MR Finding of the Pleomorphic Xanthoastrocytoma in a Child: Case Report.
10.3348/jkrs.1994.31.4.749
- Author:
Ho Chul KIM
;
Gu KANG
;
Chul Soon CHOI
;
Sook NAMKUNG
;
Bong Sub CHUNG
- Publication Type:Case Report
- MeSH:
Brain;
Brain Neoplasms;
Child*;
Diagnosis;
Frontal Lobe;
Headache;
Humans;
Intracranial Pressure;
Magnetic Resonance Imaging;
Male;
Prognosis;
Skull;
Vomiting
- From:Journal of the Korean Radiological Society
1994;31(4):749-752
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pleomorphic xanthoastrocytoma(PXA) is a benign brain tumor with favorable prognosis in spite of its marked pleomorphism. We report a case with review of the literature. An eight-year-old boy presented with headache and vomiting. Plain skull X-ray showed findings of increased intracranial pressure. The MR imaging demonstrated superficially located large cystic mass with a Iobulated mural nodule in the left frontal lobe. The mural nodule abutting leptomeninges showed intense enhancement on postcontrast Tl-weighted images, but the cyst wall was not enhanced. Preoperative diagnosis of PXA with the MRI findings could lead to avoidance of more aggressive brain resection and therefore more favorable neurological outcome
