Case contributed by A.Prof Frank Gaillard


Non-specific headaches for investigation.

Patient Data

Age: Elderly adult

MRI of the brain

Within the inferior aspect of the fourth ventricle is a small well circumscribed mass which is isointense to the adjacent cerebellum on T1 and slightly hyperintense on T2. There is no evidence of calcification, or of contrast enhancement. No hydrocephalus is identified.

Case Discussion

This is a typical appearance and location of a subependymoma. In the correct demographic (older adults) typical appearances such as this should be reassuring and enable conservative management, as long as the patient is asymptomatic. 

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Case information

rID: 4733
Published: 3rd Oct 2008
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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