Brainstem glioma - focal midbrain

Case contributed by Frank Gaillard
Diagnosis probable

Presentation

Diplopia.

Patient Data

Age: Older child.
Sagittal
T1
Sagittal
T1 C+
Axial
T1 C+
Axial
T1
Axial
Gradient Echo
Axial
FLAIR
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Info

The midbrain is expanded by a heterogeneous mass with areas of enhancement. Features are those of a midbrain glioma.

MRI brain - 3 years later

mri
Sagittal
T1 C+
Sagittal
T1
Axial
T2
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Info

Three years later the mass has only marginally enlarged. 

Case Discussion

Focal midbrain brainstem glioma demonstrating much more indolent course than the more common diffuse pontine gliomas.

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