Gl i o b l a s t o m a s represent 15% 20% of all intracranial. Primary glioblastoma of the cerebellopontine angle in adults.
|
|
- Victor Jordan
- 5 years ago
- Views:
Transcription
1 J Neurosurg 114: , 2011 Primary glioblastoma of the cerebellopontine angle in adults Case report Bo Wu, M.D., Ph.D., 1 We i d o n g Liu, M.D., 1 Ho n g Zh u, M.D., 2 Ha i l o n g Fe n g, M.D., Ph.D., 1 a n d Jinping Liu, M.D. 1 Departments of 1 Neurosurgery and 2 Pathology, Sichuan Provincial People s Hospital, Chengdu, Sichuan Province, China Gliomas are rare entities in the cerebellopontine angle (CPA) in adults. The authors present clinical, neuroradiological, serological, and neuropathological findings in a 60-year-old man with an extraaxial CPA glioblastoma arising from the proximal portion of cranial nerve VIII. The patient presented with progressive left-sided deafness and leftsided facial palsy lasting less than 2 months and progressive dysarthria and dysphagia lasting 2 weeks. Preoperative neuroimaging suggested the diagnosis of CPA meningioma with dural-tail sign and involvement of the internal auditory canal. Serological examination showed an increase in the malignant markers of ferritin and neuron-specific enolase, which suggested underlying malignancy. The tumor was subtotally removed, and it was confirmed to be completely separated from the brainstem and cerebellum. Cranial nerves VII and VIII were destroyed and sacrificed. Transient severe bradycardia occurred during surgery due to entrapment of the caudal cranial nerve complex by the tumor in such an infiltrative way. The neuropathological examination revealed a glioblastoma. The patient underwent no further treatment and died of cachexia 2 months postoperatively. To the authors knowledge, this represents the first case of a primary glioblastoma in the CPA in an adult. A high index of suspicion along with reliance on clinical assessment, radiological findings, and serum detection of specific malignant markers is essential to diagnose such uncommon CPA lesions. (DOI: / JNS10912) Ke y Wo r d s glioblastoma cerebellopontine angle differential diagnosis Gl i o b l a s t o m a s represent 15% 20% of all intracranial tumors and account for approximately 50% of all gliomas in adults. 10 These tumors are located most frequently in the cerebral hemispheres, basal ganglia, thalamus, and corpus callosum. 18,21 Only rarely do they grow primarily within the posterior fossa in adults, and they infrequently exhibit exophytic growth patterns but usually protrude dorsally. 7,8 Recently, Luetjens et al. 16 reported on a 40-year-old man who presented with a large exophytic giant cell glioblastoma of the medulla oblongata located in the caudal fourth ventricle. We recently encountered a glioblastoma in the CPA arising from CN VIII that was completely separated from the brainstem in a 60-year-old man. Although the findings were atypical, preoperative neuroimaging suggested that the tumor was a posterior petrous meningioma with a dural-tail sign. To our knowledge, our case seems to be the first report of an extraaxial primary glioblastoma of the CPA in an adult arising from the CN VIII complex. Overall, it represents the ninth report of primary glioma in the CPA (Table 1). 1,2,6,9,13,17,20,25 Abbreviations used in this paper: CN = cranial nerve; CNS = central nervous system; CPA = cerebellopontine angle; DTPA = diethylenetriamine pentaacetic acid; IAC = internal auditory canal; NSE = neuron-specific enolase. Case Report History and Examination. This 60-year-old man presented with progressive deafness in the left ear and left facial palsy less than 2 months before admission. Two weeks later, he began to experience progressive dysarthria, dysphagia, and left facial numbness without headache, vomiting, and gait disturbance. During the week before presentation, he had difficulty in feeding and lost nearly 10 kg. His past medical and family histories were unremarkable. On admission, the patient was severely wasting, and a gastric tube for nasal feeding was placed. Because the patient was unable to close his left eye, eye protection lubricants were prescribed. Neurological examination revealed marked hearing loss in the left ear, a notable left peripheral facial palsy, a sensory deficit in the left CN V1 3 distribution to touch and pain, hoarseness, a deviation of the tongue to the left, an absence of corneal reflex, and a significantly decreased pharyngeal reflex. There were no other neurological signs and symptoms such as diplopia, gait disturbance, ataxia, or long tract signs. This article contains some figures that are displayed in color on line but in black and white in the print edition J Neurosurg / Volume 114 / May 2011
2 Primary glioblastoma of the cerebellopontine angle TABLE 1: Summary of reported cases of primary extraaxial glioma in the cisternal portion of the CPA* Authors & Year Age (yrs), Sex CN of Origin Signs & Symptoms Symptom Duration (mos) MRI Peritumoral Edema IAC Involvement Size (mm) Treatment Histological Findings Follow-Up Status Panse, 1904 adult VIII no fibrillary astrocytoma Cushing, 1917 adult VIII no fibrillary astrocytoma Kasantikul et al., 1980 adult VIII no fibrillary astrocytoma Forton et al., , F lt VIII HD, GD partial calcification no fibrillary astrocytoma Beutler et al., , M lt VIII HD, ataxia 24 T1, isointense; T2, hyperintense, no enhancement Takada et al., , F rt VIII HD, FP 12 solid-cystic, heterogeneous enhancement Arnautovic et al., , F rt V FNM, HA, ataxia 12 T1, hypointense; T2, hyperintense; diffuse enhancement Mirone et al., , M rt VIII HD, HA 36 T1, isointense in periphery & hypersignal in center; T2, hypointense; slightly heterogeneous enhancement present case 60, M lt VIII HD, FP, FNM, HS, DA, DP 2 T1, predominantly hypointense; T2, iso- to hyperintense; significantly heterogeneous ringlike enhancement w/ duraltail sign no yes total resection w/ sacrifice of CN VIII pilocytic astrocytoma no yes unspecified unspecified pilocytic astrocytoma no no no yes yes yes total resection w/ partial preservation of CN V total resection w/ sacrifice of CN VIII subtotal resection w/ sacrifice of CNs VII & VIII pilocytic astrocytoma pilocytic astrocytoma alive, no recurrence alive, no recurrence 12 mos, no recurrence 6 mos, no recurrence glioblastoma 2 mos, dead * DA = dysarthria; DP = dysphagia; FNM = facial numbness; FP = facial palsy; GD = gait disturbance; HA = headache; HD = hearing disturbance; HS = hoarseness; = nown. J Neurosurg / Volume 114 / May
