|
Updated 10/10/2021 | e-mails : [email protected]____[email protected] |
Vascular | Inflammatory | Demyelinating | Tumors (classified) | Tumors (alphabetical) | Malformations | Others |
Latest additions: 10th October, 2021. Table
of recent additions.
Each clickable thumbnail leads to one case. Please note: all case pages and texts are in Portuguese. Red frame - case also has a Neuropathology page, accessible through bottom of Neuroimaging page. Undergraduate Course in Neuropathology : macro specimens, slides, images & texts (in Portuguese only) Undergraduate Course in Neuroimaging Neuropathology case studies. Correlative Neuropathology - Neuroimaging cases Alphabetical indexes: general; neuropathology & neuroimaging. Prof. Luciano de Souza Queiroz (Dept. of Pathology)
|
VASCULAR
PATHOLOGY ...Neuropathology....
For undergraduates: Neuropathology. Neuroimaging. |
|||
M. 28 yr. Embolic infarcts | M. 51 yr. Cavernoma of optic pathways and reactive gliosis mimicking pilocytic astrocytoma | M. 9 yr. Left temporal cavernoma | F. 14 yr. Left frontal cavernoma of gyrus rectus |
F. 36 yr. Cavernoma of spinobulbar transition | F. 28 yr. Large occipital cavernoma (cavernous hemangioma) | M. 38 yr. Left parietal cavernoma (cavernous hemangioma) extending from ventricle to hemispheric surface | F. 28 yr. Cavernoma of right cingulate gyrus |
Text : vascular malformations of the central nervous system: telangiectasias, cavernomas, AVMs. | |||
M. 16 yr. Left frontal cavernoma, first bleeding. Case summary, CT scans | Same, early phase MRI | Same, control after one year | Same, new
bleeding
(2 years from onset) |
M. 24 yr. Large right frontal embolized arteriovenous malformation | M. 47 yr. Frontal arteriovenous malformation (AVM) | M. 47 yr. Temporal arterio-venous malformation. Digital angiography | F. 57 yr. Capillary telangiectases associated with cortical dysplasia |
F. 25 yr. Extradural capillary hemangioma of ligamentum flavum compressing thoracic spinal cord | |||
F. 25 yr. Sickle cell disease. Infarcts of both middle cerebral artery territories. | M. 13 yr. Sickle cell disease. Infarcts of carotid artery territories. Pictured : bilateral absence of carotid flow on MRA. | M. 22 yr. Sickle cell disease. Infarct of left middle cerebral artery territory | F. 19 yr. Sickle cell disease. Multiple infarts, arterial watershed zone lesions |
Sickle cell disease - illustrated text (Portuguese) | |||
F. 27 yr. Sickle cell disease. Arterial watershed zone lesions in white matter, with cavitations | M. 31 yr. Sickle cell disease. Arterial watershed zone lesions | M. 18 yr. Sickle cell disease. Lacunae in basal ganglia. Arterial watershed zone lesions | M. 58 yr. Basilar artery thrombosis in sickle cell disease |
F. 50 yr. Sturge-Weber syndrome. Calcifications in plain skull X-ray films | M. 12 yr. Sturge-Weber syndrome. Cortical calcifications showing as bands of low signal intensity in T2 WI | M. 1 yr 9 m. Sturge- Weber syndrome. Contrast enhancement of cortical angiomas and choroid plexus in left hemisphere. | M. 48 yr. Primary necrotizing vasculitis of central nervous system. Text |
Sturge-Weber - Illustrated text (Portuguese) | |||
|
|||
F. 57 yr. Primary cerebral vasculitis | F. 62 yr. Amyloid angiopathy and brain hemorrhage. Text | F. 72 yr. Amyloid angiopathy, parenchymatous and ventricular hemorrhage | F. 62 yr. Massive subarachnoid hemorrhage caused by systemic aspergillosis and leptomeningeal vasculitis. Patient also had a successfully treated bacterial brain abscess. See gross appearance and histology of brain, lungs and heart. More on subarachnoid hemorrhage. |
M. 7 yr. 8 m. Cerebral meningioangiomatosis MRI, CT | F. 7 yr 6 m Meningioangiomatosis in left parietal lobe. MRI | ||
For undergraduates:...Neuropathology....Neuroimaging. |
VIRUSES ...Neuropathology. ...For undergraduates:...Neuropathology....Neuroimaging. | |||
F. 1 yr 8 m Herpes simplex encephalitis, acute phase | M. 59 yr. Acute herpetic encephalitis | F. 71 yr. Acute herpetic encephalitis | M. 25 yr. Acute herpetic encephalitis |
For more on herpetic encephalitis - see undergraduate course : text, image collection, more neuroimaging cases. | |||
M. 44 yr. Acute herpetic encephalitis | M. 58 yr. Herpetic encephalitis - acute and subacute phases, the latter with cortical hemorrhage | F. 35 yr. Herpetic encephalitis - subacute phase with cortical hemorrhage | F. 20 yr. Herpetic encephalitis. Late sequelae after 10 years |
M. 37 yr. Herpetic encephalitis. Late sequelae with atrophy and cavitation of left temporal lobe | M. 23 yr. Herpetic encephalitis. Late sequelae with atrophy and cavitation of right temporal lobe | M. 27 yr. Herpetic encephalitis. Late sequelae with symmetrical atrophy and cavitation of temporal lobes | |
M. 44 yr. Progressive multifocal leucoencephalopathy Text | M. 62 yr. Progressive multifocal leucoencephalopathy (PML). Text | M. 25 yr. Progressive multifocal leucoencephalopathy (PML) affecting cerebellum and brain stem | M. 41 yr. Progressive multifocal leucoencephalopathy (PML) |
F. 46 yr. Progressive multifocal leukoencephalopathy (PML). MRI. | Same patient has low-grade B cell lymphoma. CT - splenomegaly | ||
M. 50 yr. AIDS, giant cell encephalitis | Same, AIDS - Cerebral toxoplasmosis | Same, AIDS, mycobacteriosis of abdominal lymph nodes | M. 47 yr. HIV encephalopathy. Text |
M. 52 yr. HIV encephalopathy | |||
BACTERIA ...Neuropathology. ...For undergraduates:...Neuropathology....Neuroimaging. | |||
M. 12 yr. Cerebral abscess due to Streptococcus intermedius (botryomycosis) | F. 62 yr.
Cerebral bacterial abscess.
3 MRIs showing lesion regression with treatment. Patient also had systemic aspergillosis causing massive subarachnoid hemorrhage |
M. 34 yr. Neurotuberculosis in HIV+ patient | M. 38 yr. Circumscribed tuberculous meningitis in HIV + patient |
M. 32 yr.
Neurotuberculosis
in unusual presentation with symmetrical necrotizing vasculitis of midline cerebral cortex and corpus callosum |
F. 3 yr. Tuberculoma of thalamus. MRI | ||
FUNGI ..Neuropathology. ...For undergraduates:...Neuropathology....Neuroimaging. | |||
M. 63 yr. Paracoccidioidomycoma of cerebellopontine angle | M. 49 yr. Cerebellar abscess by the fungus Paracoccidioides brasiliensis | M. 71 yr. Cerebellar abscess caused by Paracoccidioides brasiliensis | M. 47 yr.
Paracoccidioidomycosis. Multiple nodular cerebral lesions with peripheral contrast enhancement mimicking metastases |
M. 64 yr. Pseudotumoral paracoccidioidomycosis of cerebellum | M. 60 yr. Multifocal cerebral and cerebellar paracoccidioidomycosis. CT, MRI | M. 34 yr. Cryptococcoma of right parietal lobe. For cryptococcosis - see also Undergraduate course | M. 32 yr.
Cerebral granulomatous cryptococcosis:
circumscribed meningeal, cerebral lesions |
F. 62 yr. Systemic and cerebral aspergillosis causing massive subarachnoid hemorrhage. Patient also had a successfully treated bacterial cerebral abscess | F. 67 yr. Rhino-orbital aspergillosis | M. 5 yr. Multifocal cerebral aspergillosis. TC. MRI | |
Aspergillosis. See also image bank, neuro, inflammations. | |||
M. 38 yr. Mucormycosis of nasal cavity, orbit and brain. Text | M. 54 yr. Cerebral histoplasmosis. MRI 9/2011. Hydrocephalus, small periventricular lesions | Same, MRI 3/2012. Obliteration of third ventricle | Same, CT 3/2012. Obliteration of third ventricle and small calcified nodule in right anterior horn of lateral ventricle |
Case summary, text. | |||
PROTOZOA ..Neuropathology. ...For undergraduates:...Neuropathology....Neuroimaging. | |||
F. 32 yr. Neurotoxoplasmosis in HIV+ patient | M. 35 yr. Neurotoxoplasmosis in HIV+ patient | F. 27 yr. Pseudotumoral toxoplasmosis in right parietal lobe | |
METAZOA ....Neuropathology. ...For undergraduates:...Neuropathology....Neuroimaging. | |||
M. 49 yr. Spinal racemose cysticercosis (intradural, extramedullary cysts) | M. 35 yr. Giant Cysticercus cellulosae of right cerebral hemisphere | F. 67 yr. Necrotic Cysticercus cellulosae of cerebral hemisphere - reactional changes in brain tissue | F. 42 yr. Intraventricular Cysticercus cellulosae |
F. 31 yr. Cysticercosis cellulosae of brain hemispheres and IV ventricle | F. 47 yr. Cysticercus racemosus of brain. CT | ||
