Pineoblastoma

Case contributed by Dr Michael Sargent

Presentation

Headaches.

Patient Data

Age: Child
CT

CT brain

Single image through the brain demonstrates a soft tissue mass in the region of the pineal gland with eccentric calcification (anterior) and evidence of hydrocephalus. 

MRI

MRI brain

An enhancing mass in the region of the pineal gland is present which demonstrates restricted diffusion on DWI. A tongue of tissue is seen extending inferiorly through the aqueduct, obstructing it and resulting in hydrocephalus with transependymal oedema. 

Case Discussion

The patient went on to have surgery which confirmed the diagnosis of a pineoblastoma, as wells as confirming extension of the mass down aqueduct.

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Case information

rID: 6735
Case created: 13th Aug 2009
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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