3 B. Wu et al. Pure-tone audiometry showed a sensorineural hearing loss in the left ear. The auditory brainstem evoked response on the left side showed no identifiable waves, even when the stimulus intensity to the left ear was increased to 90 db. Computed tomography scanning of the head revealed a predominantly hyperdense lesion with mixed densities in the left CPA with modest enlargement of the IAC (Fig. 1). Computed tomography scanning of the chest and abdomen revealed normal findings. Magnetic resonance imaging showed a well-defined, extraaxial solid mass ( cm) in the left CPA with extensive peritumoral edema involving the brainstem and cerebellum. The mass compressed the brainstem and cerebellum and extended into the IAC, widening the meatus. The mass was predominantly hypointense on T1- weighted and iso- to hyperintense on T2-weighted MR imaging. After administration of Gd-DTPA, the mass showed a significantly heterogeneous ringlike enhancement in the CPA and a triangular enhancing enlargement in the left IAC, with its attachment to the petrous bone markedly enhanced as a dural-tail sign (Fig. 2). The serum concentration of NSE was measured by radioimmunoassay and was abnormally high (56.35 ng/ ml; reference value < 20 ng/ml). Again, serum ferritin measured by radioimmunoassay reached ng/ml, which is above the reference value (range ng/ml). Operation. At surgery, a gray-white, gelatinous, moderately vascularized mass was encountered in the CPA adherent to the dura of the posterior surface of the petrous bone. On macroscopic examination, there was no obvious infiltration of the tumor into the brainstem and cerebellum parenchyma, which were easily separated from the tumor. However, the tumor clearly invaded the proximal part of the left CN VII and VIII complex next to its point of exit from the brainstem, as well as the distal part in the IAC. Cranial nerves VII and VIII could not be identified in the tumor and were sacrificed during tumor removal. The trigeminal nerve and caudal cranial nerve complex (CNs IX XII) were all entrapped in the tumor. The former was successfully preserved in structure, and the surrounding tumor was removed. However, severe transient bradycardia occurred when trying to dissect the tumor from CNs IX XII. Considering that the tumor might have infiltrated into the caudal CN complex, radical excision was impossible and the tumor was subtotally resected. Intraoperative frozen section biopsy was performed and yielded a diagnosis of malignant glioma; therefore, there was no need to obtain a dural specimen. Histopathological Examination. Histopathological examination of the surgical specimen showed a highly cellular tumor comprising atypical glial tumor cells with frequent mitotic activity and a high nuclear/cytoplasm ratio (Fig. 3A). Marked coagulation necrosis and microvascular proliferation were present throughout the tumor (Fig. 3B). However, there was no appearance of pseudopalisading necrosis. Immunoreactivity showed that the tumor cells were diffusely positive for GFAP and p53 (Fig. 3C and D), but not for S100 protein, cytokeratin, epithelial membrane antigen, CD20, CD3, and CD45. The proliferation rate determined by Ki 67 immunohistochemical analysis was 40% 50%. According to the 2007 WHO classification and grading criteria, 15 the diagnosis of a glioblastoma, WHO Grade IV, was made. Postoperative Course. The postoperative period was uneventful without additional neurological deficits. How ev er, the neurological dysfunction of involved CNs re mained the same, especially that of the caudal CNs, which posed a problem for feeding and in part precipitated the patient s death. Because of the high malignancy associated with poor prognosis, the patient refused further medical intervention and follow-up MR imaging. He was discharged from the hospital 10 days after surgery with a gastric tube for nasal feeding. The administration of eye protection lubricants was continued. Unfortunately, the patient died of cachexia 2 months postoperatively. Discussion Cerebellopontine gliomas are very rare, and most of them appear to be a secondary exophytic extension of a primary brainstem or cerebellar tumor. To our knowledge, Fig. 1. Left: Plain axial CT scan revealing a CPA tumor (tu) with heterogeneous density. Right: Bone window image demonstrating modest enlargement of the left IAC J Neurosurg / Volume 114 / May 2011
4 Primary glioblastoma of the cerebellopontine angle Fig. 2. Magnetic resonance images. A: Noncontrast axial T1-weighted image revealing a predominantly hypointense left CPA tumor. B: Axial T2-weighted image showing a predominant hyperintense lesion with extensive peritumoral edema. C: Axial image obtained after administration of Gd-DTPA, revealing a heterogeneously enhancing CPA tumor in a ringlike way with a dural-tail sign along the posterior surface of the petrous bone as well as a triangular enhancing enlargement in the left IAC (arrow). D: Coronal image obtained after enhancement, demonstrating tumor extension into the IAC (arrow). 8 cases of primary extraaxial CPA gliomas have been reported in the literature (Table 1).1,2,6,9,13,17,20,25 Each tumor was completely separate from the brainstem. On the basis of the currently available data, our case appears to be the first report of a primary extraaxial CPA glioblastoma. In our case, the clinical manifestation was characterized by the unilaterally multiple CN (V XII)-related neurological impairment over a short duration of symptoms (< 2 months), in the absence of brainstem and cerebellar symptoms. The preoperative neuroimaging findings, even if they were atypical, suggested a posterior petrous meningioma with IAC enlargement. However, the rapidly progressive clinical course did not favor such a diagnosis. Subsequently, the detection of malignant markers in serum showed surprisingly increased levels of ferritin and NSE, suggesting a diagnosis of malignancy. At surgery, a clear tissue interface between the brainstem, cerebellum, and tumor capsule was identified, with interruption only at the point at which CN VIII emerged from the brainstem. Histopathologically, the tumor demonstrated high cellularity, mitosis, notable microvascular proliferation, and coagulation necrosis but without a pseudopalisading pattern, which is a characteristic feature of glioblastoma. The immunostaining studies showed that tumor, with Fig. 3. A: Photomicrograph displaying a highly cellular tumor consisting of atypical glial tumor cells with frequent mitotic activity and high nuclear/cytoplasmic ratios. B: Marked coagulation necrosis (nec) in the tumor; however, no typical pseudopalisading necrosis is visible. C: Marked microvascular proliferation (arrows) in the tumor. D: Staining for GFAP reveals diffuse immunoreactivity in the tumor cells. E: Immunohistochemical staining for p53 reveals diffuse immunoreactivity in the tumor cells. H & E (A C); original magnification 400 (A, C, and E), 100 (B), and 200 (D). J Neurosurg / Volume 114 / May
5 B. Wu et al. marked proliferative activity (Ki 67, 40% 50%), was diffusely positive for GFAP and p53, but not for S100, cytokeratin, epithelial membrane antigen, CD20, CD3, and CD45, thus verifying the tumor s glial origin. According to the 2007 WHO classification, for Grade IV tumors, necrosis may be of any type and perinecrotic palisading need not be present. 15 A glioblastoma is a morphologically diverse neoplasm, but vascular hyperproliferation and necrosis are essential diagnostic features that distinguish glioblastoma from lower-grade gliomas. 