Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review

Brain tumors with high vascularity show dynamic enhancement on magnetic resonance contrast imaging owing to their rapid blood flow. This principle is used to differentiate highly vascular lesions in sellar/suprasellar area from the non-vascular or mildly vascular ones. We report a case of suprasella...

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Main Authors: Sridhara Narayana, Ashish Kumar, Sahu P Barada, Shantiveer Uppin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Medical Journal of Dr. D.Y. Patil University
Subjects:
Online Access:http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=5;spage=651;epage=654;aulast=Narayana
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author Sridhara Narayana
Ashish Kumar
Sahu P Barada
Shantiveer Uppin
author_facet Sridhara Narayana
Ashish Kumar
Sahu P Barada
Shantiveer Uppin
author_sort Sridhara Narayana
collection DOAJ
description Brain tumors with high vascularity show dynamic enhancement on magnetic resonance contrast imaging owing to their rapid blood flow. This principle is used to differentiate highly vascular lesions in sellar/suprasellar area from the non-vascular or mildly vascular ones. We report a case of suprasellar lesion affecting a 35-year-old female, lesion exhibiting dynamic enhancement on contrast magnetic resonance imaging. The imaging and intra-operative findings have created a diagnostic dilemma about the nature of the lesion and the histopathology revealed it to be a Rathke′s cleft cysts (R.C.C). R.C.C have varied imaging manifestations. They can create diagnostic dilemma in a surgeon′s mind when they present with such extremes of variations including dynamic contrast enhancement. One should be aware of these atypical imaging findings before approaching these lesions at surgery for an optimal outcome.
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spelling doaj.art-ba2459d8dcb54ac29dee1ab6420b472f2022-12-21T19:19:14ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702014-01-017565165410.4103/0975-2870.140485Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature reviewSridhara NarayanaAshish KumarSahu P BaradaShantiveer UppinBrain tumors with high vascularity show dynamic enhancement on magnetic resonance contrast imaging owing to their rapid blood flow. This principle is used to differentiate highly vascular lesions in sellar/suprasellar area from the non-vascular or mildly vascular ones. We report a case of suprasellar lesion affecting a 35-year-old female, lesion exhibiting dynamic enhancement on contrast magnetic resonance imaging. The imaging and intra-operative findings have created a diagnostic dilemma about the nature of the lesion and the histopathology revealed it to be a Rathke′s cleft cysts (R.C.C). R.C.C have varied imaging manifestations. They can create diagnostic dilemma in a surgeon′s mind when they present with such extremes of variations including dynamic contrast enhancement. One should be aware of these atypical imaging findings before approaching these lesions at surgery for an optimal outcome.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=5;spage=651;epage=654;aulast=NarayanaDynamic enhancementRathke′s cleft cystsolid Rathke′s cleft cystssuprasellar lesion
spellingShingle Sridhara Narayana
Ashish Kumar
Sahu P Barada
Shantiveer Uppin
Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
Medical Journal of Dr. D.Y. Patil University
Dynamic enhancement
Rathke′s cleft cyst
solid Rathke′s cleft cysts
suprasellar lesion
title Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
title_full Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
title_fullStr Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
title_full_unstemmed Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
title_short Dynamics of the dynamic enhancement in a suprasellar lesion: Diagnostic dilemmas and literature review
title_sort dynamics of the dynamic enhancement in a suprasellar lesion diagnostic dilemmas and literature review
topic Dynamic enhancement
Rathke′s cleft cyst
solid Rathke′s cleft cysts
suprasellar lesion
url http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=5;spage=651;epage=654;aulast=Narayana
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AT ashishkumar dynamicsofthedynamicenhancementinasuprasellarlesiondiagnosticdilemmasandliteraturereview
AT sahupbarada dynamicsofthedynamicenhancementinasuprasellarlesiondiagnosticdilemmasandliteraturereview
AT shantiveeruppin dynamicsofthedynamicenhancementinasuprasellarlesiondiagnosticdilemmasandliteraturereview