Abstract
A young adult woman with no significant medical history presented with diplopia, right mydriasis, and right ophthalmalgia. The patient also endorsed a history of extreme mi-graine headache and right facial par-esthesias. Symptoms were progres-sive over a 2-year period. Laboratory evaluation was unremarkable. Imaging workup revealed a large, parasellar mass. The patient subsequently underwent staged surgical resection. Following the second staged procedure, the patient underwent repeat imaging, which demonstrated extensive areas of cerebral vasospasm. Two-month follow-up imaging demonstrated tumor progression. © 2022, Anderson Publishing Ltd. All rights reserved.