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. 2023 Jun 21;11:1162654. doi: 10.3389/fped.2023.1162654

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© 2023 Maia, Miranda, Geraldo, Sampaio, Ramaglia, Tortora, Severino and Rossi.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Adamantinomatous craniopharyngioma in 6-yearl-old boy (A–D) presenting with headaches. Axial head CT scan (A) shows an iso-hypodense expansile suprasellar lesion with multiple foci of calcification in the periphery (white arrowheads). Brain MR including axial T1WI (B), sagittal T2WI (C) and sagittal T1WI after gadolinium injection (D) shows a very large expansile lesion with heterogeneous signal intensity and enhancement, causing obliteration of the III ventricle and presenting extension towards the interpeduncular (black arrowhead) and pre-pontine cisterns with associated mass effect over the optic chiasm and optic tracts as well as brainstem. Note normal positioning and enhancement of the pituitary gland (empty white arrowhead) as well as moderate hydrocephalus (*). Adamantinomatous craniopharyngioma in a 13-year-old (E–H) boy presenting with headaches. Brain MRI including coronal T2WI (E) as well as axial (F) and sagittal (G) T1WI reveal a multilobular lesion centered in the suprasellar cistern and extending towards the interpeduncular cistern, separated from the pituitary gland, showing heterogenous signal intensity, including an inferior solid component (white arrowheads) and multiple cysts with spontaneous hyperintensity on T1 and T2 (black arrowheads). Post-contrast sagittal T1WI (H) reveals nodular enhancement of the solid component (empty white arrowhead) as well as peripheral enhancement of the cysts (empty black arrowhead). There is associated mass effect over the III ventricle, optic chiasm and tracts as well as moderate hydrocephalus (*).