Sellar-suprasellar hyperdense epidermoid

ABSTRACT

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