M. 32 yr.
Cerebral
schistosomiasis |
F. 37 yr. Spinal cord schistosomiasis | M. 67 yr. Echinococcosis of the central nervous system | |
OTHERS .....Neuropathology. .. | |||
F. 33 yr. Lymphocytic hypophysitis masquerading as macroadenoma | F. 54 yr. Cerebro-spinal sarcoidosis. Text | F. 51 yr. Sarcoidosis of falx and dura mater of cerebral convexity | F. 72 yr. Creutzfeldt-Jakob disease (spongiform encephalopathy). Text : diffusion-weighted MRI in early diagnosis of CJD |
DEMYELINATING DISEASES....Neuropathology. Image bank | |||
F. 32 yr. Pseudotumoral multiple sclerosis. CT, MRI | F. 49 yr. Multiple sclerosis. Acute phase lesions with contrast enhancement | F. 25 yr. Multiple sclerosis. Typical lesions in corpus callosum and corona radiata | F. 39 yr. Multiple sclerosis. Chronic demyelinating lesions in centrum semiovale |
M. 17 yr. Multiple sclerosis. Lesions in corpus callosum and hemispheric white matter | M. 19 yr. Multiple sclerosis. Severe case with widespread multifocal demyelination | F. 50 yr. Multiple sclerosis. Lesions in pons, cerebellum and internal capsule. | F. 13 yr. Severe multiple sclerosis in early adolescence. Two-year follow up |
F. 15 yr. Acute disseminated encephalomyelitis (ADEM), pseudotumoral form | F. 53 yr. Central pontine myelinolysis | M. 49 yr. Central pontine myelinolysis | |
F. 48 yr. Pseudotumoral demyelinating lesion of cerebral hemispheric white matter | F. 49 yr. Pseudotumoral demyelinating lesions in right cerebral hemisphere | F. 48 yr. Single demyelinating lesion at right parieto-occipital region | Same, MRI after 5 months |
LEUKODYSTROPHIES
.
Neuropathology..Image bank. .Illustrated linked text (in Portuguese) |
|||
M. 6 yr. Adrenoleukodystrophy | M. 11 yr. Adrenoleukodystrophy | M. 10 yr. Adrenoleukodystrophy | M. 7 yr. Metachromatic leukodystrophy |
F. 30 yr. Probable metachromatic leukodystrophy, adult form | F. 30 yr. Probable metachromatic leukodystrophy, adult form | M. 5 yr. Leukodystrophy associated with congenital muscular dystrophy due to merosin deficiency. Muscle biopsy | M. 11 yr. van der Knaap's disease (megalencephalic leukoencephalopathy with subcortical cysts). 11-year follow-up. Selection from 4 MRIs |
Exams in full | |||
M. 43 yr. Leukodystrophy with vacuolar changes of white matter reminiscent of Canavan's disease | |||
|
DIFFUSE
ASTROCYTOMAS - BY TOPOGRAPHY. Neuropathology.
For undergraduates: ....Neuropathology.....Neuroimaging. |
|||
F. 47 yr. Small low grade frontal astrocytoma (incidental MRI finding). | M. 35 yr. Small low grade frontal astrocytoma in premotor area | M. 33 yr. Frontal mesial low grade diffuse astrocytoma | F. 30 yr. Low grade frontal astrocytoma with early anaplasia (foci of contrast enhancement) |
M. 44 yr. Poorly circumscribed low grade frontal astrocytoma | M. 36 yr. Recurrent frontobasal low grade astrocytoma, 6 yr followup | M. 7 yr. Low grade solid-cystic astrocytoma of hemispheric white matter | M. 43 yr. Low grade diffuse astrocytoma of left hemisphere infiltrating from temporal lobe through thalamus |
M. 43 yr. Diffuse temporal astrocytoma, transtentorial herniation and midbrain compression | M. 52 yr. Diffuse temporal astrocytoma infiltrating brainstem | M. 39 yr. Diffuse low grade temporal astrocytoma with anaplastic recurrence after 4 years | M. 32 yr.
Anaplastic solid-cystic
frontal gemistocytic astrocytoma (WHO grade III) |
F. 10 yr. Anaplastic astrocytoma of centrum semiovale | M. 53 yr. Paramedian anaplastic astrocytoma with contralateral extension via corpus callosum | M. 68 yr. Anaplastic astrocytoma of corpus callosum infiltrating from hippocampus to hypothalamus via fornix | F. 54 yr. Low grade astrocytoma of insular region |
M. 34 yr. Low grade astrocytoma of insular region | M. 38 yr. Low grade astrocytoma of insular region | F. 40 yr. Low grade astrocytoma of insular region extending into frontal and temporal lobes | M. 52 yr. Low grade astrocytoma of thalamus with secondary infiltration of hippocampus and insula |
Text: Diffuse midline gliomas (includes tumors of thalamus, brain stem and spinal cord). | |||
M. 5 yr. Diffuse low grade astrocytoma of thalamus and basal ganglia | F. 51 yr. Low grade astrocytoma of left thalamus extending into centrum semiovale, corpus callosum and right hippocampus | F. 43 yr. Bilateral thalamic astrocytoma | F. 11 yr. Diffuse astrocytoma of right thalamus with anaplastic foci |
M. 37 yr. Anaplastic thalamic astrocytoma | F. 46 yr. Low grade periaqueductal astrocytoma | M. 21 yr. Low grade periaqueductal astrocytoma | M. 8 yr. Anaplastic astrocytoma of pons |
F. 41 yr. Low grade astrocytoma of pons and medulla | M. 36 yr. Diffuse astrocytoma of brain stem | F. 4 yr. Diffuse anaplastic astrocytoma of pons. MRI | F. 11 yr. Exophytic anaplastic astrocytoma of lateral medulla oblongata |
M. 32yr. Low grade astrocytoma of cervical spinal cord | M. 29 yr. Anaplastic astrocytoma of lumbar spinal cord | F. 26 days. Congenital anaplastic astrocytoma of temporal lobe. CT | M. 19 yr. Diffuse low grade astrocytoma of thoracic spinal cord. Spread to cauda equina and frontal metastasis |
MRIs in detail | |||
M. 46 yr.
Diffuse brainstem glioma infiltrating cerebellum and producing secondary structures of Scherer in the molecular layer. |
F. 12 yr 4 m. Anaplastic astrocytoma of lumbar spinal cord and cauda equina progressing to extensive ischemic necrosis | ||
GLIOBLASTOMA
MULTIFORME
...Neuropathology.... |
For undergraduates: Neuropathology. Neuroimaging. | ||
F. 37 yr. Glioblastoma multiforme with unusual presentation and rapid course | F. 42 yr. Bilateral frontal glioblastoma multiforme | M. 20 yr. Left frontal giant cell glioblastoma | F. 32 yr. Glioblastoma multiforme of pontine tegmentum |
M. 46 yr. Glioblastoma multiforme of cerebellum | F. 72 yr. Temporoparietal glioblastoma multiforme | F. 59 yr. Left sided temporal glioblastoma multiforme | Same case 9 months after surgery and radiotherapy - pseudotumoral radiation necrosis |
F. 27 yr. Giant cell glioblastoma | F. 5 months. Glioblastoma multiforme of left cerebral hemisphere (presumably congenital) | F. 58 yr. Giant cell glioblastoma with a component of conventional glioblastoma multiforme | F. 64 yr. Glioblastoma multiforme of pineal |
F. 60 yr. Glioblastoma multiforme of midbrain and pineal region | M. 23 yr. Frontal giant cell glioblastoma | M. 11 yr. Glioblastoma multiforme of pons. MRI | M. 7 yr. 2 m. Glioblastoma multiforme of thalamus, CT, MRI. Text |
M. 10 yr. Epithelioid glioblastoma of left temporal lobe | |||
Multifocal glioblastoma multiforme - 12 cases. Summary. Text | |||
M. 67 yr.
Multifocal glioblastoma multiforme
6 foci |
M. 73 yr. 4 foci | F. 75 yr. 4 foci | M. 49 yr. 4 foci |
M. 55 yr. 3 foci | M. 59 yr. 3 foci | F. 70 yr. 3 foci | F. 71 yr. 2 foci |
M. 55 yr. 2 foci | M. 48 yr. 2 foci | M. 55 yr. 2 foci | F. 56 yr. 2 foci |
GLIOSARCOMA ...Neuropathology. | |||
M. 56 yr. Left temporal gliosarcoma. Text | M. 4 d. Congenital gliosarcoma at foramen of Monro, hydrocephalus, spontaneous ventricular bleeding | M. 49 yr. Gliosarcoma of left frontal lobe | F. 48 yr. Right temporal gliosarcoma. Original MRI |
Same, recurrence 4 months after surgery | M. 63 yr. Fronto-temporal gliosarcoma | M. 10 yr 10 m. Left frontal gliosarcoma | |
GRANULAR CELL ASTROCYTOMA OF BRAIN ...Neuropathology. | |||
M. 68 yr. Granular cell astrocytoma of brain. CT, MRIs 2011. Case summary, text. | Same, MRI, post-operative followup after one year. | ||
GLIOMATOSIS CEREBRI...Neuropathology.... | |||
F. 53 yr. Gliomatosis cerebri secondary to pontine anaplastic astrocytoma | M. 44 yr. Gliomatosis cerebri secondary to left temporal oligoastrocytoma | F. 6 yr. Gliomatosis cerebri (anaplastic diffuse astrocytoma of rapid growth). 1st MRI | Same, after 40 days. Multiple foci of contrast enhancement |
M. 32 yr.
Gliomatosis cerebri initiating as left hemispheric
oligoastrocytoma. Early CT, 6/2004 |
Same, focus
of annular enhancement in right hemisphere.
MRI 4/2006 |
Same after
two months: tumor dissemination in right hemisphere.
MRI 6/2006 |
F. 46 yr. Bilateral frontal gliomatosis involving genu of corpus callosum. Text |
PRIMARY EXTRACEREBRAL MENINGEAL GLIOMA ...Neuropathology. | |||
M. 42 yr. Primary extracerebral meningeal glioma. Text | |||
CONGENITAL CEREBRAL GLIOMA ...Neuropathology. | |||
F. 3 m. 15 d. to 3 yr. 4 m. Anaplastic congenital glioma with spontaneous maturation and regression. 3-year follow-up | |||
Case summary |
DIFFUSE MIDLINE GLIOMA...Neuropathology. | |||
F. 3 yr 3 m. Diffuse midline glioma | M. 5 yr 3 m. Diffuse midline glioma | M. 7 yr 9 m. Diffuse midline glioma of pons with extension to left cerebellar hemisphere | |
See also other cases listed under glioblastoma (1)(2). Text |
PILOCYTIC
ASTROCYTOMA ....Text.......Neuropathology
- cases....
