Lhermitte-Duclos disease

Case contributed by Dr Ahmed Abdrabou

Presentation

Headache, ataxia and blurred vision

Patient Data

Age: 20 years old
Gender: Female
MRI

Striated appearance of the cerebellum with hyperintense signal in T2 and FLAIR and associated mild hydrocephalic changes and mild tonsillar herniation. DWI reveals increased signal which is the same in ADC map (not present here) denoting T2 shine through effect.

Case Discussion

Diagnosis: Dysplastic cerebellar gangliocytoma (Lhermitte-Duclos disease) by MRI features.

Differential diagnosis of this case includes:

The patient was referred for upper and lower GI endoscopy searching for polyps as this condition is associated with Cowden syndrome.

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Case information

rID: 22781
Published: 23rd Apr 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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