Brainstem glioma

Case contributed by Dr Sepehr Haghighi

Presentation

Referred with a headache and intractable vomiting and ataxia.

Patient Data

Age: 5 years
Gender: Female
MRI

Evidence of pons swelling and enlargement replaced by large ill-defined mass with some foci of hemorrhage is noted which is extended caudally. This mass has minimal enhancement after gadolinium injection. Compression effect on 4th ventricle caused obstructive hydrocephalus. Encasement of the basilar artery is noted in some parts without narrowing or occlusion.

Case Discussion

The pons is the most common location for brainstem glioma. Brainstem gliomas account for about 25% of all posterior fossa tumors and are most common in children between 7 and 9 years of age 1. No gender or racial predilection is seen. Prognosis of diffuse brain stem glioma is terrible with 90-100% die within 2 years after diagnosis 2.

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Case information

rID: 65146
Published: 29th Dec 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Excluded from licensing
Institution: Children's medical center

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