12 Taken together, the diagnosis of glioblastoma should be valid. The tumor in our case seemed to be a strictly extraaxial CPA glioblastoma originating in the proximal segment of CN VIII and extending along the course of adjacent CNs in an infiltrative and destructive fashion. It is less likely for a brainstem glioblastoma to involve the considerably distal portion of a CN in the IAC without involving the brainstem itself. The diffuse labeling for GFAP contrasted with the absence of immunoreactivity for S100 in the present glioblastoma. Although a glia-associated protein, S100 does not serve as specific an instrument as GFAP for glial tumor qualitative diagnosis. According to the literature we reviewed, all the gliomas were exclusively immunoreactive for GFAP, but inconsistently for S Glioblastoma may develop through 2 distinct pathways of neoplastic progression. Tumors that progress from less malignant astrocytomas, termed secondary glioblastomas, develop in younger patients (mean age 45 years) and typically display both well- and poorly differentiated foci. The mean time to progression from anaplastic glioma to glioblastoma was approximately 2 years, and that from low-grade glioma to glioblastoma was approximately 5 years. In contrast, primary glioblastomas affect older patients (mean age 62 years), have short clinical histories (< 3 months), and develop de novo without clinical or histological evidence of a less malignant precursor lesion. 19 Due to the short symptom duration (2 months), older age, and uniformly poor differentiation in our case, the tumor should be a primary glioblastoma. Reifenberger et al. 22 reported a rare primary glioblastoma of the oculomotor nerve in a 70-year-old woman with a 1-month history of transient diplopia. Our report is the second to describe glioblastoma arising from CNs other than the optic and olfactory nerves. Histologically, the optic and olfactory nerves differ from the other CNs in that they are direct extensions of the CNS and have no peripheral segments. Regarding the origin of primary gliomas in the CPA, several authors have previously documented the possible mechanisms in detail. 1,17,22 In summary, the first hypothesis is that the tumor arose primarily from CNS tissue that lay within the proximal parts of the CN itself. Central nervous system tissue may extend well into the CN, and isolated islands of CNS tissue may even be found within the CN at a considerable distance from its exit point. The second hypothesis is that the tumor originated as primary in the heterotopic neuroglial cell nests in the leptomeninges covering the proximal CN or the adjacent brainstem. Such heterotopias may occur in any part of the CNS but show a certain predilection for the leptomeninges of the medulla oblongata, the lumbosacral spinal cord, and the pons. We assume that the tumor in our case, analogous to the previously reported cases, most likely originated from glial cells either within the proximal nerve itself or in the adjacent leptomeninges. There are no characteristic radiological features available to distinguish a primary extraaxial glioma in the CPA from the much more common extraaxial neuroma and meningioma. Enlargement of the acoustic meatus can be found in patients with such tumors arising from CN VIII, 2,17,25 including our case which assumed duraltail sign as well. The 3D CISS (3D constructive interference in steady state) sequence proved to be superior to other sequences in identifying the site of origin, which is critical to the preoperative diagnosis for such an unusual CPA lesion. 26 In addition, the data from diffusion- and perfusion-weighted MR imaging or MR spectroscopy, when available, are very helpful in diagnosing glioblastoma. 4 Accurate serum tumor markers available for malignant glioma could either facilitate the differential diagnosis or monitor the postoperative course. In our patient, elevated serum levels of ferritin and NSE were found. However, neither marker is specific to the diagnosis of glioma. 5,23 Recently, Jung et al. 11 observed significantly elevated serum GFAP levels in patients with glioblastoma, as well as a significant correlation between tumor volume, tumor necrosis volume, and serum GFAP level. Brommeland et al. 3 reached a similar conclusion and proposed that serum GFAP seems to be a reliable biomarker in patients with high-grade gliomas. In summary, the useful clues for the preoperative diagnosis of primary CPA glioblastoma may be as follows: 1) a rapidly progressive course of disease with the neurological deficits predominantly associated with unilateral multiple CNs (There are few, if any, cerebellar and brainstem long tract signs, and signs of raised intracranial pressure are rarely present.); 2) neuroimaging features such as mixed density or signal intensity (presence of hemorrhage), prominent heterogeneous and ringlike enhancement (suggestive of necrosis), 14 a well-defined margin, and peritumoral edema disproportional to the size of extraaxial lesions extending into the IAC; 3) increased combined detection of multiple malignancy markers such as NSE, S100B, and GFAP, especially the serum GFAP level; and 4) no evidence of metastasis from an intracerebral glioblastoma or extracranial malignancy. However, histological examination is sometimes the only way to arrive at the definitive diagnosis. The current standard treatment for glioblastoma includes maximum resection of the tumor (> 95%), followed by concurrent radiation therapy and chemotherapy with the novel alkylating drug temozolomide. Yet this aggressive therapy has only a modest effect on survival, with most patients surviving about 1 year after diagnosis. 12 Because of the severe transient bradycardia related to the tumor involvement of CNs IX XII, subtotal tumor resection was performed in our case, and it was not followed by radio- or chemotherapy. A high Ki 67 labeling index may be predictive of a poor clinical outcome. The patient died of malnutrition 2 months postoperatively, which, we supposed, played an important role in the deterioration of caudal CN function due to the aggressive tumor progression J Neurosurg / Volume 114 / May 2011
6 Primary glioblastoma of the cerebellopontine angle Conclusions We have presented the first known example of a glioblastoma occupying the CPA and originating from glial cells either within the proximal CN VIII itself or in the adjacent leptomeninges. We believe that even if this is a rare occurrence, glioblastoma and, generally, gliomas should be included in the differential diagnosis of atypical CPA lesions in adults. Improvement of neuroradiological techniques and specific serum tumor markers will be helpful in obtaining a correct preoperative diagnosis for CPA lesions. Disclosure The authors report no conflict of interest concerning the materials or methods used in this study or findings specified in this paper. Author contributions to the study and manuscript preparation include the following. Conception and design: Wu. Drafting the article: Wu. Critically revising the article: all authors. Reviewed final version of the manuscript and approved it for submission: all authors. References 1. Arnautovic KI, Husain MM, Linskey ME: Cranial nerve root entry zone primary cerebellopontine angle gliomas: a rare and poorly recognized subset of extraparenchymal tumors. J Neurooncol 49: , Beutler AS, Hsiang JK, Moorhouse DF, Hansen LA, Alksne JF: Pilocytic astrocytoma presenting as an extra-axial tumor in the cerebellopontine angle: case report. Neurosurgery 37: , Brommeland T, Rosengren L, Fridlund S, Hennig R, Isaksen V: Serum levels of glial fibrillary acidic protein correlate to tumour volume of high-grade gliomas. Acta Neurol Scand 116: , Chang YW, Yoon HK, Shin HJ, Roh HG, Cho JM: MR imaging of glioblastoma in children: usefulness of diffusion/perfusion-weighted MRI and MR spectroscopy. Pediatr Radiol 33: , Cooper EH: Neuron-specific enolase. Int