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By definition, measures less than 1 cm. 75% of these lesions cause hormonal abnormalities whereas the nonhormonally active lesions become symptomatic secondary to the size
Usually appears hypointense on T1 weighted images and has a variable appearance on the T2 weighted images.
Present clinically with increased intracranial pressure, hypothalamic dysfunction, or chiasmatic compression symptoms
Imaging: 80% Ca2+ in children 40% Ca2+ adults, 90% cystic, 90% rim enhance, hyper T1/T2 (cholesterol), +/- optic tract signal abnormality
appearing mass within the suprasellar cistern is noted. These are focal regions of decreased signal intensity, which may be secondary to calcifications.
enhancement with intermixed regions of increased and decreased signal. There is a central region of signal void consistent with calcification. There are cystic regions within high signal intensity on T1 weighted suggesting high protein contrast. There is obstructive hydrocephalus
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