For undergraduates: Neuropathology. Neuroimaging. |
|||
Cerebellum - classical cases | |||
F. 8 yr. Pilocytic astrocytoma of cerebellum. CT | M. 21 yr. Pilocytic astrocytoma of cerebellum. CT | M. yr. Pilocytic astrocytoma of cerebellum. CT | F. 20 yr. Pilocytic astrocytoma of vermis |
M. 3 yr. Pilocytic astrocytoma of vermis | F. 5 yr. Pilocytic astrocytoma of cerebellar hemisphere | M. 14 yr. Pilocytic astrocytoma of cerebellar hemisphere | F. 23 yr. Pilocytic astrocytoma of cerebellar hemisphere. 17-year follow-up |
Cerebellum - atypical cases | |||
M. 73 yr. Pilocytic astrocytoma of vermis in the 8th decade. | M. 72 yr. Infiltrating cystic pilocytic astrocytoma of vermis in the 8th decade. | F. 37 yr. Aggressive pilocytic astrocytoma of cerebellum with extensive meningeal infiltration | F. 15 yr. Bilobed, solid and cystic pilocytic astrocytoma of cerebellum with abundant vascular proliferation |
M. 58 yr. Pilocytic astrocytoma of cerebellar vermis with ventricular seeding. 3-year follow-up | M. 63 yr. Cerebellar pilocytic astrocytoma with atypia and high Ki-67 index | ||
F. 66 yr. Pilocytic astrocytoma of cerebellar vermis in the 7th decade | M. 51 yr. Pilocytic astrocytoma of cerebellum with unusually luxuriant capillary proliferation (prompting differential diagnosis with hemangioblastoma) | ||
Midbrain / Quadrigeminal plate | |||
F. 9 yr. Pilocytic astrocytoma of quadrigeminal plate | F. 20 yr. Pilocytic astrocytoma of midbrain | M. 68 yr. Pilocytic astrocytoma of midbrain tegmentum and pons with cerebellar extension | |
Midbrain / Quadrigeminal plate | Optic nerve | ||
F. 14 yr. Pilocytic astrocytoma of quadrigeminal plate with CSF seeding of lumbosacral cul-de-sac | F. 9 yr. Pilocytic astrocytoma of optic nerve | M. 11 yr. Pilocytic astrocytoma of optic nerve. Extension to optic chiasm | |
Retina | Medulla | ||
F. 67 yr. Pilocytic astrocytoma of retina. Text | F. 8 yr 7 m. Pilocytic astrocytoma of medulla in NF1 | ||
Hypothalamus, diencephalon, basal region of cerebral hemispheres | |||
F. 11 yr. Pilocytic astrocytoma of hypothalamic region | M. 21 yr. Pilocytic astrocytoma of optic chiasm and hypothalamic region, anaplastic recurrence | F. 6 yr. Pilocytic astrocytoma of optic chiasm growing into third ventricle | F. 25 yr. Pilocytic astrocytoma of optic chiasm with third ventricle extension |
F. 21 yr. Pilocytic astrocytoma of chiasmatic region and third ventricle | M. 12 yr. Pilocytic astrocytoma of basal cerebral hemisphere | F. 6 yr. Pilocytic astrocytoma of basal cerebral hemisphere recurring after 4 months | F. 49 yr. Pilocytic astrocytoma of deep cerebral hemisphere with explosive growth in 4 months |
Cerebral hemispheres (cortical-subcortical) | |||
M. 16 yr. Right temporal pilocytic astrocytoma | F. 15 yr. Right temporal pilocytic astrocytoma | F. 15 yr. Pilocytic astrocytoma of isthmus of cingulate gyrus | M. 21 yr. Pilocytic astrocytoma of frontal pole |
M. 46 yr.
Cystic frontal pilocytic astrocytoma
with abundant vascular proliferation |
M. 62 yr. Anaplastic pilocytic astrocytoma of right frontal lobe | M. 24 yr. Occipital pilocytic astrocytoma featuring grossly abnormal vessels, leptomeningeal and parenchymal infiltration and ventricular seeding. Case summary. Text: pilocytic astrocytomas | |
Intraventricular | |||
M. 55 yr. Temporal pilocytic astrocytoma | M. 18 yr 9 m. Left frontal pilocytic astrocytoma with pseudo-oligodendroglial histological pattern | M. 37 yr.
Intraventricular
pilocytic astrocytoma |
|
Spinal | |||
M. 38 yr. Pilocytic astrocytoma of thoracic/lumbar spinal cord | F. 10 yr. Pilocytic astrocytoma of cervical/thoracic spinal cord | M. 28 yr. Pilocytic astrocytoma of brain stem and cervical spinal cord | M. 14 yr 3 m. Pilocytic astrocytoma of cervical spinal cord in NF1 |
PILOMYXOID ASTROCYTOMA .Neuropathology. | |||
F. 5 yr. Pilomyxoid astrocytoma | M. 8 yr. Pilomyxoid astrocytoma at septum pellucidum | M. 2 yr 10 m. Pilomyxoid astrocytoma | M. 1 yr 6 m. Pilomyxoid astrocytoma |
M. 1 yr 2 m. Pilomyxoid astrocytoma. MRI | |||
PLEOMORPHIC XANTHOASTROCYTOMA...Neuropathology.... | |||
M. 17 yr. Pleomorphic xanthoastrocytoma of left premotor area | M. 7 yr. Left parieto-occipital pleomorphic xanthoastrocytoma | M. 26 yr. Left frontal pleomorphic xanthoastrocytoma | M. 31 yr. Pleomorphic xanthoastrocytoma with lipomatous differentiation |
F. 27 yr.
Complex glioneuronal tumor:
xanthoastrocytoma- ganglioglioma- ependymoma |
F. 27 yr. Left parietal pleomorphic xanthoastrocytoma. | F. 14 yr.
Solid-cystic temporal
xanthoastrocytoma (microscopy - glycogen accumulation) |
M. 8 yr
10 m Pleomorphic
xanthoastrocytoma. MRI |
M. 15 yr. Occipital paraventricular pleomorphic xanthoastrocytoma | Same, recurrence after five years | M. 36 yr. Fronto-parietal mesial pleomorphic xanthoastrocytoma | M. 11 yr. Frontal pleomorphic xanthoastrocytoma |
F. 17 yr 6 m. Composite ganglioglioma + pleomorphic xanthoastrocytoma- MRI. Case summary. Text. Neuropathology | F. 8 yr 10 m. Left parietal pleomorphic xanthoastrocytoma. CT, MRI | ||
TUBEROUS SCLEROSIS & SUBEPENDYMAL GIANT CELL ASTROCYTOMA...Neuropathology....For undergraduates: Neuropathology. | |||
M. 5 yr. Subependymal glial nodules | M.
31 yr. Subependymal glial nodules, cerebellar calcifications,
sclerosis of diploe |
||
M. 23 yr. Subependymal giant cell astrocytoma and calcified nodules | M. 16 yr. Subependymal giant cell astrocytoma | F. 6 yr. Subependymal giant cell astrocytoma and calcified nodules, cortical tubers | M. 28 yr. Subependymal giant cell astrocytoma (SEGA) unassociated with tuberous sclerosis. Text |
M. 4 yr. 4 m. Subependymal giant cell astrocytoma in tuberous sclerosis. MRI | Same, multiple tubers in cerebral hemispheres | M. 1 yr. 9 m. Tuberous sclerosis. Giant partly calcified fronto-parietal tuber, CT, MRI | M. 10 m. Congenital sacral chordoma associated with tuberous sclerosis complex. Subependymal nodules, some calcified. |
M. 15 yr
1 m.
Ectopic subependymal giant cell astrocytoma in the posterior horn of the left lateral ventricle. MRI |
|||
OLIGODENDROGLIOMA ...Neuropathology....For undergraduates: Neuropathology. | |||
M. 23 a. Oligodendroglioma. Calcifications in plain skull radiograph | F. 20 a. Oligodendroglioma of left cerebral hemisphere. Calcifications in CT | M. 59 a. Oligodendroglioma of left cerebral hemisphere | F. 42 a. Operated right frontal oligodendroglioma. Transcalvarian herniation |
M. 3 a. Solid-cystic oligodendroglioma of left cerebral hemisphere | M. 32 a. Solid-cystic oligodendroglioma of left cerebral hemisphere (another case) | M. 48 a. Heavily
calcified
oligodendroglioma, 7-year follow up. CT (2000 - 2006) |
Same, MRI (2006). Diffuse infiltrative growth, invasion of right hemisphere via corpus callosum |
Case summary | |||
Same, after 8 months (2007). Development of contrast enhancing anaplastic foci | M. 62 a. Oligodendroglioma of basal cerebral hemisphere | ||
OLIGOASTROCYTOMA...Neuropathology.... | |||
M. 22 yr. Left frontal oligoastrocytoma. | M. 44 yr. Left temporal oligoastrocytoma with gliomatosis cerebri | M. 38 yr. Well circumscribed frontal oligoastrocytoma | M. 36 yr.
Anaplastic oligoastrocytoma - radiation brain necrosis after 5 years.
Pictured: original tumor.