J Biol Markers 9: , Cushing H: Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontine Angle. Philadelphia: WB Saunders, Donaldson SS, Laningham F, Fisher PG: Advances toward an understanding of brainstem gliomas. J Clin Oncol 24: , Epstein FJ, Farmer JP: Brain-stem glioma growth patterns. J Neurosurg 78: , Forton G, Verlooy J, Cras P, Parizel P, Van de Heyning P: [Problems with flute playing: an otological problem? Case report of a peculiar cerebellar astrocytoma.] Acta Otorhinolaryngol Belg 46: , 1992 (Dutch) 10. Henson JW: Treatment of glioblastoma multiforme: a new standard. Arch Neurol 63: , Jung CS, Foerch C, Schänzer A, Heck A, Plate KH, Seifert V, et al: Serum GFAP is a diagnostic marker for glioblastoma multiforme. Brain 130: , Kanu OO, Mehta A, Di C, Lin N, Bortoff K, Bigner DD, et al: Glioblastoma multiforme: a review of therapeutic targets. Expert Opin Ther Targets 13: , Kasantikul V, Palmer JO, Netsky MG, Glasscock ME III, Hays JW: Glioma of the acoustic nerve. Arch Otolaryngol 106: , Kuroiwa T, Numaguchi Y, Rothman MI, Zoarski GH, Morikawa M, Zagardo MT, et al: Posterior fossa glioblastoma multiforme: MR findings. AJNR Am J Neuroradiol 16: , Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, et al: The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114:97 109, Luetjens G, Mirzayan MJ, Brandis A, Krauss JK: Exophytic giant cell glioblastoma of the medulla oblongata. Case report. J Neurosurg 110: , Mirone G, Schiabello L, Chibbaro S, Bouazza S, George B: Pediatric primary pilocytic astrocytoma of the cerebellopontine angle: a case report. Childs Nerv Syst 25: , Mornex F, Nayel H, Taillandier L: Radiation therapy for malignant astrocytomas in adults. Radiother Oncol 27: , Ohgaki H, Kleihues P: Genetic pathways to primary and secondary glioblastoma. Am J Pathol 170: , Panse R: Ein Gliom des Akustikus. Arch Ohr Heilk 61: , Pietsch T, Wiestler OD: Molecular neuropathology of astrocytic brain tumors. J Neurooncol 35: , Reifenberger G, Boström J, Bettag M, Bock WJ, Wechsler W, Kepes JJ: Primary glioblastoma multiforme of the oculomotor nerve. Case report. J Neurosurg 84: , Singh KJ, Singh SK, Suri A, Vijjan V, Goswami AK, Khullar M: Serum ferritin in renal cell carcinoma: effect of tumor size, volume grade, and stage. Indian J Cancer 42: , Suzuki H, Uenohara H, Utsunomiya A, Kurihara N, Suzuki S, Tadokoro M, et al: A case of angioglioma composed of astrocytoma with a papillary growth pattern: immunohistochemical and ultrastructural studies. Brain Tumor Pathol 19: , Takada Y, Ohno K, Tamaki M, Hirakawa K: Cerebellopontine angle pilocytic astrocytoma mimicking acoustic schwannoma. Neuroradiology 41: , Yousry I, Muacevic A, Olteanu-Nerbe V, Naidich TP, Yousry TA: Exophytic pilocytic astrocytoma of the brain stem in an adult with encasement of the caudal cranial nerve complex (IX-XII): presurgical anatomical neuroimaging using MRI. Eur Radiol 14: , 2004 Manuscript submitted June 16, Accepted December 8, Please include this information when citing this paper: published online January 21, 2011; DOI: / JNS Address correspondence to: Bo Wu, M.D., Ph.D., Department of Neurosurgery, Sichuan Provincial People s Hospital, No. 32, West Section 2, First Ring Road, Chengdu , Sichuan Province, China. wuboscph@sina.com. J Neurosurg / Volume 114 / May
Dr. T. Venkat Kishan Asst. Prof Department of Radiodiagnosis
Dr. T. Venkat Kishan Asst. Prof Department of Radiodiagnosis Schwannomas (also called neurinomas or neurilemmomas) constitute the most common primary cranial nerve tumors. They are benign slow-growing
More informationGliomas are the most common intra-axial primary brain tumors,
CLINICAL REPORT HEAD & NECK Direct Cranial Nerve Involvement by Gliomas: Case Series and Review of the Literature M.C. Mabray, C.M. Glastonbury, M.D. Mamlouk, G.E. Punch, D.A. Solomon, and S. Cha ABSTRACT
More informationAnaplastic Pilocytic Astrocytoma: The fusion of good and bad
Anaplastic Pilocytic Astrocytoma: The fusion of good and bad Alexandrina Nikova 1, Charalampos-Chrysovalantis Chytoudis-Peroudis 2, Penelope Korkolopoulou 3 and Dimitrios Kanakis 4 Abstract 5 Pilocytic
More informationCNS TUMORS. D r. Ali Eltayb ( U. of Omdurman. I ). M. Path (U. of Alexandria)
CNS TUMORS D r. Ali Eltayb ( U. of Omdurman. I ). M. Path (U. of Alexandria) CNS TUMORS The annual incidence of intracranial tumors of the CNS ISmore than intraspinal tumors May be Primary or Secondary
More informationGeneral: Brain tumors are lesions that have mass effect distorting the normal tissue and often result in increased intracranial pressure.
1 Lecture Objectives Know the histologic features of the most common tumors of the CNS. Know the differences in behavior of the different tumor types. Be aware of the treatment modalities in the various
More informationAstroblastoma: Radiologic-Pathologic Correlation and Distinction from Ependymoma
AJNR Am J Neuroradiol 23:243 247, February 2002 Case Report Astroblastoma: Radiologic-Pathologic Correlation and Distinction from Ependymoma John D. Port, Daniel J. Brat, Peter C. Burger, and Martin G.
More informationYear 2003 Paper two: Questions supplied by Tricia
question 43 A 42-year-old man presents with a two-year history of increasing right facial numbness. He has a history of intermittent unsteadiness, mild hearing loss and vertigo but has otherwise been well.
More informationTumors of the Nervous System
Tumors of the Nervous System Peter Canoll MD. PhD. What I want to cover What are the most common types of brain tumors? Who gets them? How do they present? What do they look like? How do they behave? 1
More informationTumors of the Central Nervous System
Tumors of the Central Nervous System 1 Financial Disclosures I have NO SIGNIFICANT FINANCIAL, GENERAL, OR OBLIGATION INTERESTS TO REPORT Introduction General: Brain tumors are lesions that have mass effect
More informationRapid recurrence of a malignant meningioma: case report
Romanian Neurosurgery Volume XXXI Number 2 2017 April-June Article Rapid recurrence of a malignant meningioma: case report Oguz Baran, Sima Sayyahmeli, Taner Tanriverdi, Pamir Erdincler TURKEY DOI: 10.1515/romneu-2017-0027
More informationMa l i g n a n t glial tumors are located most frequently. Exophytic giant cell glioblastoma of the medulla oblongata. Case report.
J Neurosurg 110:589 593, 2009 Exophytic giant cell glioblastoma of the medulla oblongata Case report Go e t z Lu e tj e n s, 1 M. Java d Mir z aya n, M.D., 1 Al m u t h Br a n d i s, M.D., 2 a n d Jo a
More informationCase Report Intracranial Capillary Hemangioma in the Posterior Fossa of an Adult Male
Case Reports in Radiology Volume 2016, Article ID 6434623, 4 pages http://dx.doi.org/10.1155/2016/6434623 Case Report Intracranial Capillary Hemangioma in the Posterior Fossa of an Adult Male Jordan Nepute,
More informationSupratentorial Gangliocytoma Mimicking Extra-axial Tumor: A Report of Two Cases
Supratentorial Gangliocytoma Mimicking Extra-axial Tumor: A Report of Two Cases Ho Sung Kim, MD 1 Ho Kyu Lee, MD 1 Ae Kyung Jeong, MD 1 Ji Hoon Shin, MD 1 Choong Gon Choi, MD 1 Shin Kwang Khang, MD 2 We
More informationPeter Canoll MD. PhD.
Tumors of the Nervous System Peter Canoll MD. PhD. What I want to cover What are the most common types of brain tumors? Who gets them? How do they ypresent? What do they look like? How do they behave?
