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Last visited 09-03-2010 080819 JUVENILE PILOCYTIC ASTROCYTOMA Random Case
Authored By: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.
Patient: 2 year old female
History:

Chief complain: Unstable gaits for months.

Normal spontaneous delivery with full-term.
Birthbody weight: 3050gm. G1P1

Images:small[medium]largeas-submittedimages only

Fig. 1: MRI, axial, T2WI, T1WI, FLAIR, DWI, ADC

Fig. 2: MRI, axial, T2WI

Fig. 3: MRI, axial, T1WI

Fig. 4: MRI, axial, FLAIR

Fig. 5: MRI, axial, DWI

Fig. 6: MRI, axial, ADC
Images:small[medium]largeas-submittedimages only
Findings:

1.5 Tesla MRI of brain with T1 weighted echo train spin echo,
 T2 weighted echo train spin echo, T2 weighted fluid-attenuated
 inversion recovery echo train spin echo, diffusion-weighted
 echo-planar MR imaging, and without intravenous contrast:

1. A 3.1x2.4x1.8cm lobulated long T1 and T2 cystic lesion
   (white arrows in figure 1) with a 0.7cm iso-T1 and T2 mural
   nodule (red arrows in figure 1) in posterial cranial fossa,
   possibly arising from the floor of 4th ventricle and extension
   into left foramen of Lushka, in favor of brain tumor.
2. Marked dilatation of ventricular system (figure 2-6) with
   increased intraventricular cerebrospinal fluid flow (signal void
   in figure 2 and pulsation artifact in figure 4), suggesting severe
   obstructive hydrocephalus. Thinning of entire corpus callosum,
   may due to abnormal stretching secondary from hydrocephalus.

Diagnosis: Pathology: Pilocytic astrocytoma.
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Additional Details:

Case Number: 18923951Last Updated: 09-08-2008
Rating:

2 ratings
Anatomy: Cranium and Contents   Pathology: Neoplasm
Modality: MRAccess Level: Readable by all users
Keywords: juvenile, pilocytic, astrocytoma, mural noduleACR: 1538.3631Contained in: AznTrojan, BRAIN, brain - neoplasms, leszeksz
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