Case summary |
EPENDYMOMA ...Neuropathology....For undergraduates: Neuropathology. | |||
F. 39 yr. Left hemispheric ependymoma | M. 22 yr. Left solid-cystic hemispheric ependymoma | F. 25 yr. Right solid-cystic hemispheric ependymoma | M. 3 yr. Ependymoma of posterior fossa |
F. 9 m. Ependymoma of IVth ventricle | F. 21 yr. Ependymoma of posterior fossa | M. 31 yr. Ependymoma of IVth ventricle | M. 27 yr. Ependymoma of IVth ventricle with cranial and spinal meningeal seeding |
M. 17 yr. Anaplastic ependymoma of third ventricle | F. 49 yr. Spinal ependymoma | M. 53 yr. Ependymoma of IVth ventricle | M. 28 yr. Anaplastic ependymoma of IVth ventricle, recurrence after 4 years |
M. 31 yr. Anaplastic ependymoma of pineal region | M. 34 yr. Anaplastic ependymoma of cerebral hemisphere | M. 15 yr. Anaplastic ependymoma of cerebral hemisphere (another case) | M. 49 yr. Recurrent ependymoma of foramen of Luschka, with hyaline core rosettes containing elastic fibers |
F. 19 yr. Cellular ependymoma of posterior horn of lateral ventricle | M. 4 yr. Tanycytic ependymoma of third ventricle and foramina of Monro | M. 6 yr. Right sided parieto-occipital tanycytic ependymoma | F. 44 yr. Tanycytic ependymoma of lumbar spinal cord |
F. 77 yr. Clear cell ependymoma of cervical spinal cord | M. 12 yr 7 m. Clear cell ependymoma, RELA fusion positive. CT. Texts | F. 18 yr
6 m.
Lipidized anaplastic ependymoma ectopic at parietal cerebral cortex. Original tumor in 2015. Recurrence in 2019. 4-year MRI follow-up. Texts : ectopic ependymoma lipidized ependymomas |
|
MYXOPAPILLARY EPENDYMOMA...Neuropathology.... | |||
M. 14 a. Myxopapillary ependymoma | F. 9 a. Myxopapillary ependymoma | F. 26 yr. Myxopapillary ependymoma | F. 1yr 3m. Extensive thoracic myxopapillary ependymoma |
M. 10 yr 2 m. Ectopic subcutaneous myxopapillary ependymoma of sacral region | |||
SUBEPENDYMOMA ...Neuropathology. | |||
M. 56 yr. Subependymoma of lateral ventricle. Text | F. 49 yr. Subependymoma of lateral ventricle | F. 5 yr. Subependymoma of III ventricle followed up for 15 years. Original exams of 2005 | F. 20 yr (same case). MRIs every 5 years up to 2020 showing remarkable stability of tumor |
M. 16 yr. Calcified subependymoma of III ventricle originating in left thalamus. | M. 6 yr 9 m. Voluminous subependymoma of left lateral ventricle | ||
EPENDYMOBLASTOMA Neuropathology | |||
F. 2 yr 5 m. Frontal ependymoblastoma. Text | |||
HYPERPLASIA OF CHOROID PLEXUS....Neuropathology. | |||
F. 6 m. Diffuse symmetrical hyperplasia of choroid plexus of lateral ventricles. CT | |||
CHOROID
PLEXUS PAPILLOMA. ..Neuropathology.
For undergraduates: Neuropathology. |
|||
M. 11 yr. Choroid plexus papilloma of lateral ventricle | F. 9 m. Choroid plexus papilloma of lateral ventricle. Twelve year follow up | M. 30 d. Congenital choroid plexus papilloma of lateral ventricle | F. 32 yr. Choroid plexus papilloma of third ventricle |
M. 26 yr. Calcified choroid plexus papilloma of fourth ventricle | F. 36 yr.
Choroid plexus papilloma of fourth ventricle.
Text on choroid plexus tumors |
M. 52 yr. Choroid plexus papilloma of the lateral recess of the fourth ventricle (at foramen of Luschka) | M. 6 m. Choroid plexus papilloma of lateral ventricle |
M. 10 m. Choroid plexus papilloma of lateral ventricle. Text | M. 10 m 17 d. Choroid plexus papilloma of IV ventricle | M. 1 yr. 2 m. Choroid plexus papilloma of right lateral ventricle | |
CHOROID
PLEXUS CARCINOMA. ..Neuropathology.
For undergraduates: Neuropathology. |
|||
F. 1 yr 7 m. Choroid plexus carcinoma of lateral ventricle with seeding through CSF pathways | M. 3 months old. Choroid plexus carcinoma | F. 10 yr. Choroid plexus carcinoma | M. 3 yr 1 m. Choroid plexus carcinoma of right lateral ventricle. CT, MRI |
F. 3 yr. Choroid plexus carcinoma of right lateral ventricle before and after chemotherapy. CT, MRI | F. 3 yr 5 m. Choroid plexus carcinoma of right lateral ventricle after two cycles of chemotherapy. MRI | F. 4 m. Choroid plexus carcinoma of left lateral ventricle, presumably congenital. MRI | M. 7 m 11 d. Choroid plexus carcinoma of left lateral ventricle. CT, MRI |
ASTROBLASTOMA ..Neuropathology | CHORDOID GLIOMA OF THIRD VENTRICLE Neuropathology | ||
M. 43 yr. Right parietal astroblastoma. Text | F. 43 yr. Chordoid glioma of third ventricle. Text | ||
ANGIOCENTRIC GLIOMA ...Neuropathology. | |||
F. 6 yr 7 m. Angiocentric glioma in left superior frontal gyrus. Text | |||
LHERMITTE-DUCLOS DISEASE (DYSPLASTIC GANGLIOCYTOMA OF CEREBELLLUM) ...Neuropathology, image bank , text | |||
F. 32 yr. Dysplastic gangliocytoma of cerebellum (Lhermitte-Duclos disease). MRI | M. 22 yr. Dysplastic gangliocytoma of cerebellum (Lhermitte-Duclos disease). MRI | F. 45 yr. Dysplastic gangliocytoma of cerebellum (Lhermitte-Duclos disease). MRI - two distinct lesions in right cerebellar hemisphere | |
GANGLIOCYTOMA...Neuropathology.... | |||
F. 20 yr. Gangliocytoma of cerebral gyrus with small ganglioglioma component | F. 79 yr. Gangliocytoma of pituitary. CT, MRI | F. 48 yr. Right temporal gangliocytoma 2 MRIs spaced 3 years | |
GANGLIOGLIOMA...Neuropathology.... | |||
M. 17 yr. Mesial left temporal ganglioglioma | F. 15 yr. Right temporal ganglioglioma | F. 2 yr. 5 m. Right frontal ganglioglioma | F. 32 yr. Right temporal ganglioglioma associated with cortical dysplasia |
M. 13 yr. Ganglioglioma of isthmus of right cingulate gyrus | Same, recurring as glioblastoma multiforme after 5 years | M. 21 yr. Desmoplastic ganglioglioma in an adult, with calcospherites | F. 29 yr. Classical ganglioglioma of left middle temporal gyrus |
F. 4 yr. Ganglioglioma associated with dysembryoplastic neuroepithelial tumor (DNT) | F. 19 yr. Ganglioglioma of left inferior temporal gyrus + cortical dysplasia | F. 26 yr. Ganglioglioma of spinal cord | M. 37 yr. Ganglioglioma of left frontal lobe |
M. 23 yr. Ganglioglioma with sarcomatous component, CT | Same, MRI | F. 29 yr. Solid-cystic right parietal ganglioglioma with features of xanthoastrocytoma | F. 32 yr.
Solid-cystic ganglioglioma
with pilocytic glial component in cerebellum |
M. 22 yr. Ganglioglioma of cerebellum | F. 52 yr. Anaplastic parietal ganglioglioma | M. 55 yr. Frontal ganglioglioma with pilocytic glial component | F. 45 yr. Left parietal ganglioglioma |
M. 12 yr. Small solid ganglioglioma of right insula | F. 51 yr. Solid-cystic ganglioglioma of right temporal and occipital regions | M. 25 yr. Ganglioglioma exceptionally rich in eosinophilic granular bodies (EGBs) | F. 64 yr. Bifrontal desmoplastic ganglioglioma above the corpus callosum with areas of central neurocytoma |
Case summary | |||
M. 20 yr. Ganglioglioma of head of caudate nucleus | Same, hypoplasia of vermis and cerebellar hemispheres | F. 8 yr.
Ganglioglioma
with pilocytic astrocytoma component in spinal cord, MRI |
M. 23 yr. Cystic ganglioglioma with minute solid component of pilocytic astrocytoma in cingulate gyrus. MRI |
M. 2 yr. 4 m. Anaplastic ganglioglioma of brain stem. MRI | F. 1yr 1m. Anaplastic ganglioglioma in III ventricle. Original biopsy and after 6-month chemotherapy | M. 1 yr 3 m. Diffuse multicystic ganglioglioma in cerebellum | F. 10 yr 4 m Cerebellar ganglioglioma with pilocytic glial component + NF1 |
F. 4 yr
1 m.
Anaplastic ganglioglioma of thalamus (grade III) evolving to grade I after radio- and chemotherapy |
F. 11 yr
1 m. Ganglioglioma of deep cerebral white matter.