More informationStructural and functional imaging for the characterization of CNS lymphomas
Structural and functional imaging for the characterization of CNS lymphomas Cristina Besada Introduction A few decades ago, Primary Central Nervous System Lymphoma (PCNSL) was considered as an extremely
More informationCNS pathology Third year medical students. Dr Heyam Awad 2018 Lecture 12: CNS tumours 2/3
CNS pathology Third year medical students Dr Heyam Awad 2018 Lecture 12: CNS tumours 2/3 Pilocytic astrocytoma Relatively benign ( WHO grade 1) Occurs in children and young adults Mostly: in the cerebellum
More informationFive Most Common Problems in Surgical Neuropathology
Five Most Common Problems in Surgical Neuropathology If the brain were so simple that we could understand it, we would be so simple that we couldn t Emerson Pugh What is your greatest difficulty in neuropathology?
More informationCase Report Atypical Presentation of Atypical Teratoid Rhabdoid Tumor in a Child
Case Reports in Oncological Medicine Volume 2013, Article ID 815923, 4 pages http://dx.doi.org/10.1155/2013/815923 Case Report Atypical Presentation of Atypical Teratoid Rhabdoid Tumor in a Child Y. T.
More informationExternal carotid blood supply to acoustic neurinomas
External carotid blood supply to acoustic neurinomas Report of two cases HARVEY L. LEVINE, M.D., ERNEST J. FERmS, M.D., AND EDWARD L. SPATZ, M.D. Departments of Radiology, Neurology, and Neurosurgery,
More informationPosterior fossa tumors: clues to differential diagnosis with case-based review
Posterior fossa tumors: clues to differential diagnosis with case-based review Poster No.: C-0323 Congress: ECR 2017 Type: Educational Exhibit Authors: H. A. Aboughalia, M. Abdelhady; Doha/QA Keywords:
More informationGiant cystic intradural extramedullary pilocytic astrocytoma of Cauda equina
1 di 7 13/03/2014 09.02 J Neurosci Rural Pract. 2013 Oct-Dec; 4(4): 453 456. doi: 10.4103/0976-3147.120217 PMCID: PMC3858770 Giant cystic intradural extramedullary pilocytic astrocytoma of Cauda equina
More informationCase 7391 Intraventricular Lesion
Case 7391 Intraventricular Lesion Bastos Lima P1, Marques C1, Cabrita F2, Barbosa M2, Rebelo O3, Rio F1. 1Neuroradiology, 2Neurosurgery, 3Neuropathology, Coimbra University Hospitals, Portugal. University
More informationDIRECT SURGERY FOR INTRA-AXIAL
Kitakanto Med. J. (S1) : 23 `28, 1998 23 DIRECT SURGERY FOR INTRA-AXIAL BRAINSTEM LESIONS Kazuhiko Kyoshima, Susumu Oikawa, Shigeaki Kobayashi Department of Neurosurgery, Shinshu University School of Medicine,
More informationFrom a suspicious cystic pineal gland to pineoblastoma in a patient with familial unilateral retinoblastoma
From a suspicious cystic pineal gland to pineoblastoma in a patient with familial unilateral retinoblastoma Marcus C de Jong, Annette C Moll, Sophia Göricke, Paul van der Valk, Wijnanda A Kors, Jonas A
More informationMR Imaging of Pial Melanosis Secondary to a Posterior Fossa Melanotic Ependymoma
AJNR Am J Neuroradiol 26:804 808, April 2005 Case Report MR Imaging of Pial Melanosis Secondary to a Posterior Fossa Melanotic Ependymoma Sait Albayram, Efsun Urger, Buge Oz, Ali Kafadar, Civan Islak,
More informationCase Report A Case of Primary Submandibular Gland Oncocytic Carcinoma
Case Reports in Otolaryngology Volume 2013, Article ID 384238, 4 pages http://dx.doi.org/10.1155/2013/384238 Case Report A Case of Primary Submandibular Gland Oncocytic Carcinoma Kunihiko Tokashiki, Kiyoaki
More informationSelected radiosurgery cases from the Rotating Gamma Institute Debrecen, Hungary
Selected radiosurgery cases from the Rotating Gamma Institute Debrecen, Hungary László Bognár M.D., Ph.D., József G. Dobai M.D., Gábor Csiky and Imre Fedorcsák M.D., Ph.D. Department of Neurosurgery, Medical
More informationThe Natural History of Cerebellar Hemangioblastomas in von Hippel-Lindau Disease
AJNR Am J Neuroradiol 24:1570 1574, September 2003 The Natural History of Cerebellar Hemangioblastomas in von Hippel-Lindau Disease Andrew Slater, Niall R. Moore, and Susan M. Huson BACKGROUND AND PURPOSE:
More informationChapter 1 Introduction
Chapter 1 Introduction Men think epilepsy divine, merely because they do not understand it. But if they called everything divine which they do not understand, why, there would be no end to divine things.
More informationNEURORADIOLOGY-NEUROPATHOLOGY CONFERENCE
THE UNIVERSITY OF NORTH CAROLINA at CHAPEL HILL SEPTEMBER 2013 NEURORADIOLOGY-NEUROPATHOLOGY CONFERENCE Claudia da Costa Leite, MD, PhD Thomas Bouldin, MD CASE 1 6 y-o female with headaches and vomiting
More informationPathologic Analysis of CNS Surgical Specimens
2015 Kenneth M. Earle Memorial Neuropathology Review Pathologic Analysis of CNS Surgical Specimens Peter C. Burger, MD Interdisciplinary Quality Control Familiarity with entities Use of diagnostic algorithm
More informationPrimary Central Nervous System Lymphoma with Lateral Ventricle Involvement
The Open Medical Imaging Journal, 2012, 6, 103-107 103 Open Access Primary Central Nervous System Lymphoma with Lateral Ventricle Involvement Yumi Oie 1,*, Kazuhiro Murayama 1, Shinya Nagahisa 2, Masato
More informationUnderstanding general brain tumor pathology, Part I: The basics. Craig Horbinski, M.D., Ph.D. Department of Pathology University of Kentucky
Understanding general brain tumor pathology, Part I: The basics Craig Horbinski, M.D., Ph.D. Department of Pathology University of Kentucky plan of attack what IS a pathologist, anyway? what s so special
More informationPosterior Fossa Glioblastoma Multiforme: MR Findings
Posterior Fossa Glioblastoma Multiforme: MR Findings Toshiro Kuroiwa, Yuji Numaguchi, Michael I. Rothman, Gregg H. Zoarski, Minoru Morikawa, Michael T. Zagardo, and Donald A. Kristt PURPOSE: To characterize
More informationCranial Nerves. Steven McLoon Department of Neuroscience University of Minnesota
Cranial Nerves Steven McLoon Department of Neuroscience University of Minnesota 1 Course News Change in Lab Sequence Week of Oct 2 Lab 5 Week of Oct 9 Lab 4 2 Sensory and Motor Systems Sensory Systems:
More informationAn enterogenous cyst with atypical pathological findings and chemical meningitis
DOI 10.1186/s40064-016-3677-0 CASE STUDY Open Access An enterogenous cyst with atypical pathological findings and chemical meningitis Lu Wang 1, Xiaona Chang 2, Chao Fu 1, Weidong Yu 1 and Xiaoxuan Fang
More informationSPECIAL SLIDE SEMINAR CASE 3
SPECIAL SLIDE SEMINAR CASE 3 Tihana Džombeta, MD Leo Pažanin, MD, PhD Department of Pathology, School of Medicine, University of Zagreb Department of Pathology, Clinical Hospital Centre Sestre milosrdnice
More informationGeneral Identification. Name: 江 X X Age: 29 y/o Gender: Male Height:172cm, Weight: 65kg Date of admission:95/09/27
General Identification Name: 江 X X Age: 29 y/o Gender: Male Height:172cm, Weight: 65kg Date of admission:95/09/27 Chief Complaint Sudden onset of seizure for several minutes Present illness This 29-year
More informationAdult intramedullary astrocytomas of the spinal cord
J Neurosurg 77:355-359, 1992 Adult intramedullary astrocytomas of the spinal cord FRED J. EPSTEIN, M.D., JEAN-PIERRE FARMER, M.D., F.R.C.S., AND DIANA FREED Division of Pediatric Neurosurgery, Department
More informationRadiologic Evaluation of Petrous Apex Masses. Pavan Kavali, MS-IV Morehouse School of Medicine November 16, 2009
Radiologic Evaluation of Petrous Apex Masses Pavan Kavali, MS-IV Morehouse School of Medicine November 16, 2009 Roadmap Petrous Apex Anatomy Patient D.S.: Clinical Presentation Differential diagnosis of
More informationHistopathological Study and Categorisation of Brain Tumors
Histopathological Study and Categorisation of Brain Tumors Ruchira Wadhwa 1*, Purvi Patel 2, Hansa Goswami 3 1 Third Year Resident, 2 Assistant Professor, 3 Professor and Head, Department of Pathology,
More informationFourth Ventricular Lesions in Metastatic Gliomas: A Rare Predilection?
