Hypothalamic-optochiasmatic glioma

Case contributed by Dr Vinay Shah

Presentation

Blurring of vision in both eyes.

Patient Data

Age: 25 yrs
Gender: Male
Modality: MRI

Diffuse thickening with lobulated mass lesion seen involving the optic chiasma, bilateral retro orbital optic nerves and optic tracks, which shows hypointense  on T1W images and hyperintense signal  on the T2W, FLAIR images. The lesion also involves the infundibular stalk and tuber cinereum. No evidence of any enhancement seen in the post contrast images. Preservation of the optic chiasma contour . 

The pituitary gland appears separate from the lesion and mild compressed inferiorly by the lesion.

Mild dilatation of the both the lateral ventricles.

Case Discussion

These findings represent a neoplastic pathology most likely a hypothalamic-optochiasmatic glioma
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Case Information

rID: 19885
Case created: 20th Oct 2012
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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