.
Case Study 5 Gabrielle Yeaney, M.D.. Question 1 63-year-old female with progressive weakness of upper and lower extremities, in additiona to confusion,

Case Study 5 Gabrielle Yeaney, M.D.. Question 1 63-year-old female with progressive weakness of upper and lower extremities, in additiona to confusion,
Case Study 11 Gabrielle Yeaney, M.D.. The patient is a 23-year-old male with headaches, dizziness, anusea, vomiting, diabetes insipidus, and no seizure.

Case Study 11 Gabrielle Yeaney, M.D.. The patient is a 23-year-old male with headaches, dizziness, anusea, vomiting, diabetes insipidus, and no seizure.
Case Study 61 Kenneth Clark, MD. Question 1 This is a 31-year-old asymptomatic man who was found to have papilledema on a routine ophthalmologic examination.

Case Study 61 Kenneth Clark, MD. Question 1 This is a 31-year-old asymptomatic man who was found to have papilledema on a routine ophthalmologic examination.
Interesting NeuroImaging Case 33 y.o. female. Clinical History A 33 y.o. female with a PMH of asthma, gallstones, diabetes with no documented history.

Interesting NeuroImaging Case 33 y.o. female. Clinical History A 33 y.o. female with a PMH of asthma, gallstones, diabetes with no documented history.
Case Study 12 Gabrielle Yeaney, M.D.. 19-year-old man with a past medical history of ALL who presents with a several week history of intermittent falls.

Case Study 12 Gabrielle Yeaney, M.D.. 19-year-old man with a past medical history of ALL who presents with a several week history of intermittent falls.
Fig 2.1B: Axial T1 Weighted (Wtd.) MRIFig 2.1A: Axial Flair MRIFig 2.1C: Post-Contrast Axial T1 Wtd. MRI Fig 2.1D: Post Contrast Coronal T1 Wtd. MRIFig.

Fig 2.1B: Axial T1 Weighted (Wtd.) MRIFig 2.1A: Axial Flair MRIFig 2.1C: Post-Contrast Axial T1 Wtd. MRI Fig 2.1D: Post Contrast Coronal T1 Wtd. MRIFig.
Case Study 62 Kenneth Clark, MD. Question 1 This is a 32-year-old woman with progressive distortion of taste and smell. After seeing her primary care.

Case Study 62 Kenneth Clark, MD. Question 1 This is a 32-year-old woman with progressive distortion of taste and smell. After seeing her primary care.
Intra-Axial Tumors: Gliomas: One of the most common types of primary brain tumors arising from the brain tissue itself, gliomas arise from the supporting.

Intra-Axial Tumors: Gliomas: One of the most common types of primary brain tumors arising from the brain tissue itself, gliomas arise from the supporting.
Tinnitus in 44 y/o female Richard Lukose. Presents to family doctor A 44 y/o female Tinnitus in right ear for 1 month, worsening PMHx: obesity Medications:

Tinnitus in 44 y/o female Richard Lukose. Presents to family doctor A 44 y/o female Tinnitus in right ear for 1 month, worsening PMHx: obesity Medications:
Case Study 56 Kenneth Clark, MD. Question 1 This is a 59-year-old Caucasian woman with a history of granulomatous nephritis (diagnosed 7 years prior),

Case Study 56 Kenneth Clark, MD. Question 1 This is a 59-year-old Caucasian woman with a history of granulomatous nephritis (diagnosed 7 years prior),
Case Study 50 Edward D. Plowey. Case History The patient is a 2 year old girl with normal birth and developmental histories who presented with new onset.

Case Study 50 Edward D. Plowey. Case History The patient is a 2 year old girl with normal birth and developmental histories who presented with new onset.
Himalayan Institute of Medical Sciences

Himalayan Institute of Medical Sciences
SYB #2 Karl Clebak 2 April 2008. Case Presentation 16 yo male with history of short stature, o ver the past year has been drinking and urinating more.

SYB #2 Karl Clebak 2 April Case Presentation 16 yo male with history of short stature, o ver the past year has been drinking and urinating more.
Diagnostic Accuracy of Hyperacute MRI in Prediction of Residual Tumor and Progression in Pituitary Macroadenomas Abstract Id: IRIA – 1249 - A Retrospective.

Diagnostic Accuracy of Hyperacute MRI in Prediction of Residual Tumor and Progression in Pituitary Macroadenomas Abstract Id: IRIA – A Retrospective.
Lananh Nguyen, M.D. Division of Neuropathology University of Pittsburgh Medical Center 15-year-old boy presenting with back pain and skull lesion.

Lananh Nguyen, M.D. Division of Neuropathology University of Pittsburgh Medical Center 15-year-old boy presenting with back pain and skull lesion.
Case Study 45 Julia Kofler, M.D.. Clinical history: 41 year old male with a 2 year history of progressive hypopituitarism, headache and bitemporal hemianopsia.

Case Study 45 Julia Kofler, M.D.. Clinical history: 41 year old male with a 2 year history of progressive hypopituitarism, headache and bitemporal hemianopsia.
Case Study 60 Kenneth Clark, MD. Question 1 This is a 78-year-old woman with a history of CREST syndrome and hypothyroidism who reports 1 month history.

Case Study 60 Kenneth Clark, MD. Question 1 This is a 78-year-old woman with a history of CREST syndrome and hypothyroidism who reports 1 month history.
Case Study 26 Craig Horbinski, M.D., Ph.D.. The patient is a 79-year-old female with expressive aphasia for the past three to four days. Past medical.

Case Study 26 Craig Horbinski, M.D., Ph.D.. The patient is a 79-year-old female with expressive aphasia for the past three to four days. Past medical.
Case Study 48 Edward D. Plowey. Case History The patient is a 64 y/o woman with a 2.5 year history of a left cerebellar hemisphere lesion initially discovered.

Case Study 48 Edward D. Plowey. Case History The patient is a 64 y/o woman with a 2.5 year history of a left cerebellar hemisphere lesion initially discovered.

Similar presentations

Ads by Google