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Pleomorphic xanthoastrocytoma

Case contributed by Vikash Kumar Gupta
Diagnosis almost certain

Presentation

Presented with focal seizures. Had earlier episode of seizures in childhood.

Patient Data

Age: 14 years
Gender: Male
mri

Relatively well-marginated mass lesion in right temporo-parietal lobe showing heterogeneously hyperintense signal on T2W images with hypo to intermediate signal on T1W images. 

Case Discussion

This case did not show typical MR features of PXAs, and therefore we gave the differential of ganglioglioma and DNET as well. Histopathological examination together with immunohistochemistry confirmed pleomorphic xanthoastrocytoma.

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