Ependymoma - posterior fossa

Case contributed by Dr Vinay Shah


Blurring vision in both eyes and giddiness.

Patient Data

Age: 16 years
Gender: Female

Well defined heterogeneously hyperintense signal lesion on the T2W and fat suppressed images in the mid line fourth ventricular region, with internal cystic components.   Internal calcifications are also seen within the lesion, as evident by 'blooming' on GRE images.

After administration of contrast, the lesion shows heterogeneous enhancement with non-enhancing cystic components.

 Mass effect with mild obstructive supra tentorial hydrocephalus noted.  

Case Discussion

Biopsy of the lesion revealed an ependymoma

Differential diagnosis:

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Case information

rID: 19749
Published: 9th Oct 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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