[Contribution of perfusion magnetic resonance imaging in a patient with cerebral ganglioglioma].
A 48-year-old woman was admitted to the Neurosurgery Department for a large frontal lobe tumor revealed by partial seizures. The patient was conscious and alert. Neurological examination was normal. MRI study showed a right frontal lobe tumor compounded of an anterior solid mass strongly enhanced after gadolinium injection and a posterior voluminous cyst with important mass effect. The cerebral blood volume (CBV) map showed no area of elevated CBV within the tumor consistent with a low-grade tumor. The patient was operated on with a presumed diagnosis of anaplastic oligodendroglioma. Postoperative course was uneventful. Histopathological examination was consistent with a benign ganglioglioma. The patient did not undergo an additional treatment. One year later, the patient was healthy and neurological and neuropsychological examination were normal. MRI study did not show any recurrence. This case emphazises the relevance of perfusion MR imaging in the preoperative workup of glioneuronal and glial tumors.
Métellus
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P
Service de Neurochirurgie, Hôpital d'Instruction des Armées du Val-de-Grâce, 74 boulevard de Port-Royal, BPI, 00446 Armées, France. p.metellus@libertysurf.fr
Ait Ameur
A
A
Faillot
T
T
Camparo
P
P
Dutertre
G
G
Desgeorges
M
M
D003937:Diagnosis, Differential; D004828:Epilepsies, Partial / Q000209:etiology; D005260:Female; D005625:Frontal Lobe / Q000473:pathology* / Q000601:surgery; D005682:Gadolinium; D018303:Ganglioglioma / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D009837:Oligodendroglioma / Q000175:diagnosis / Q000473:pathology; D019275:Radiopharmaceuticals; D012680:Sensitivity and Specificity; D015173:Supratentorial Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*
D019275:Radiopharmaceuticals; D005682:Gadolinium