CASE REPORT Brain Tumor Res Treat 2017;5(1):24-29 / pissn 2288-2405 / eissn 2288-2413 https://doi.org/10.14791/btrt.2017.5.1.24 Fourth Ventricular Lesions in Metastatic Gliomas: A Rare Predilection? Mohammed
More informationStroke School for Internists Part 1
Stroke School for Internists Part 1 November 4, 2017 Dr. Albert Jin Dr. Gurpreet Jaswal Disclosures I receive a stipend for my role as Medical Director of the Stroke Network of SEO I have no commercial
More informationSupra- and infratentorial brain tumors from childhood to maternity
Supra- and infratentorial brain tumors from childhood to maternity What to expect? I am going to show you the characteristic imaging findings of following tumors: Thierry A.G.M. Huisman, MD, FICIS, EQNR
More informationPleomorphic xanthoastrocytomas (PXAs) are rare neoplasms. Pleomorphic Xanthoastrocytoma of Childhood: MR Imaging and Diffusion MR Imaging Features
Published July 3, 2014 as 10.3174/ajnr.A4011 ORIGINAL RESEARCH PEDIATRICS Pleomorphic Xanthoastrocytoma of Childhood: MR Imaging and Diffusion MR Imaging Features W. Moore, D. Mathis, L. Gargan, D.C. Bowers,
More informationPleomorphic Xanthoastrocytoma
Pleomorphic Xanthoastrocytoma Christine E. Fuller Keywords Pleomorphic xanthoastrocytoma; Pleomorphic xanthoastrocytoma with anaplastic features 2.1 OVERVIEW Pleomorphic xanthoastrocytoma (PXA) is an uncommon
More informationNeurocytoma a Rare Intraventricular Tumor
Neurocytoma a Rare Intraventricular Tumor J. A. Mallick,S. A. Ali ( Department of Oncology, Liaquat National Postgraduate Medical Centre, Karachi. ) Introduction Central neurocytoma was first recognized
More informationA&P 1 Brain & Cranial Nerves Guide #1 - Pre-Lab Exercises
A&P 1 Brain & Cranial Nerves Guide #1 - Pre-Lab Exercises In this "Pre-lab Guide", we will be looking at the brain & cranial nerves. This should be done before lab, so we don't waste time in lab! This
More informationHemorrhagic vestibular schwannoma: an unusual clinical entity Case report
Neurosurg Focus 5 (3):Article 9, 1998 Hemorrhagic vestibular schwannoma: an unusual clinical entity Case report Dean Chou, M.D., Prakash Sampath, M.D., and Henry Brem, M.D. Departments of Neurological
More informationInfratentorial and Intraparenchymal Subependymoma in the Cerebellum: Case Report
Case Report Neuroimaging and Head and Neck http://dx.doi.org/10.3348/kjr.2014.15.1.151 pissn 1229-6929 eissn 2005-8330 Korean J Radiol 2014;15(1):151-155 Infratentorial and Intraparenchymal Subependymoma
More informationNON MALIGNANT BRAIN TUMOURS Facilitator. Ros Taylor Advanced Neurosurgical Nurse Practitioner Southmead Hospital Bristol
NON MALIGNANT BRAIN TUMOURS Facilitator Ros Taylor Advanced Neurosurgical Nurse Practitioner Southmead Hospital Bristol Neurosurgery What will be covered? Meningioma Vestibular schwannoma (acoustic neuroma)
More informationThe Radiologic Evaluation of Glioblastoma (GBM) and Differentiation from Pseudoprogression
The Radiologic Evaluation of Glioblastoma (GBM) and Differentiation from Pseudoprogression Alexis Roy, Harvard Medical School, Year III Our Patient AB: Clinical Presentation 53 year old female with a past
More informationMRI Findings Of An Atypical Cystic Meningioma A Rare Case
ISPUB.COM The Internet Journal of Radiology Volume 14 Number 1 MRI Findings Of An Atypical Cystic Meningioma A Rare Case D Saxena, P Rout, K Pavan, B Philip Citation D Saxena, P Rout, K Pavan, B Philip.
