Dr. Ishan Kumar1, Dr. Ira Gupta1, Dr. Rashmi Yadav1, Dr Sukanya Ghosh2
, Dr Priyanka Aggarwal2
1- Department of Radiodiagnosis and Imaging
2- Department of Pediatrics
Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
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A 2-years old girl presented in Department of Paediatrics with increased growth of breasts and menarche at 7 months of age, uncontrolled laughter since 4 months suggestive of gelastic seizures. On physical examination:
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 Fig 1 |
 Fig 2 |
 Fig 3 |
 Fig 4 |
MRI BRAIN, a. FLAIR axial, b. T2 sagittal c. axial and d. sagittal post contrast images show
A well-defined midline lesion (arrow) in the suprasellar region involving the hypothalamus projecting into the suprasellar cistern and third ventricle .
The mass is isointense to parenchyma on T1,T2 weighted images and FLAIR with no significant post-contrast enhancement.
Pituitary gland and rest of the structures are within normal limits.
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