Brainstem glioma

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Known previously treated brainstem glioma

Patient Data

Age: Child
ct

Selected pre and post-contrast CT demonstrating a mass involving the pons and cerebellum with areas of contrast enhancement. 

mri

Selected images from an MRI of a child with a known treated brainstem glioma demonstrating extensive heterogeneous enhancement and mass effect of a centrally necrotic mass consistent with progression to a higher grade. Note the marked fatty replacement of marrow of the base of skull and C1 and C2 consistent with prior radiotherapy. 

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