Operation #1: Ventriculoperitoneal shunt was done initially with resolution of most of the symptoms.

Operation #2: A right frontal craniotomy was done to approach this lesion. At surgery a partially calcified solid tumour was encountered just anterior to chiasm. No cyst found. The lesion was so firm that one could hardly get a bite with the pituitary forceps or currette. On trying to approach it after opening the Sylvian fissure between the right optic nerve and the internal carotid artery, it did not bear any fruits. Exposing it behind the chiasm did not reveal any cystic lesion. Surgery was therefore abandoned.

BIOPSY REPORT: Adamantinomatous Craniopharyngioma