In children Craniopharyngeoma presents as visual disturbance and growth failure. A craniopharyngioma is a slow-growing, extra-axial, epithelial-squamous, calcified, and cystic tumor arising from remnants of the craniopharyngeal duct and/or Rathke cleft and occupying the (supra) sellar region. Craniopharyngiomas most frequently arise in the pituitary stalk and project into the hypothalamus. The most common presenting symptoms are headache (55-86%), endocrine dysfunction (66-90%), and visual disturbances (37-68%).