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Case #15

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Demographics: 6 years old, Male
Indication: Gait instability

Case #15

Findings

  • T1 hypointense, T2/FLAIR hyperintense lesion in the right eccentric tectum measuring 1.5 x 1 x 1.5 cm
  • No corresponding enhancement or restricted diffusion
  • Associated mass effect on the cerebral aqueduct with resultant obstructive hydrocephalus and mild subependymal edema

Diagnosis

Tectal glioma

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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References

  • Griessenauer CJ, Rizk E, Miller JH, Hendrix P, Tubbs RS, Dias MS, Riemenschneider K, Chern JJ. Pediatric tectal plate gliomas: clinical and radiological progression, MR imaging characteristics, and management of hydrocephalus. J Neurosurg Pediatrics 2014; 13:13-20.

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