Tectal plate low grade glioma with hydrocepalus
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FLAIR images demonstrate high signal abnormality in peri-aqueductal gray matter. Hydrocephalus seen on T2 saggital images.No enhancement with contrast.
Typical appearances of a tectal plate glioma. They are usually not biopsied but rather followed up serially. Often hydrocephalus is the more pressing complication, and a shunt or third ventriculostomy can be performed.