A 63-year-old male asked:
i have a 4yo whose ct for trauma picked up a 4x5x8mm supra sellar mass that abuts the optic nerve, no clinical symptoms ?likely cause
4 doctor answers
Dr. Bruce J. Stringer answered
46 years experience Radiology
Craniopharyngioma?: Location and age suggest craniopharyngioma. These tumors are said to be symptomatic in the supra-sellar when they reach 3cm so the trauma scan may have been good luck. The kid should have MRI with and without contrast as well as ct w& w/o contrast, hopefully supervised by a neuroradiologist. Other lesions need to be ruled out. Neurosurgery will also need to be consulted.
Answered on Oct 4, 2017
Dr. Mandakini Patel answered
40 years experience Pediatrics
Brain mass: Suprasellar mass: is it vascular vs solid vs hemorrhagic?
Answered on Nov 27, 2017
Dr. Zachary Levine answered
27 years experience Neurosurgery
Hamartoma: In a small child this might be a benign hypothalamic hamartoma or it could be a germinoma. There are a number of solid masses it could be. This should be evaluated with a contrast enhanced imaging study and formal visual fields, of possible in a 4 year old. Most likely the best management is serial imaging looking for growth or change.
Answered on Apr 21, 2019
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
People also searched for:
Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute!