PMC8490053_01
Picture of the child showing loss of subcutaneous fat.
CRIPE2021-6670585.001.jpg
PMC8490053_01_CRIPE2021-6670585.001.jpg
fig1
He had a sunken anterior fontanel, a muscle atrophy (Figure 1), and left eye nystagmus.
Preoperative axial T2-weighted MRI (a), sagittal T1-weighted MRI (b), and axial FLAIR MRI (c) elucidate a suprasellar lesion isointense on T1-weighted MRI (b) and hyperintense on T2-weighted MRI (a) homogeneously enhanced upon contrast administration (d); 6-month postoperative MRI (e) shows a residual mass with the cystic component (f).
CRIPE2021-6670585.002.jpg
PMC8490053_01_CRIPE2021-6670585.002.jpg
fig2
T2-weighted MRI and homogeneously enhanced upon contrast administration. The lesion extended into the retrosellar region, optic chiasm, and right hypothalamus with a displacement of the anterior and the middle cerebral arteries. The lesion compressed mainly temporal lobes, cerebral peduncles, and the anterior surface of the pons (Figure 2).