Tectal plate low grade glioma with hydrocepalus

Case contributed by Sandeep Bhuta
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: Young adult

FLAIR images demonstrate high signal abnormality in peri-aqueductal gray matter. Hydrocephalus seen on T2 sagittal images. No enhancement with contrast.

Case Discussion

Typical appearances of a tectal plate glioma. They are usually not biopsied but rather followed up serially. Often hydrocephalus is the more pressing complication, and a shunt or third ventriculostomy can be performed. 

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