More informationOriginal Research Article
Original Research Article Study Determining Correlation between Histopathological Diagnosis and MRI Findings of Posterior Fossa Tumors Srinivasarao S. Gummadidala 1, B. Jyothi 2 1 Assistant Professor,
More informationAmerican Journal of. Medical Case Reports. CAM5.2 Expression in Metastatic Tumours of CNS: A Diagnostic Tool
American Journal of American Journals of Medical Case Reports http://ivyunion.org/index.php/ajmcr/index Medical Case Reports Mathur SK et al. American Journal of Medical Case Reports 2014, 2:1-8 Vol 2,
More informationPediatric CNS Tumors. Disclosures. Acknowledgements. Introduction. Introduction. Posterior Fossa Tumors. Whitney Finke, MD
Pediatric CNS Tumors Disclosures Whitney Finke, MD Neuroradiology Fellow PGY-6 University of Utah Health Sciences Center Salt Lake City, Utah None Acknowledgements Introduction Nicholas A. Koontz, MD Luke
More informationMasses of the Corpus Callosum
Masses of the Corpus Callosum Kesav Raghavan, HMS Year III Dr. Agenda Corpus Callosum Development and Anatomy Our Patient: Clinical Presentation Differential Diagnosis of Masses in the Corpus Callosum
More informationImaging Findings of CNS Atypical Teratoid/Rhabdoid Tumors
AJNR Am J Neuroradiol 25:476 480, March 2004 Case Report Imaging Findings of CNS Atypical Teratoid/Rhabdoid Tumors Atilla Arslanoglu, Nafi Aygun, Deapak Tekhtani, Leslie Aronson, Ken Cohen, Peter C. Burger,
More informationAMERICAN ASSOCIATION OF NEUROPATHOLOGISTS COMPANION SOCIETY MEETING at the 106 th ANNUAL MEETING OF THE USCAP San Antonio, March 4, 2017
AMERICAN ASSOCIATION OF NEUROPATHOLOGISTS COMPANION SOCIETY MEETING at the 106 th ANNUAL MEETING OF THE USCAP San Antonio, March 4, 2017 SYLLABUS Papillary Tumor of the Pineal Region and the Differential
More informationASJ. Myxopapillary Ependymoma of the Cauda Equina in a 5-Year-Old Boy. Asian Spine Journal. Introduction
Asian Spine Journal 846 Masashi Case Uehara Report et al. Asian Spine J 2014;8(6):846-851 http://dx.doi.org/10.4184/asj.2014.8.6.846 Asian Spine J 2014;8(6):846-851 Myxopapillary Ependymoma of the Cauda
More informationLiponeurocytoma of Cerebellum: rare entity, case based study
182 Satyarthee et al Liponeurocytoma Liponeurocytoma of Cerebellum: rare entity, case based study Guru Dutta Satyarthee 1, A.K. Mahapatra 2 Department of Neurosurgery 1 All India Institute of Medical sciences,
More informationPrimary intracranial malignant melanoma: A case with review of literature
ISSN (print form): 25931431 Primary intracranial malignant melanoma: A case with review of literature K.SAHRAOUI 1, M.A KAIM 2, K.BOUYOUCEF 3 ABSTRACT Introduction: Primary intracranial melanoma is an
More informationEssentials of Clinical MR, 2 nd edition. 51. Primary Neoplasms
51. Primary Neoplasms As with spinal central canal neoplasms in other regions, those of the lumbar spine may be classified as extradural, intradural extramedullary, and medullary. If an extradural lesion
More informationThe Classification of Posterior Petrous Meningiomas and Its Clinical Significance
The Journal of International Medical Research 2009; 37: 949 957 [first published online as 37(3) 13] The Classification of Posterior Petrous Meningiomas and Its Clinical Significance FJ QU 1 *, XD ZHOU
More informationCHINESE MEDICAL ASSOCIATION
Zhu et al. Chinese Neurosurgical Journal (2017) 3:22 DOI 10.1186/s41016-017-0087-2 CHINESE NEUROSURGICAL SOCIETY CASE REPORT CHINESE MEDICAL ASSOCIATION Anaplastic pleomorphic xanthoastrocytoma with disseminated
More informationMALIGNANT GLIOMAS: TREATMENT AND CHALLENGES
MALIGNANT GLIOMAS: TREATMENT AND CHALLENGES DISCLOSURE No conflicts of interest to disclose Patricia Bruns APRN, CNS Givens Brain Tumor Center Abbott Northwestern Hospital October 12, 2018 OBJECTIVES THEN
More informationChordoid glioma: CT and MR features
Chin J Radiol 2005; 30: 225-229 225 Chordoid glioma: CT and MR features YI-CHIH HSU HUNG-WEN KAO CHUNG-PING LO CHUN-JUNG JUAN SHY-CHYI CHIN CHENG-YU CHEN Department of Radiology, Tri-Service General Hospital
More informationOligodendroglioma: imaging findings, radio-pathological correlation and evolution
Oligodendroglioma: imaging findings, radio-pathological correlation and evolution Poster No.: C-2104 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit A. Hernandez Castro, M. D. Monedero
More informationPediatric Brain Tumors: Updates in Treatment and Care
Pediatric Brain Tumors: Updates in Treatment and Care Writer Classroom Rishi R. Lulla, MD MS Objectives Introduce the common pediatric brain tumors Discuss current treatment strategies for pediatric brain
More informationSURGICAL MANAGEMENT OF BRAIN TUMORS
SURGICAL MANAGEMENT OF BRAIN TUMORS LIGIA TATARANU, MD, Ph D NEUROSURGICAL CLINIC, BAGDASAR ARSENI CLINICAL HOSPITAL BUCHAREST, ROMANIA SURGICAL INDICATIONS CONFIRMING HISTOLOGIC DIAGNOSIS REDUCING TUMOR
More informationCase Report Spinal pleomorphic xanthoastrocytoma companied with periventricular tumor
Int J Clin Exp Pathol 2015;8(1):1036-1040 www.ijcep.com /ISSN:1936-2625/IJCEP0003595 Case Report Spinal pleomorphic xanthoastrocytoma companied with periventricular tumor Xintong Zhao 1, Xiaochun Jiang
More informationCranial Nerve VII & VIII
Cranial Nerve VII & VIII Lecture Objectives Follow up the course of facial nerve from its point of central connections, exit and down to its target areas. Follow up the central connections of the facial
More informationKidney Case 1 SURGICAL PATHOLOGY REPORT
Kidney Case 1 Surgical Pathology Report February 9, 2007 Clinical History: This 45 year old woman was found to have a left renal mass. CT urography with reconstruction revealed a 2 cm medial mass which
More informationThe NIHSS score is 4 (considering 2 pts for the ataxia involving upper and lower limbs.