CT, MRI |
M. 6 yr 3 m. Ganglioglioma of cervicothoracic spinal cord | M. 12 yr 6 m. Temporal ganglioglioma. MRI |
F. 17 yr 6 m. Composite ganglioglioma + pleomorphic xanthoastrocytoma- MRI. Case summary. Text. | M. 10 yr 5 m. Ganglioglioma of lumbar spinal cord. 7-year MRI follow-up, 5 exams. Table - CD34 in 32 gangliogliomas posted on this website | F. 17 yr 10 m. Classic ganglioglioma of right parahippocampal gyrus | F. 24 yr. Anaplastic cerebellar ganglioglioma 11 years after medullomyoblastoma. Transformation or new tumor ? |
M. 8 yr 3 m. Anaplasic ganglioglioma of cervical spinal cord, second operation after two years. MRI. Original tumor : neuroimaging, neuropathology | M. 7 yr 9 m. Cystic temporal ganglioglioma. MRI | F. 16 yr 9 m. Ganglioglioma in the posterior horn of the left lateral ventricle. MRI | |
DESMOPLASTIC
INFANTILE ASTROCYTOMA / GANGLIOGLIOMA
(DIA / DIG)...Neuropathology.... |
|||
M. 1 yr. Desmoplastic infantile astrocytoma Text | M. 2 m. Desmoplastic infantile ganglioglioma Text | F. 3 m. Desmoplastic infantile ganglioglioma | M. 7 m. 28 d. Desmoplastic infantile ganglioglioma. Text. |
M. 2 yr 3 m. Desmoplastic infantile ganglioglioma. MRI | |||
CENTRAL NEUROCYTOMA.,,.Neuropathology. | |||
M. 33 a. Central neurocytoma | F. 26 a. Central neurocytoma | M. 45 a. Heavily calcified central neurocytoma | F. 18 yr. Central neurocytoma |
M. 24 yr. Atypical central neurocytoma | M. 35 yr. Central neurocytoma. Text | M. 26 yr. Central neurocytoma | F. 64 yr.
Central neurocytoma as component of a desmoplastic bifrontal
ganglioglioma above the corpus callosum |
Case summary | |||
F. 52 yr. Central neurocytoma incarcerating the choroid plexus | M. 15 yr. Atypical central neurocytoma of third ventricle | M. 10 yr 9 m. Central neurocytoma. CT, MRI | |
DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMOR (DNT)..Neuropathology.... | |||
M. 23 yr. Dysembryoplastic neuroepithelial tumor (DNT) in right temporal lobe. Text | M. 19 yr. Left frontal DNT | M. 27 yr. Left temporal DNT | F. 26 yr. Right temporal DNT |
M. 14 yr. DNT in left inferior frontal gyrus. | M. 52 yr. Right frontal and temporal mesial DNT | M. 3 yr. DNT in left angular gyrus | F. 4 yr. Ganglioglioma associated with DNT |
M. 43 yr. DNT in left gyrus rectus | F. 20 yr. DNT of right superior frontal gyrus. Text | M. 13 yr. DNT of left pre-central gyrus | M. 24 yr. DNT of left cingulate gyrus at genu of corpus callosum |
M. 9 yr. DNT of antero-medial right temporal lobe | F. 8 yr. DNT of basal gyri of left temporal lobe | F. 7 yr. DNT of left cuneus | M. 29 yr. DNT of isthmus of right cingulate gyrus. 9-year followup |
F. 30 yr. DNT of antero-medial left temporal lobe | F. 32 yr. DNT of right middle frontal gyrus | F. 8 yr. DNT of left middle and inferior temporal gyri | M. 18 yr. Dysembryoplastic neuroepithelial tumor (DNT) of right inferior temporal / occipital gyri. CT, MRI |
F. 7 yr 6 m. Temporo-occipital dysembryoplastic neuroepithelial tumor (DNT) | M. 2 yr 5 m. Right frontal dysembryoplastic neuroepithelial tumor (DNET) | ||
GLIONEURONAL TUMOR...Neuropathology.... | |||
F. 30 yr. Glioneuronal tumor with neuropil-like islands and focal transformation to glioblastoma multiforme | |||
PRIMITIVE NEUROECTODERMAL TUMOR (PNET)...Neuropathology.... | |||
M. 21yr. Left temporal primitive neuroectodermal tumor (PNET) | M. 4 d. Congenital PNET of cerebral hemisphere with ependymal and neuroblastic differentiation. | F. 37 yr. Anaplastic PNET of left frontal lobe | M. 29 yr. Left parietal PNET |
F. 9 yr. Supratentorial (right fronto-temporal) PNET | F. 43 yr. Supratentorial primitive neuroectodermal tumor (PNET). Pre-operative CT | Same, MRI 2½ months after first operation | F. 36 yr. Primitive neuroectodermal tumor (PNET) of brainstem at IV ventricle floor |
F. 2 yr. 2 m. Embryonal tumor with abundant neuropil and multilayered rosettes. CT, MRI | F. 2 yr 9 m. Embryonal tumor with abundant neuropil and multilayered rosettes. Recurrence after 6 months. MRI | M. 5 yr 3 m. Primitive neuroectodermal tumor (PNET) of temporal lobe | |
F. 8 yr 4 m. Embryonal tumor of the CNS with abundant neuropil and multilayered rosettes. MRI | F. 2 yr. 10 m. Embryonal tumor with multilayered rosettes, medulloepithelioma and ependymoblastoma morphology. CT, MRI | M. 18 yr 1 m. Primitive neuroectodermal tumor (PNET) of hypothalamic region, with leptomeningeal and spinal spread. MRI | |
M. 6 yr 2 m. Ganglioneuroblastoma of cerebellum, MRI | M. 7 yr. Primitive neuroectodermal tumor (PNET) in the right temporal lobe. MRI | ||
MEDULLOBLASTOMA.
...Neuropathology....
For undergraduates: Neuropathology. Neuroimaging. |
|||
M. 21 yr. Desmoplastic medulloblastoma with spinal secondaries | M. 35 yr. Medulloblastoma of vermis with spontaneous peritumoral hemorrhage. | F. 32 yr. Large cell medulloblastoma with multiple foci in cerebellum and spinal cord | M. 13 yr.
Recurrent medulloblastoma with supratentorial
ventricular extension |
F. 24 yr. Desmoplastic medulloblastoma | M. 2 m 12 d Medulloblastoma with extensive nodularity | M. 9 yr
6 m.
Classical medulloblastoma in cerebellar vermis, rich in nuclear palisading and Homer Wright pseudorosettes |
Same, temporal lobe metastasis after 8 years, no recurrence at primary site |
F. 5 yr. Classical medulloblastoma in cerebellar vermis | Same, aged 14 years. Recurrence at primary site after 9 years : small foci of high signal intensity in diffusion sequence, | progression via III ventricle and foramina of Monro to large frontal lobe metastasis | F. 6 yr 8 m. Classical medulloblastoma in fourth ventricle; retrograde seeding of third ventricle mimicking germinoma |
M. 5 yr 2 m. Melanotic medulloblastoma of cerebellar vermis. Original MRI | Same, 2 1/2 months after surgery and radiotherapy. Extensive local recurrence and leptomeningeal spread | M. 5 yr 5 m. Desmoplastic medulloblastoma with rhabdomyoblastic differentiation (medullomyoblastoma) CT, MRI | M. 7 a 4 m. NF1. Medulloblastoma of left cerebellar hemisphere associated with familial polyposis of colon (Turcot syndrome) (text) and pilocytic astrocytoma of cerical spinal cord. |
F. 6 yr 11 m. Medulloblastoma with extensive nodularity in cerebellar vermis. MRI | F. 14 yr. Medullomyoblastoma followed by anaplastic cerebellar ganglioglioma after 11 years | (Same case) F. 24 yr. Anaplastic cerebellar ganglioglioma 11 years after medullomyoblastoma (transformation or new tumor ?) | |
ATYPICAL TERATOID/RHABDOID .TUMOR..Neuropathology. | |||
M. 1 yr. 1 m. Atypical teratoid/rhabdoid tumor of right cerebral hemisphere. CT, MRI, text | F. 7 m. Atypical teratoid/rhabdoid tumor of cerebellar vermis | F. 1 yr. Atypical teratoid/rhabdoid tumor (ATRT) in anterior surface of brain stem. CT, MRI | M. 10 m 8 d. Atypical teratoid / rhabdoid tumor of posterior fossa. CT, MRI |
MALIGNANT RHABDOID TUMOR OF KIDNEY . ..Pathology. | |||
F. 3 yr 4 m. Malignant rhabdoid tumor of kidney. CT, MRI | F. 4 yr
3 m. Same case -
cerebral metastasis one year after complete clearing of the lesions by chemotherapy |
||
MENINGIOMAS
BY TOPOGRAPHY ...Neuropathology....
For undergraduates: Neuropathology. Neuroimaging. |
|||
Meningiomas of cerebral convexity | Of falx or parafalcine | Of olfactory groove or roof of orbit | Of sellar region |
Of middle fossa | Of sphenoid ridge | Of optic nerve | Of clivus |
Of cerebellopontine angle | Of tentorium /posterior fossa | Intraventricular | Of spinal canal |
MORE
MENINGIOMAS.
...Neuropathology....
For undergraduates: Neuropathology. Neuroimaging. |
|||
M. 26 yr. Meningothelial meningioma with rapid growth in young adult | F. 67 yr. Left intraventricular atypical meningioma | M. 74 yr. Right frontal meningothelial meningioma infiltrating brain | M. 69 yr. Three-lobed fibroblastic meningioma (right frontoparietotemporal) |
M. 44 yr. Left cerebellopontine angle meningioma insinuating into foramen magnum | F. 70 yr. Left parietal meningioma infiltrating brain | F. 62 yr. Meningioma of anterior spinal canal (T2-T3) | F. 41 yr. Meningioma of olfactory groove |
F. 50 yr. Right frontobasal meningioma (incidental finding) + aneurysm of right middle cerebral artery | M. 60 yr. Chordoid meningioma of right fronto-temporal region | M. 64 yr. Lymphoplasmacyte-rich meningioma en plaque of orbital roof growing into basal cisterns. 10-year follow-up | F. 73 yr. Secretory meningioma of planum sphenoidale |
F. 48 yr. Microcystic meningioma of falx | F. 52 yr. Atypical meningioma. 10-year follow-up | M. 36 yr. Meningioma originating in middle ear | Same, intracranial extension after 4 years. |
|
|||
F. 36 yr. Secretory meningioma of sphenoid wing with hyperostosis. CT, MRI | F. 13 yr. Clear cell meningioma of posterior fossa | M. 51 yr. Lipidized meningioma (with adipose tissue metaplasia) of sphenoid wing | F. 52 yr. Lipidized meningioma of petrous apex |
F. 57 yr. Temporal lipidized meningioma | F. 42 yr. Recurrent chordoid meningioma invading frontal sinus | M. 49 yr. Xanthomatous and angiomatous meningioma of left parietal convexity | F. 66 yr. Parafalcine meningioma with microcystic, xanthomatous, angiomatous and meningothelial components |
F. 29 yr. Complex meningioma combining rhabdoid, papillary and clear cell patterns | F. 75 yr.
Fibroblastic meningioma of left lateral ventricle |
M. 70 yr. Atypical meningioma with intra and extracranial growth replacing left side of frontal bone | F. 63 yr. Giant meningioma of olfactory groove |
F. 57 yr. Meningioma en plaque of middle fossa infiltrating cavernous sinus and middle ear | M. 51 yr. Secretory meningioma at cerebello-pontine angle masquerading as schwannoma on MRI | M. 43 yr.
