In clinical manifestation of
suprasellar meningiomas, the most important subjective complaint of the patients was visual disturbance with a reduction in VA, starting usually in one eye, and then affecting the other eye as well.
Initial Cerebral T1 weighted Magnetic Resonance Imaging showing large cystic
suprasellar lesion.
Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the presence of a soft-tissue-density mass with extension through the floor of the sella turcica, the sphenoid sinuses, cavernous sinuses, and
suprasellar region (figure 1).
Post-contrast MRI demonstrated an inhomogeneously enhancing, centrally necrotic
suprasellar mass, which extended into the frontal horn of the lateral ventricle, complicated by obstructive hydrocephalus (Figs 1 and 2).
Sweiss RB, Shweikeh F, Sweiss FB, Zyck S, Dalvin L, Siddiqi J:
Suprasellar Mature Cystic Teratoma: An Unusual Location for an Uncommon Tumor.
The pericallosal region as well as the quadrigeminal and
suprasellar cisterns is the common location for intracranial lipomas.
It was causing
suprasellar extension and abutment of optic chiasma.
giant sellar and
suprasellar pituitary adenoma" (Rueda-Lara, et al.
A CT scan of the brain with and without contrast may reveal a sellar or
suprasellar mass with evidence of haemorrhage, with or without subarachnoid haemorrhage.
Kontrastli kranial manyetik rezonans goruntulemede (MRG) mezensefalon seviyesinde interpedinku-ler sistemde, prepontin ve
suprasellar sistemde, ambient sistemlerde, kuadrigeminal sistemde meningeal yapilarda kalinlasma, yogun noduler-halka tarzinda kontrast madde tutulumu gosteren cok sayida lezyonlar ve ventrikuler sistemde genisleme saptandi (Resim 1).
The VP shunt was seen traversing the frontal horn of the right lateral ventricle, with its tip in the region of the
suprasellar cistern.
During surgeries on tumors and aneurysms in the parasellar and
suprasellar region, the anterior clinoid process and the optic strut must be moved from the lesser wing of sphenoid bone to provide a better approach to the operating field, primarily to the internal carotid artery and the optic nerve, and to minimize the need for brain retraction [1,2].