Neuroscience case 5 1. Speech comprehension, ability to speak, and word use were normal in Mr. Washburn, indicating that aphasia (cortical language problem) was not involved. However, he did have a problem
More informationACTIVITY 7: NERVOUS SYSTEM HISTOLOGY, BRAIN, CRANIAL NERVES
ACTIVITY 7: NERVOUS SYSTEM HISTOLOGY, BRAIN, CRANIAL NERVES LABORATORY OBJECTIVES: 1. Histology: Identify structures indicated on three different slides or images of nervous system tissue. These images
More informationb. The groove between the two crests is called 2. The neural folds move toward each other & the fuse to create a
Chapter 13: Brain and Cranial Nerves I. Development of the CNS A. The CNS begins as a flat plate called the B. The process proceeds as: 1. The lateral sides of the become elevated as waves called a. The
More informationBrain and Spine Tumors
Brain and Spine Tumors Andrew J. Fabiano, MD FAANS Associate Professor of Neurosurgery Roswell Park Cancer Institute SUNY at Buffalo School of Medicine Brain Tumors Brain Tumor Basics Types of Tumors Cases
More informationPrinciples of Anatomy and Physiology
Principles of Anatomy and Physiology 14 th Edition CHAPTER 14 The Brain and Cranial Nerves Introduction The purpose of the chapter is to: 1. Understand how the brain is organized, protected, and supplied
More informationSpatial Relationship between Vestibular Schwannoma and Facial Nerve on Three-dimensional T2-weighted Fast Spin-echo MR Images
AJNR Am J Neuroradiol 21:810 816, May 2000 Spatial Relationship between Vestibular Schwannoma and Facial Nerve on Three-dimensional T2-weighted Fast Spin-echo MR Images Sabine Sartoretti-Schefer, Spyros
More informationBrain Tumors. Andrew J. Fabiano, MD FAANS. Associate Professor of Neurosurgery Roswell Park Cancer Institute SUNY at Buffalo School of Medicine
Brain Tumors Andrew J. Fabiano, MD FAANS Associate Professor of Neurosurgery Roswell Park Cancer Institute SUNY at Buffalo School of Medicine Brain Tumors Brain Tumor Basics Types of Tumors Cases Brain
More informationCross sectional imaging of Intracranial cystic lesions Abdel Razek A
Cross sectional imaging of Intracranial cystic lesions Abdel Razek A Department of Radiology. Mansoura Faculty of Medicine, Mansoura. Egypt. arazek@mans.edu.eg Introduction Intracranial cystic lesions
More informationApplication of three-dimensional angiography in elderly patients with meningioma
Application of three-dimensional angiography in elderly patients with meningioma Poster No.: C-0123 Congress: ECR 2012 Type: Scientific Paper Authors: X. Han, J. Chen, K. Shi; Haikou/CN Keywords: Neuroradiology
More informationCT & MRI Evaluation of Brain Tumour & Tumour like Conditions
CT & MRI Evaluation of Brain Tumour & Tumour like Conditions Dr. Anjana Trivedi 1, Dr. Jay Thakkar 2, Dr. Maulik Jethva 3, Dr. Ishita Virda 4 1 M.D. Radiology, Professor and Head, P.D.U. Medical College
More informationGroup D: Central nervous system yellow
Group D: Central nervous system yellow Central nervous system 1. General structure of nervous system (neuron, glia, synapsis, mediators, receptors) Main points: types of neurons and glial cells, synapses,
More informationPRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES
PRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES CENTRAL NERVOUS SYSTEM LOW GRADE GLIOMAS CNS Site Group Low Grade Gliomas Author: Dr. Norm Laperriere 1. INTRODUCTION 3 2. PREVENTION 3 3. SCREENING
More informationCase Report Intracranial extra-axial ependymoma involving the petroclival region: a rare case report
Int J Clin Exp Pathol 2014;7(12):9067-9071 www.ijcep.com /ISSN:1936-2625/IJCEP0002943 Case Report Intracranial extra-axial ependymoma involving the petroclival region: a rare case report Xiang Yang 1,
More informationBAH1 - Primary Glioblastoma
BAH1 - Primary Glioblastoma R frontal tumour for frozen section. No known primary. Contrast enhancing lesion. Cholecystectomy. FROZEN SECTION REPORT Right frontal tumour: The specimen consists of multiple
More informationInternal Auditory Canal Involvement of Acoustic Neuromas: Surgical Correlates to Magnetic Resonance Imaging Findings
Otology & Neurotology 22:92 96 200, Otology & Neurotology, Inc. Internal Auditory Canal Involvement of Acoustic Neuromas: Surgical Correlates to Magnetic Resonance Imaging Findings * Samuel H. Selesnick,
More informationBrain tumors: tumor types
Brain tumors: tumor types Tumor types There are more than 120 types of brain tumors. Today, most medical institutions use the World Health Organization (WHO) classification system to identify brain tumors.
More informationTHE EFFECTIVE OF BRAIN CANCER AND XAY BETWEEN THEORY AND IMPLEMENTATION. Mustafa Rashid Issa
THE EFFECTIVE OF BRAIN CANCER AND XAY BETWEEN THEORY AND IMPLEMENTATION Mustafa Rashid Issa ABSTRACT: Illustrate malignant tumors that form either in the brain or in the nerves originating in the brain.
More informationClinics in diagnostic imaging (175)
Singapore Med J 2017; 58(3): 121-125 doi: 10.11622/smedj.2017017 CMEArticle Clinics in diagnostic imaging (175) Vijay Krishnan 1, MD, FRCR, Tze Chwan Lim 1, MBBS, FRCR, Francis Cho Hao Ho 2, MBBS, FRANZCR,
More informationThe Brain and Cranial Nerves Pg. 129
The Brain and Cranial Nerves Pg. 129 Three Main Regions of the Brain Forebrain Cerbral hemispheres Diencephalon Midbrain Brain stem Hindbrain Pons Cerebellum Medulla oblongata Forebrain Interprets sensory
More informationNeurosurgery Review. Mudit Sharma, MD May 16 th, 2008
Neurosurgery Review Mudit Sharma, MD May 16 th, 2008 Dr. Mudit Sharma, Neurosurgeon Manassas, Fredericksburg, Virginia http://www.virginiaspinespecialists.com Phone: 1-855-SPINE FIX (774-6334) Fundamentals
More informationImaging of Hearing Loss
Contemporary Imaging of Sensorineural Hearing Loss Imaging of Hearing Loss Discussion Outline (SNHL) Imaging Approaches Anatomic Relationships Lesions: SNHL KL Salzman, MD University of Utah School of
More informationCS Tumor Size CS Extension CS Tumor Size/Ext Eval CS Lymph Nodes CS Lymph Nodes Eval Reg LN Pos Reg LN Exam CS Mets at DX CS Mets Eval
C70.0, C71.0-C71.9 C70.0 Cerebral meninges C71.0 Cerebrum C71.1 Frontal lobe C71.2 Temporal lobe C71.3 Parietal lobe C71.4 Occipital lobe C71.5 Ventricle, NOS C71.6 Cerebellum, NOS C71.7 Brain stem C71.8
More informationORIGINAL ARTICLE. Temporal Lobe Injury in Temporal Bone Fractures. imaging (MRI) to evaluate lesions of the temporal
ORIGINAL ARTICLE Temporal Lobe Injury in Temporal Bone Fractures Richard M. Jones, MD; Michael I. Rothman, MD; William C. Gray, MD; Gregg H. Zoarski, MD; Douglas E. Mattox, MD Objective: To determine the
More informationBrainstem diffuse gliomas: radiologic findings.
Brainstem diffuse gliomas: radiologic findings. Poster No.: C-2220 Congress: ECR 2013 Type: Educational Exhibit Authors: E. GARCIA MARTINEZ 1, D. H. Jiménez 1, L. Navarro Vilar 2, C. P. Fernandez Ruiz
More informationPrimary Jugular Foramen Meningioma: Imaging Appearance and Differentiating Features
ndré J. Macdonald 1 Karen L. Salzman 1 H. Ric Harnsberger 1 Erik Gilbert 2 lough Shelton 2 Received May 16, 2003; accepted after revision ugust 12, 2003. 1 Department of Diagnostic Radiology, University
More informationCystic Meningioma in the Inter-Hemisferic Space Location
Case Cystic Meningioma in the Inter-Hemisferic Space Location Muhammad Zafrullah Arifin, Firman Priguna Tjahjono, Agung Budi Sutiono, Ahmad Faried Department of Neurosurgery, Faculty of Medicine, Universitas
More informationGiant schwannoma with extensive scalloping of the lumbar vertebral body treated with one-stage posterior surgery: a case report
Iizuka et al. Journal of Medical Case Reports 2014, 8:421 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Giant schwannoma with extensive scalloping of the lumbar vertebral body treated with one-stage
More information