SVOA Neurology

Sabina Oblitas López^1*, Pamela Guerrero Romero2, Nathaly Zúñiga Tintaya³, Hugo Peralta-Olórtegui⁴ and Mauro Toledo Aguirre⁵

¹ Neurosurgeon doctor at the National Institute of Children's Health of San Borja, Lima, Peru.

² Neurosurgery resident at the Cayetano Heredia National Hospital, Lima, Peru.

³ Neurosurgery resident at the Central Military Hospital, Lima, Peru.

⁴ Neurosurgery resident at the Emergency Hospital of Villa el Salvador, Lima, Peru.

⁵ Neurosurgeon doctor at the National Institute of Children's Health of San Borja, Lima, Peru.

*Corresponding Author: Sabina Oblitas López, Neurosurgeon doctor at the National Institute of Children's Health of San Borja, Lima, Peru.

DOI: https://doi.org/10.58624/SVOANE.2024.05.0154

Received: October 17, 2024     Published: November 15, 2024

Abstract

In this case report, we describe a solid cystic tumor in the sellar region associated with hydrocephalus. The most frequent tumors in the midline within the age group (craniopharyngioma, Rathke's pouch cyst, pituitary adenoma) were immediately included in the differential diagnosis; however, the intraoperative findings were not conclusive. A nearly total resection surgery was performed, reported as the choice in this location to avoid the risk of neurovascular and hypothalamic complications. The biopsy result was histologically compatible with a teratoma-type germ cell tumor with both mature and immature components. Intracranial teratomas are rare tumors, little studied, with a predilection for the midline, with inconsistent radiological characteristics and distinctive histological features in mature and immature patients. Due to this, the spectrum is variable and the prognosis is uncertain.

Keywords: Pediatric Suprasellar Teratoma; Germ Cell; Cystic Tumor

Citation: López SO, Romero PG, Tintaya NZ, Peralta-Olórtegui H, Aguirre MT. Pediatric Suprasellar Teratoma: A Rare Location of a Germ Cell Tumor. SVOA Neurology 2024, 5:6, 233-237. doi. 10.58624/SVOANE.2024.05.0154