Giant bilateral
fronto-parietal meningioma with hyperostosis and brain compression (MRI Feb 2008) |
Same, 4
years later.
Tumor growth through bone gap and under scalp (MRI Oct 2011) |
M. 69 yr. Frontal meningioma producing hyperostosis and bone destruction | F. 68 yr. Exophytic meningioma of lesser sphenoid wing with hyperostotic nodule at implantation | F. 56 yr. Psammomatous meningioma of olfactory groove | F. 48 yr. Chordoid meningioma of olfactory groove invading nasal cavity. CT |
Same, MRI | F. 44 yr. Intraspinal psammomatous meningioma | F. 30 yr. Microcystic meningioma of greater sphenoid wing, causing hyperostosis | M. 38 yr. Small temporal chordoid meningioma |
F. 20 yr. Anaplastic and clear cell meningioma of posterior fossa with supratentorial extension. CT, MRI | F. 55 yr. Fibroblastic S-100 positive meningiomas of posterior fossa raising schwannoma as differential diagnosis | M. 74 yr. Fibroblastic S-100 positive meningioma of posterior fossa at internal auditory canal mimicking schwannoma | M. 3 yr 9 m. Clear cell meningioma of cauda equina. MRI. |
HEMANGIOPERICYTOMA ...Neuropathology.__Text | |||
Illustrated linked text |
|||
M. 33 yr. Hemangiopericytoma with falx attachment | M. 30 yr. Hemangiopericytoma of tentorium cerebelli | F. 67 yr. Hemangiopericytoma of sellar region mimicking pituitary adenoma | |
SOLITARY FIBROUS TUMOR OF THE MENINGES.....Neuropathology. | |||
Illustrated linked text |
|||
F. 20 yr. Solitary fibrous tumor of falx. Text | M. 50 yr. Solitary fibrous tumor of meninges | M. 73 yr. Solitary fibrous tumor of meninges | |
F. 37 yr. Intracranial solitary fibrous tumor developing multiple bone metastases 3 years after craniotomy | Same, vertebral metastasis at T11 with cord compression 3 years later | M. 55 yr. Occipital epidural solitary fibrous tumor penetrating through bone. CT, MRI | M. 52 yr. Occipital / cervical intra- e extracranial solitary fibrous tumor. 10 year follow up and late metastases to thoracic vertebrae. CT, MRI - highlights. Exams in full |
SCHWANNOMA
...Neuropathology....See
also Neurofibromatosis
type 2.
For undergraduates: Neuropathology. Neuroimaging. |
|||
F. 47 yr. Diminutive intracanalicular vestibular schwannoma | F. 44 yr. Vestibular schwannoma | F. 42 yr. Vestibular schwannoma | F. 25 yr. Vestibular schwannoma |
F. 44 yr. Vestibular schwannoma | M. 44 yr. Vestibular schwannoma | M. 37 yr. Solid-cystic vestibular schwannoma | M. 52 yr. Schwannoma of cauda equina |
F. 27 yr. Schwannoma of cervical nerve root (right C4) | M. 52 yr. Schwannoma of cervical nerve root (right C7) | F. 49 yr. Giant schwannoma of sacral nerve root (right S1) | M. 30 yr. Schwannoma of cauda equina at conus medullaris |
F. 27 yr. Recurrent vestibular schwannoma compressing brain stem | M. 27 yr. Schwannoma of trigeminal nerve root or of Gasserian ganglion | M. 28 yr. Multiple schwannomas of cauda equina | |
NEUROFIBROMATOSIS TYPE 1 (NF1)....Neuropathology.... | |||
M. 23 yr. NF1. Diffuse astrocytoma of cerebellum, sphenoid dysplasia, high signal intensity focus in globus pallidus | M. 10 yr. NF1. Diffuse astrocytoma of optic pathways, gliomatosis of brain stem and cerebral hemispheres | ||
F. 6 yr. NF1. Diffuse astrocytoma of optic pathways, gliomatosis of brain stem and centroencephalic structures, neurofibroma of scalp | F. 9 yr. NF1. Pilocytic astrocytoma of optic nerve | ||
F. 12 yr. NF1. Sphenoid dysplasia, neurofibromas of orbit and scalp, enlarged cisterna magna, foci of abnormal signal intensity in cerebellar vermis and globus pallidus | M. 14 yr. NF1. Multiple foci of abnormal signal intensity ('hamartomas') in brain. | ||
F. 25 yr. NF1. Foci of abnormal signal intensity ('hamartomas') in brain. | M. 11 yr. NF1. Sphenoid dysplasia, neurofibroma of orbit, proptosis, bilateral foci of abnormal signal intensity in globus pallidus | ||
M. 30 yr. NF1. Plexiform neurofibroma, sphenoid dysplasia, middle fossa arachnoid cyst, craniofacial deformity | F. 24 yr. NF1. Plexiform neurofibroma of face and scalp, sphenoid dysplasia, middle fossa arachnoid cyst, craniofacial deformity, proptosis and buphthalmos. | ||
M. 13 yr. NF1. Plexiform neurofibroma of scalp and ear, posterior fossa arachnoid cyst | M. 17 yr. NF1. Plexiform neurofibroma of nuchal region with malignant transformation (malignant peripheral nerve sheath tumor, MPNST). | ||
M. 56 yr. NF1. Multiple tumors of spinal nerve roots | F. 11 yr. NF1. Multiple tumors of spinal roots and nerves extending widely into paravertebral muscles | ||
M. 66 yr. NF1. Lateral meningoceles of thoracic and sacral regions, marked kyphoscoliosis, cutaneous neurofibromas. | |||
M. 5 yr 4 m. Plexiform neurofibroma circling the cervical spine in NF1 | |||
NEUROFIBROMATOSIS TYPE 2 (NF2) | |||
M. 11 yr. NF2. Bilateral vestibular schwannomas, ependymoma of medulla and cervical cord, meningiomas of foramen of Luschka and lateral ventricle. | M. 25 yr. NF2. Bilateral vestibular schwannomas, ependymoma of cervical cord, cavernous sinus meningioma (arrow), optic nerve sheath tumor (also meningioma?) | ||
F. 51 yr. NF2. Multiple meningiomas (meningiomatosis), left vestibular schwannoma , ependymoma of spinobulbar transition. | |||
Illustrated
linked texts (in Portuguese): schwannomas,
neurofibromas,
NF1,NF2. |
|||
M. 42 yr. NF2. Left vestibular schwannoma, meningioma of petrous apex and sphenoid, tentorial meningioma surrounding straight sinus | |||
M. 25 yr. Neurofibromatosis type 2. Ependymomas in medulla and lumbar spinal cord; bilateral vestibular and right oculomotor schwannomas; meningioma of optic nerve sheath, others. CT, MRI | |||
Neuropathology |
MALIGNANT PERIPHERAL NERVE SHEATH TUMOR (MPNST) ...Neuropathology. | |||
M. 16 yr 2 m. Malignant peripheral nerve sheath tumor (MPNST) in left L4 spinal root. Pictured - intra and extraforaminal components. Text - MPNST | |||
GANGLIONEUROBLASTOMA...Neuropathology. | |||
F. 20 yr. Epidural thoracic ganglioneuroblastoma. Text. | |||
NEUROBLASTOMA...Neuropathology. | |||
M. 40 yr. Olfactory neuroblastoma (esthesioneuroblastoma) | F. 28 yr. Neuroblastoma of olfactory nerve (esthesioneuroblastoma) | M. 36 yr. Esthesioneuroblastoma with frontal lobe extension | M. 46 yr.
Esthesioneuroblastoma causing frontal lobe hemorrhage |
M. 11 m. Retroperitonial neuroblastoma metastatic to skull | |||
NEUROENDOCRINE CARCINOMA ...Neuropathology. | |||
M. 52 yr. Sinonasal neuroendocrine carcinoma | |||
HEMANGIOBLASTOMA...Neuropathology.... | |||
F. 55 yr. Hemangioblastoma of cervical cord with hydrosyringomyelia | F. 50 yr. Hemangioblastoma of spinobulbar transition | M. 42 yr. Cerebellar hemangioblastoma | F. 23 yr. Cerebellar hemangioblastoma |
F. 50 yr. Left hemispheric solid cerebellar hemangioblastoma | M. 39 yr. Midline solid-cystic cerebellar hemangioblastoma | M. 39 yr. Hemangioblastoma of cervical cord | M. 52 yr. Hemangioblastoma of medulla oblongata |
LYMPHOMA...Neuropathology.... | |||
M. 65 yr. Lymphoma of basal ganglia | F. 32 yr. Lymphoma of cerebral hemisphere | F. 62 yr. Primary B-cell non-Hodgkin lymphoma of occipital bone. Text | F. 19 yr. Recurrent Hodgkin's lymphoma in thoracic vertebrae and soft tissues, causing root compression. |
