Ectopic clival craniopharyngioma with intratumoral hemorrhage: A case report

Craniopharyngiomas located outside the intra/suprasellar region are rare and the incidence of intratumoral hemorrhage is also rare. A 45-year-old woman with visual field defect underwent subtotal resection of the tumor located in the skull base. CT revealed a well-defined mass with calcifications involving the clivus, and MRI showed anterior displacement of a normal pituitary gland by the mass consisting cystic portions with some fluid-fluid levels and enhancing solid portions. Surgery and histopathological examination revealed an ectopic adamantinomatous craniopharyngioma arising from the clivus with intratumoral hemorrhage. Though this condition is rare, detailed analysis of symptoms in association with imaging findings should alert the physician to the possibility of craniopharyngiomas.