Craniopharyngioma — RACP Paediatrics MCQ

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HardNeurology & DevelopmentCraniopharyngiomaRACP Paediatrics

A 10-year-old boy presents with progressive visual deterioration, polyuria, polydipsia, and short stature. MRI shows a suprasellar mass with calcification and a cystic component. What is the most likely tumour?

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Correct answer: E — Craniopharyngioma

Craniopharyngioma is the most common suprasellar tumour in children. It presents with visual field defects (bitemporal hemianopia from optic chiasm compression), endocrine dysfunction (growth failure, diabetes insipidus, hypothyroidism), and raised ICP. Calcification and cystic components are characteristic. Treatment involves surgery +/- radiotherapy.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Brain Tumours