PMC5806421_01
Pre- and postoperative MRI images of the suprasellar lesion. Preoperative images show a T1 hypo-intense and T2 hyper-intense suprasellar lesion with periphery enhancement post magnevist contrast administration. Postoperative T1-weighted images demonstrate the fat graft but no residual tumor. White arrows indicate the lesion
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F2
Ill-defined intrinsic T1 hyper-intense signal was seen within the lesion [Figure 2].
Intraoperative images of the suprasellar lesion (a) Endoscopic pterional view of the laminar terminalis. ICA: internal carotid artery, MCA: middle cerebral artery, R: right, ACA: anterior cerebral artery. (b) A zoomed-in view of A. L: left, ACOM: anterior communicating artery, RAH: recurrent artery of Heubner
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F3
During surgery, the encapsulated tumor had a creamy, cheesy appearance allowing internal debulking [Figure 3].