F. 56 yr. B-cell lymphoma of cerebellum and pituitary | M. 24 yr.
Systemic T/NK cell lymphoma masquerading as multiple sclerosis
Case summary |
F. 27 yr. Diffusely infiltrating, non contrast enhancing B-cell lymphoma | F. 60 yr. Primary dural lymphoma with extracranial extension. 12-year follow-up |
F. 56 yr. Marginal zone non Hodgkin B-cell lymphoma of skull base at left cavernous sinus | F. 42 yr. Centroencephalic diffuse large B-cell lymphoma. Text | F. 52 yr. B cell lymphoma of dura mater, occipital bone and soft tissues | |
MULTIPLE MYELOMA / PLASMACYTOMA...Neuropathology.... | |||
M. 59 yr. Multiple myeloma of spine | F. 45 yr. Plasmacytoma of skull base | M. 61 yr. Skull base plasmacytoma (occipital and temporal bones) | |
HISTIOCYTOSES. ..Neuropathology.... | |||
F. 50 yr. Non Langerhans histiocytosis of skull base and sellar region. Early lesions CT, MRI | Same, follow up MRI after 4 months | M. 34 yr. Non Langerhans histiocytosis of meninges and brain. Early lesions, MRI | Same, follow up MRI after 6 months |
F. 3 yr. Langerhans histiocytosis (eosinophil granuloma) of skull and sternum | M. 63 yr. Langerhans cell histiocytosis of orbit | M. 6 yr. Langerhans cell histiocytosis (histiocytosis X or eosinophil granuloma) of skull (occipital bone) | F. 2yr 9m. Langerhans cell histiocytosis in vertebral body of C7 |
F. 8 yr 5 m. Rosai-Dorfman disease of brain (non-Langerhans histiocytosis). CT, MRI. Text. | M. 15 yr 6 m. Langerhans cell histiocytosis in the sphenoidal sinus | ||
METASTASES....Neuropathology....For undergraduates: Neuropathology. Neuroimaging. | |||
M. 25 yr. Metastatic neuroendocrine carcinoma | M. 45 yr. Pontine metastasis of renal carcinoma | F. 52 yr. Metastatic breast carcinoma in posterior fossa mimicking meningioma | F. 51 yr. Left frontal metastatic melanoma |
|
|||
F. 48 yr. Right temporal metastatic colon carcinoma | F. 64 yr. Metastatic adenoid cystic carcinoma in spine and thoracic wall | M. 57 yr. Cerebellar metastasis of neuroendocrine carcinoma | F. 75 yr. Occipital metastasis of follicular carcinoma of thyroid. 4-year history |
M. 11 m. Retroperitonial neuroblastoma metastatic to skull | M. 60 yr. Widespread cerebral metastases of lung adenocarcinoma | F. 15 yr. Three metastases of choriocarcinoma (primary in hydatiform mole) | M. 22 yr. Two metastases of choriocarcinoma (primary in mediastinum) |
F. 68 yr. Skull metastasis of follicular adenocarcinoma of thyroid | M. 59 yr. Metastatic neuroendocrine carcinoma in cerebral hemisphere | F. 75 yr. Metastatic adenocarcinoma in sphenoid wing mimicking meningioma on MRI | M. 60 yr. Metastatic melanoma in genu of corpus callosum mimicking butterfly glioma |
F. 54 yr. Metastatic melanoma in head of caudate nucleus, with peritumoral and intraventricular hemorrhage | F. 22 yr. Cerebral metastases of choriocarcinoma 6 years after molar pregnancy. CT, MRI | M. 20 yr. Brain and lung metastases of testicular choriocarcinoma. CT, MRI | Same, contralateral brain metastases after one year. MRI |
M. 16 yr. Yolk sac tumor of testis with recurrent brain metastases. Text. Yolk sac tumor. | M. 17 yr 2 m. Same case. Third lesion at same site | M. 19 yr. Embryonal carcinoma originating in immature teratoma of testis. Two brain metastases at different times | F. 4 yr 3 m. Malignant rhabdoid tumor of kidney - cerebral metastasis one year after complete clearing of lesions by chemotherapy. Text - Malignant rhabdoid tumor of kidney |
F. 2 yr 10 m. Cerebral metastasis of hepatoblastoma | |||
CRANIOPHARYNGIOMA...Neuropathology....For undergraduates: Endocrine Pathology | |||
M. 19 yr. Calcified craniopharyngioma in plain skull radiographs | M. 13 yr. Peripherally calcified craniopharyngioma causing enlargement of sella | M. 3 yr. Craniopharyngioma: large, solid-cystic, partly calcified tumor | F. 15 yr. Craniopharyngioma: tumor growth over one year |
F. 8 yr. Craniopharyngioma: five-year follow-up | M. 12 yr. Craniopharyngioma: 12-year follow-up | M. 8 yr. Bilobed craniopharyngioma involving the optic chiasm | F. 7 yr. Solid-cystic craniopharyngioma |
|
|||
M. 19 yr. Craniopharyngioma: complete ressection | M. 39 yr. Papillary craniopharyngioma | M. 59 yr. Papillary craniopharyngioma: frontal lobe extension | M. 35 yr. Intrasellar craniopharyngioma |
F. 31 yr. Papillary craniopharyngioma | M. 44 yr. Adamantinomatous craniopharyngioma extending into third ventricle | M. 54 yr. Adamantinomatous craniopharyngioma. Large cyst filling prepontine cistern and third ventricle | M. 44 yr. Adamantinomatous craniopharyngioma extending into frontal lobes |
M. 31 yr. Presumed craniopharyngioma with fluid level (specimen contained only pilocytic gliosis, but no tumor) | M. 28 yr. Papillary craniopharyngioma | ||
EPIDERMOID / DERMOID CYSTS ...Neuropathology.... | |||
F. 56 yr. Epidermoid cyst of posterior fossa | F. 47 yr. Epidermoid cyst of right choroid fissure | M. 33 yr. Epidermoid cyst of right choroid fissure and arachnoid cyst of posterior fossa. Text | M. 25 yr.
Dermoid cyst (mature cystic teratoma) of sellar region. Spread of lipid droplets through subarachnoid space and lateral ventricle. Text |
M. 64 yr. Dermoid cyst (mature teratoma) in cerebellar vermis and posterior fossa arachnoid cyst | F. 1 yr. 6 m. Intraspinal dermoid cyst | M. 18 yr. Dermoid cyst of posterior fossa insinuating into foramen magnum and compressing medulla. CT, MRI | |
M. 5 yr. Teratoma (dermoid cyst) of pineal - CT | Same, MRI | M. 13 yr. Teratoma of pineal. Free lipid droplets in lateral ventricles | |
M. 5 yr 5 m Mature teratoma of pineal. MRI | |||
PITUITARY ADENOMAS. ..Neuropathology...For undergraduates: Endocrine Pathology | |||
F. 43 yr. Microadenoma (prolactinoma) | F. 28 yr. Microadenoma (prolactinoma) | F. 31 yr. Microadenoma (prolactinoma) | M. 44 yr. Macroadenoma |
F. 15 yr. Macroadenoma (prolactinoma) | M. 37 yr. Partly cystic macroadenoma | F. 73 yr. Cystic macroadenoma showing sedimentation level | F. 17 yr. Cystic macroadenoma: two-year follow-up |
M. 33 yr. Macroadenoma - regression in response to clinical treatment | F. 37 yr. GH-secreting macroadenoma causing acromegaly | M. 41 yr. Pituitary oncocytoma (null cell adenoma, oncocytic variant) | M. 49 yr. Giant invasive pituitary adenoma infiltrating skull base and nasopharynx |
F. 44 yr. Ectopic invasive pituitary adenoma centered in sphenoid sinus, spilling into left nasal cavity. Normal sella turcica. Text | M. 44 yr. Oncocytoma (null cell adenoma) of pituitary | F. 67 yr. Invasive pituitary adenoma with extensive skull base infiltration. CT, MRI | M. 46 yr. Eosinophil pituitary adenoma causing acromegaly. Negative IH for HGH in spite of increased serum levels. CT, MRI |
PITUITARY CARCINOMA .... Neuropathology. | |||
F. 37 yr. Pituitary carcinoma with pulmonary metastases. 6-year follow up. CT, MRI, highlights | Same, exams in full. Text | ||
GRANULAR CELL TUMOR OF NEUROHYPOPHYSIS ...Neuropathology. | |||
M. 36 yr. Granular cell tumor of neurohypophysis. Text | M. 56 yr. Granular cell tumor of neurohypophysis at III ventricle floor | ||
GERMINAL TUMORS ...Neuropathology. Texts (1) (2) | |||
M. 19 yr. Germinoma of pineal | M. 29 yr. Germinoma of pineal | M. 21 yr. Germinoma of pineal | M. 19 yr. Germinoma of pineal |
M. 9 yr. Germinoma of pineal | M. 28 yr. Germinoma of pineal | F. 12 yr. Germinoma of hypothalamic region | M. 21 yr. Germinoma of hypothalamic region infiltrating dorsum sellae, cavernous sinuses and compressing optic chiasm |
M. 9 yr. Germinoma of pineal. Seeding of cranial subarachnoid space and lumbar nerve roots. Two-year follow-up. | F. 16 yr. Germinoma of hypothalamic region disseminating to IV ventricle | M. 14 yr. Germinoma of hypothalamic region and III ventricle | M. 15 yr. Germinal cell tumor of III ventricle (germinoma in small biopsy) |
M. 13 yr 6 m. Germinoma of pineal region filling III ventricle. MRI | F. 15 yr 2 m. Germinoma of III ventricle with dissemination throughout the ventricular system | ||
M. 5 yr. Teratoma (dermoid cyst) of pineal - CT | Same, MRI | M. 13 yr. Teratoma of pineal. Free lipid droplets in lateral ventricles | |
M. 5 yr 5 m Mature teratoma of pineal. MRI | M. 8 mth. Congenital cerebral teratoma. 6 month follow up with CT, MRI | F. 1 yr 1 m Sacrococcygeal teratoma with yolk sac tumor (or endodermal sinus tumor) component | |
PINEAL PARENCHYMAL TUMORS, OTHERS...Neuropathology. .Text | |||
F. 24 yr. Pineocytoma. Text | F. 56 yr. Pineocytoma | M. 52 yr. Pineocytoma | |
F. 20 yr. Pineoblastoma. Text | M. 15 yr. Pineoblastoma | F. 14 yr. Pineoblastoma | |
F. 64 yr. Glioblastoma multiforme of pineal. Text | M. 9 yr. Pineal cyst. Text | F. 58 yr. Three-lobed cyst of pineal | |
PARAGANGLIOMAS ...Neuropathology....Text | |||
F. 59 yr. Carotid body paraganglioma | F. 52 yr. Gangliocytic paraganglioma of cauda equina | F. 54 yr. Paraganglioma of cauda equina | |
MELANOCYTOMA...Neuropathology. | |||
F. 39 yr. Melanocytoma of sellar region. Six-year follow-up | |||
BONE TUMORS. ..Neuropathology....For undergraduates... | |||
M. 23 yr. Giant cell tumor of sacrum and lumbar vertebrae. Text | F. 16 yr. Aneurysmal bone cyst of sacrum. Text | M. 27 yr. Occipital aneurysmal bone cyst. Text | F. 16 yr. Aneurysmal bone cyst of thoracic spine |
M. 20 yr. Aneurysmal bone cyst of skull and spontaneous (non traumatic) epidural hematoma | F. 31 yr. Osteosarcoma of clivus secondary to irradiation for craniopharyngioma | M. 42 yr. Chondroma of skull base at petrous apex / cavernous sinus. Text | M. 16 yr. Cystic, partially ossified chondroma of brain convexity with dural attachment. Text |
F. 31 yr. Chondroma of skull base | F. 17 yr. Skull base chondroblastoma (temporal bone). Text | M. 19 yr. Chondromyxoid fibroma of occipital bone; intra- and extracranial extension | F. 21 yr. Fibrous dysplasia of skull |
F. 31 yr. Fibrous dysplasia of skull. CT. | M. 4 yr 7 m. Fibrous dysplasia of skull base. CT, MRI | M. 12 yr. Giant cell reparative granuloma of mastoid | M. 36 yr. Brown tumor of hyperparathyroidism in L5 vertebra. CT. Texts: hyperparathyroidism, brown tumor. |
M. 2 yr. 1 m. Undifferentiated sarcoma of skull base | |||
LEIOMYOMA..
