title: Suprasellar Epidermoid Cyst with Atypical Imaging Findings.
abstract: A 65-year-old female presented with progressive unilateral vision loss leading to blindness and features of central diabetes insipidus (DI) for 3 months' duration. Imaging showed a well-circumscribed, lobulated, rim-enhancing suprasellar lesion with inhomogeneous diffusion restriction. Through a pterional trans-sylvian approach, subtotal resection was performed and histopathology revealed features of an epidermoid cyst. At 5 months' follow-up, she had improvement of her diabetes insipidus but no visual improvement. This paper presents a case of suprasellar epidermoid with atypical imaging findings.
authors.affiliation: Department of Neurosurgery, Kasturba Medical College, Manipal University, Manipal, India. Electronic address: lakshmi.prasad@manipal.edu.
authors.forename: G Lakshmi
authors.initials: GL
authors.lastname: Prasad
authors.affiliation: Department of Pathology, Melaka Manipal Medical College, Manipal, India.
authors.forename: P
authors.initials: P
authors.lastname: Pavithra
mesh_terms: D000368:Aged; D001766:Blindness / Q000209:etiology / Q000473:pathology / Q000601:surgery; D020863:Central Nervous System Cysts / Q000473:pathology* / Q000601:surgery; D003399:Craniotomy / Q000379:methods; D020790:Diabetes Insipidus, Neurogenic / Q000209:etiology / Q000473:pathology / Q000601:surgery; D004814:Epidermal Cyst / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000473:pathology / Q000601:surgery; D009901:Optic Nerve Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
keywords: Atypical; Diabetes insipidus; Epidermoid; Epidermoid cyst; Imaging; Suprasellar