Lateral medullary syndrome and possible DNET

Case contributed by Dr Praveen Jha

Presentation

Patient presented with facial numbness.

Patient Data

Age: 30 years
Gender: Male

A right frontal lobe lesion with 'bubbly appearance (multiple cystic areas)' is seen with altered signal areas in its periphery. An area of restricted diffusion is seen in lateral medulla on left side.

Case Discussion

That patient was being planned for surgery of possible right frontal low grade glioma, based on CT appearance (done in other hospital). However, it didn't explain his neurological symptoms. MRI showed quite correlative lateral medullary syndrome as likely etiology of his symptoms. Plan of surgery was dropped, as it was provisionally a low grade glioma (possibly DNET - dysembryoplastic neuroepithelial tumour).

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Case information

rID: 17410
Case created: 11th Apr 2012
Last edited: 17th Jan 2016
Inclusion in quiz mode: Included

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