.Neuropathology. |
MYXOMA..
.Neuropathology |
LIPOMA ..Neuropathology. | MYELOLIPOMA ...Neuropathology |
F. 71 yr. Extradural spinal leiomyoma | M. 12 yr 5 m. Left frontal primary intracerebral myxoma | M. 11 yr. 6 m. Intradural cervical and lumbar lipomas. MRI | F. 63 yr. Presacral myelolipoma. MRI. Text |
INFLAMMATORY MYOFIBROBLASTIC TUMOR ..Neuropathology. Text | |||
F. 5 yr 7 m. Inflammatory myofibroblastic tumor at skull base (jugular foramen). 5-year MRI follow-up. Text : Inflammatory myofibroblastic tumor | |||
CHORDOMA ...Neuropathology....Text | |||
F. 54 yr. Chordoma of clivus | M. 33 yr. Chordoma of clivus | M. 41 yr. Chordoma of clivus | M. 72 yr. Chordoma of 5th lumbar vertebra extending into spinal canal |
M. 53 yr. Sacrococcygeal chordoma | M. 67 yr. Sacrococcygeal chordoma | F. 68 yr. Sacral chordoma with massive recurrence after 6 years | F. 32 yr. Chordoma of clivus |
M. 10 m. Congenital sacral chordoma associated with tuberous sclerosis complex. Text : chordomas in the pediatric population | Subependymal nodules, some calcified | ||
PERIPHERAL
PRIMITIVE NEUROECTODERMAL TUMOR (pPNET)
......Neuropathology. |
|||
F. 21 yr. Peripheral primitive neuroectodermal tumor (pPNET) of cervical nerve root. Text | F. 37 yr. Ewing's sarcoma / peripheral primitive neuroectodermal tumor (pPNET) of lumbar nerve roots invading vertebrae | M. 21 yr. Peripheral primitive neuroectodermal tumor (pPNET) of lumbar nerve roots with paravertebral soft tissue extension | M. 26 yr. Peripheral primitive neuroectodermal tumor (pPNET) of cauda equina |
F. 15 yr. pPNET (peripheral primitive neuroectodermal tumor) / Ewing's sarcoma of spinal epidural space (T11-T12) compressing cord and nerve root . | F. 38 yr. Peripheral primitive neuroectodermal tumor (pPNET) of sacral plexus and sciatic nerve | ||
SARCOMA.....Neuropathology. | |||
M. 17 yr. Primary myxoid sarcoma of brain. Early lesion in left parietal lobe | Same, rapid tumor growth in 2½ months | Same, first recurrence at left temporal lobe after 6 months | Same, second recurrence after 3 years, elsewhere in left parietal lobe |
Case summary | |||
Same, third recurrence after 4 years at left frontal lobe | M. 21 yr. Primary meningeal sarcoma with polyphenotypic antigen expression | M. 19 yr. Primary sarcoma of cerebral cortex | M. 27 yr 2 m. (same case). Primary sarcoma of cerebral cortex recurring after 8 years. |
M. 8 yr 1 m. Primary intracerebral sarcoma. MRI | |||
MALFORMATIONS, MIGRATION DEFECTS ...Neuropathology. | |||
F. 1 yr. 5 m. Hemimegalencephaly, agyria, pachygyria. | M. 3yr. Pachygyria | F. 21 yr. Double cortex | F. 24 yr. Double cortex |
Textos. Agiria, paquigiria, hemimegalencefalia, heterotopias gliais meníngeas | |||
F. 1 yr. 2 m. Heterotopias | F. 24 yr. Heterotopias | F. 19 yr. Heterotopias | M. 7 yr. Schizencephaly, polymicrogyria, agenesis of septum pellucidum |
|
|||
F. 9 yr. Schizencephaly, polymicrogyria, agenesis of septum pellucidum | M. 15 yr. Cortical dysplasia, Taylor type | F. 33 yr. Cortical dysplasia, Taylor type | M. 2 yr. 11 m. Cortical dysplasia, Taylor type |
F. 15 yr. Cortical dysplasia, non-Taylor type (normal MRI) | M. 15 yr.
M.
15 yr. Non-Taylor cortical dysplasia + incidental pleomorphic
xanthoastrocytoma |
M. 16 yr. Polymicrogyria and cystic leukomalacia | F. 40 yr. Frontoethmoidal (frontonasal) encephalocele |
F. 5 yr. Frontoethmoidal (fronto-orbital) encephalocele | M. 4 m. Occipital encephalocele | M. 4 yr. 4 m. Tuberous sclerosis. Multiple tubers in cerebral hemispheres (+ subependymal giant cell astrocytoma) | M. 1 yr. 9m. Tuberous sclerosis. Giant partly calcified fronto-parietal tuber |
M. 20 yr. Hypoplasia of vermis and cerebellar hemispheres (+ganglioglioma of head of caudate nucleus) | |||
CYSTS, HAMARTOMAS, OTHERS...Neuropathology. | |||
F. 28 yr. Congenital arachnoid cyst | M. 33 yr. Arachnoid cyst of posterior fossa (+ epidermoid cyst of choroidal fissure) | F. 27 yr. Intradiploic arachnoid cyst. Text | M. 64 yr. Dermoid cyst (mature teratoma) in cerebellar vermis and posterior fossa arachnoid cyst |
M. 2 yr. 4 m. Arachnoid cyst (incidental finding) in patient with anaplastic ganglioglioma of brain stem. | |||
M. 45 yr. Cervical epidural meningeal cyst. Text | F. 15 yr. Multiple epidural meningeal cysts | F. 62 yr. Thoracic epidural meningeal cyst. MRI | |
F. 45 yr. Spinal neuroenteric (enterogenous) cyst | M. 24 yr. Spinal neuroenteric (enterogenous) cyst | F. 44 yr. Cerebral neuroenteric (enterogenous) cyst. MRI | M. 5 mths. Choroid plexus cyst of left lateral ventricle |
M. 43 yr.
Colloid cyst of third ventricle. CT.
Image bank |
F. 62 yr. Colloid cyst of third ventricle. CT | M. 14 yr. Colloid cyst of third ventricle. CT, MRI | M. 36 yr. Colloid cyst of third ventricle causing unilateral hydrocephalus. CT, MRI |
M. 40 yr. Colloid cyst of third ventricle. CT, MRI | M. 61 yr. Colloid cyst of third ventricle causing bilateral hydrocephalus. CT, MRI | F. 14 yr. Colloid cyst of III ventricle | F. 22 yr. Colloid cyst of III ventricle |
M. 55 yr. Colloid cyst of III ventricle | |||
F. 37 yr.
Rathke's cleft cyst. CT, MRI
Image bank |
F. 46 yr. Rathke's cleft cyst. MRI | F. 42 yr. Rathke's cleft cyst. MRI | F. 70 yr. Rathke's cleft cyst. MRI |
M. 25 yr. Hypothalamic hamartoma. Text | F. 3 yr. Hypothalamic hamartoma | F. 3 yr. Hypothalamic hamartoma | F. 1 yr. 7m. Hypothalamic hamartoma |
OTHER DISEASES...Neuropathology.... | |||
F. 59 yr. Late pseudotumoral necrosis after gamma knife irradiation for cavernoma | M. 41 yr. Radiation induced demyelinating white matter lesions 4 years after oligoastrocytoma | Same case,
late pseudotumoral brain necrosis after 5 years
Case summary |
F. 59 yr. Pseudotumoral brain necrosis 9 months after radiation therapy for glioblastoma multiforme |