Question 2113
{"accessible":true,"alternatives":[{"id":10489,"text":"craniopharyngioma"},{"id":10490,"text":"germinoma"},{"id":10491,"text":"hypothalamic hamartoma"},{"id":10492,"text":"optic pathway glioma"},{"id":10493,"text":"pituitary adenoma"}],"archived":false,"correctAlternativeId":10492,"explanation":"\u003cp\u003eThis is a suprasellar tumor with a large enhancing solid component. The most likely cause is an optic-pathway tumor in the hypothalamic region. The main differential would be a craniopharyngioma, but these are predominantly cystic tumors in children. Germinoma is a possibility, but much rarer.\u003c/p\u003e","id":2113,"imageUrl":"https://prod-images-static.radiopaedia.org/images/55212140/34._big_gallery.jpeg","imageAttribution":{"kind":"case","rID":90344},"imageAttributionCaseInfo":{"title":"Hypothalamic pilocytic astrocytoma","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":90344,"case_param":"hypothalamic-pilocytic-astrocytoma"},"firstQuestionPath":"/questions/2140","nextQuestionPath":"/articles/optic-pathway-glioma/questions/2026","relatedArticles":[{"id":1178,"title":"Craniopharyngioma (historical)","link":"/articles/craniopharyngioma-historical?lang=us"},{"id":11024,"title":"Pituitary adenoma/PitNET","link":"/articles/pituitary-adenomapitnet?lang=us"},{"id":1380,"title":"Central nervous system germinoma","link":"/articles/central-nervous-system-germinoma?lang=us"},{"id":1485,"title":"Hypothalamic hamartoma","link":"/articles/hypothalamic-hamartoma?lang=us"}],"alsoUsedIn":[{"id":990,"kind":"Course","title":"2021 Virtual Conference Private Use - page 990","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/990"},{"id":990,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 990","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/990"},{"id":990,"kind":"Course","title":"2022 Virtual Conference Private Use - page 990","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/990"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":25,"kind":"LiveSchedule","title":"25","link":"https://radiopaedia.org/admin/live_schedules/25"},{"id":945,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 945","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/945"},{"id":945,"kind":"Course","title":"2021 Virtual Conference Private Use - page 945","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/945"},{"id":945,"kind":"Course","title":"Paediatric Lectures - page 945","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/945"}],"stem":"\u003cp\u003eThis 8-year-old presented with blurred vision and an MRI demonstrated this tumor. What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2113"}],"attemptsPercentages":[{"alternativeId":"10489","percentage":38},{"alternativeId":"10492","percentage":42},{"alternativeId":"10490","percentage":14},{"alternativeId":"10491","percentage":2},{"alternativeId":"10493","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"optic-pathway-glioma"}