Abstract
ABSTRACT We present a rare case of glioma presenting as a sellar suprasellar mass in a 44-year-old male. He presented with a 6-month history of significant weight loss and erectile dysfunction and a 2-month history of bilateral decrease in vision. Clinically, he had bitemporal hemianopia. He had secondary hypogonadism without the involvement of another hormonal axis. Contrast-enhanced MRI sella suggested an ill-defined mass in the suprasellar region involving the medial temporal lobe, hippocampus, and infiltration of the optic chiasma and hypothalamus, further extending into the sella. The diagnosis was confirmed by biopsy of the lesion and using immunohistochemistry. The patient underwent chemoradiotherapy (CRT) with significant clinical and radiological improvement. Our report emphasizes the challenges in diagnosing and the importance of pathologic examination.
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