Patients with craniopharyngiomas most often present in 1 of 4 ways: raised intracranial pressure with accompanying hydrocephalus, visual loss, endocrine disturbance, or any of these in combination.[4][8][17][18][19]

Such presentations may be acute (sudden visual loss or symptoms of intracranial hypertension) or more insidious in onset. Symptoms of raised intracranial pressure (headache, nausea, vomiting, diplopia, decreased level of consciousness) always suggest a potential intracranial mass and warrant urgent contrast-enhanced cranial imaging (preferably MRI). Visual loss also warrants intracranial imaging to exclude a mass affecting the optic nerves or chiasma.

BMJ Best Practice is an evidence-based point of care tool for healthcare practitioners.

To continue reading and access all of BMJ Best Practice's pages you'll need to log in or start a free trial.

You can access through your institution if your hospital, university, trust or other institution provides access to BMJ Best Practice through either OpenAthens or Shibboleth.

Use of this content is subject to our disclaimer