To cite: Crawford JR, Shayan K, Levy ML. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010265 DESCRIPTION A 7-year-old girl presented to our hospital with a history of failure to thrive since 1 year of age. Her prior workup included negative serum and stool studies to exclude gastrointestinal, metabolic and endocrinological causes. She has mild speech delay,...

Rathke's cleft cyst (RCC) apoplexy is a rare clinical entity. We report a case of apoplexy of an RCC followed by cerebral infarction. A 67-year-old woman was found lying on the street unconscious. She had fallen from her motorbike. On referral to our hospital she gradually regained consciousness and presented with no neurological deficits. CT showed a round and slightly hyperdense area in the s...

We report a case of pituitary adenoma with normal hormone levels in 34-year-old female. She presented to OP headache, milky discharge from nipples and secondary amenorrhea transient loss vision. Patient had hyperprolactinemia all other hormones. MRI revealed space occupying lesion sellar suprasellar region. Neurological consultation suggested Rathke’s cyst/ craniopharyngioma/ macroadenoma. Exci...

Granular cell tumour (GCT) is a rare tumour seen in the sellar suprasellar region which is believed to arise from either the infundibulum or the posterior lobe of the pituitary gland. Preoperative prediction of the diagnosis on the basis of radiological appearance is useful as these tumours carry specific surgical difficulties. A 63-year-old man underwent brain CT for a medical check-up at our ...

We present a rare case of low-grade astroblastoma coexisting with an arteriovenous malformation (AVM) underwent surgery two times in a 38-year-old man. After the first surgery, this case was reported as a mixed lowgrade astroblastoma and AVM. The lesion was completely resected surgically along with AVM. The patient underwent postoperative radiotherapy. Twenty months later, MRI showed enhanced l...

The computed tomographic (CT) and pathologic findings in three cases of intraand suprasellar epithelial cysts (symptomatic Rathke cleft cysts) are described. Literature review revealed that the characteristic CT finding is an intra sellar and/or suprasellar low-density mass that mayor may not be enhanced. The enhancement is ringlike or capsular in nature. Whether the cyst wall is enhanced or no...

An unusual case of an isolated histioproliferative lesion arising from the suprasellar region is described. The presence of lymphophagocytosis suggested that this represented an extranodal intracranial form of sinus histiocytosis with massive lymphadenopathy.

3 Diseases ................................................................................. 17 3.1 Anterior Pituitary Deficiency................................................ 17 3.2 Central Diabetes Insipidus .................................................... 21 3.3 Precocious or Delayed Puberty............................................. 23 3.4 Other Endocrinopathies .......................