Sellar-suprasellar hyperdense epidermoid

A 37-year-old male presented with insidious onset of painless progressive impairment of vision in both eyes for the last four months. A cranial computerised tomography scan revealed hyperdense mass in sella extending to suprasellar region. He underwent transsphenoidal decompression. Operative findings and subsequent histopathology study revealed epidermoid cyst. The difficulty in preoperative diagnosis and uncommon presentation is highlighted

Unusual presentation of retained bullet

We report a case of retained bullet in the intracranial cavity, in a patient who sustained a gunshot injury in 1989. patient developed features of hypothalamic dysfunction two years following bullet injury. He was admitted to our hospital thirteen years after injury with persistent hypothalamic disturbances and a tendency to fall towards the right side while walking

Pituitary adenoma with trigeminal neuralgia

Pituitary adenoma with parasellar extension ma invade into cavernous sinus leading to involvement of traversing cranial nerves, but isolated trigeminal neuralgia as a presentation of pituitary adenoma is very uncommon. We report a case of pituitary adenoma, presenting with intractable trigeminal neuralgia as the only complaint. The radioimaging study revealed pituitary macroadenoma. Symptoms completely disappeared following transsphenoidal decompression of the tumour