Diffuse pontine glioma

Case contributed by Dr Ammar Haouimi

Presentation

Ataxia with cranial nerve palsies.

Patient Data

Age: 5 years
Gender: Female
MRI

The pons is diffusely enlarged with flattening of the floor of the 4th ventricle, encasing the basilar artery, and obliterating the prepontine cistern. It shows a low signal intensity on T1WI, heterogeneously increased signal on T2WI/FLAIR with a dorsal area of a low signal on FLAIR sequence. On postcontrast sequences, there is a focal area with irregular heterogeneous enhancement within the dorsal portion of the tumor. Mild dilatation of the 3rd and lateral ventricle (mild obstructive hydrocephalus).

Case Discussion

MRI features suggestive of a diffuse pontine glioma

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Case information

rID: 67028
Published: 18th Mar 2019
Last edited: 21st Mar 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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