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<p>Intracranial tumors frequently produce neuro-ophthalmic signs that can be critical in refining diagnosis and guiding management, particularly for sellar and suprasellar lesions. We report the case of a 12-year-old boy with a suprasellar mass initially presumed to be a craniopharyngioma based on imaging. However, after a comprehensive neuro-ophthalmologic examination was entirely normal, a biopsy was done proving the mass to be a pilocytic astrocytoma with pilomyxoid features. We aim here to illustrate the diagnostic value of a neuro-ophthalmologic examination in the evaluation of suprasellar tumors.</p>

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Neuro-ophthalmic clues affecting the surgical approach to a brain tumor: the case of a craniopharyngioma masquerader

  • 期刊论文

  • 发表日期：

    2025年11月17日

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  • Reeda Bou Said,
  • Alan R. Cohen,
  • Neil R. Miller

摘要

Intracranial tumors frequently produce neuro-ophthalmic signs that can be critical in refining diagnosis and guiding management, particularly for sellar and suprasellar lesions. We report the case of a 12-year-old boy with a suprasellar mass initially presumed to be a craniopharyngioma based on imaging. However, after a comprehensive neuro-ophthalmologic examination was entirely normal, a biopsy was done proving the mass to be a pilocytic astrocytoma with pilomyxoid features. We aim here to illustrate the diagnostic value of a neuro-ophthalmologic examination in the evaluation of suprasellar tumors.