Case report-Unusual Presentation of A Suprasellar Mass in A 4-Year-Old Child: A Bilateral Sudden Loss of Vision

Abstract

Paediatric suprasellar masses are considered unique in their clinical presentations and radiographic findings. Sellar and parasellar masses comprise about 10% of all paediatric brain tumour. We are attempting to describe an unusual presentation of a suprasellar mass in a 4-year-old child. Patient revealed sudden loss of vision for 7 hours with no history of pain and swelling, with past history of polydipsia and polyuria for 6 months. No relevant history of epilepsy, recent fever or  raised intracranial pressure. On examination, visual acuity of both eyes was hand movement. Further, examination showed no abnormal findings with both eyes. Radiographic evaluation suggested presence of a large suprasellar mass with secondary metastasis to cranial-vault. The differential diagnosis on radiographical grounds include craniopharyngioma and hemangiopericytoma. Furthermore, there was hypopituitarism and central diabetes insipidus. This case-report aims to highlight the unusual presentation of suprasellar mass in paediatrics.