ABSTRACT
A 26-year-old man was admitted with complaints of worsening of vision for one month. Investigations revealed a large sellar and parasellar tumor mass invading into both the cavernous sinuses. The tumor invaded the clivus and both petrous apices. It was radically but partially resected through a transsphenoidal approach. Following surgery, the patient showed symptomatic improvement. The residual tumor was treated by radiation treatment. The case is discussed and the literature on the subject is briefly reviewed.
Subject(s)
Adenoma/pathology , Adult , Cranial Fossa, Posterior/pathology , Humans , Magnetic Resonance Imaging , Male , Pituitary Neoplasms/pathology , Skull Base Neoplasms/pathologySubject(s)
Dandy-Walker Syndrome/complications , Female , Humans , Infant , Meningocele/etiology , Occipital Lobe/abnormalitiesSubject(s)
Adult , Brain Neoplasms/complications , Female , Humans , Oligodendroglioma/complications , Pregnancy , Skull/pathology , Tomography, X-Ray ComputedABSTRACT
A 22-year-old girl presented with a gradually progressive loss of hearing in the left ear and ipsilateral facial paresis. Investigations revealed a lipoma in the region of the jugular foramen. Conservative resection of the tumor resulted in improvement in facial paresis. The treatment options in such cases are discussed in this report.
Subject(s)
Adult , Brain Neoplasms/complications , Cerebellopontine Angle/pathology , Female , Hearing Loss, Sensorineural/etiology , Humans , Jugular Veins , Lipoma/complications , Magnetic Resonance ImagingABSTRACT
A rare case of periaqueductal glioma with an unusual radiological picture is presented. A forty-five year old male presented with progressive bilateral third and eighth nerve paresis. Magnetic resonance imaging (MRI) revealed a diffuse periaqueductal tumour with sparing of aqueduct and no hydrocephalus. MRI is a useful adjunct in such a situation for contemplating appropriate modality of treatment.
Subject(s)
Brain Neoplasms/pathology , Glioma/pathology , Humans , Male , Middle Aged , Periaqueductal Gray/pathologyABSTRACT
A rare case of a cavernous haemangioma in the interpeduncular cistern is reported. The patient, forty-five year old male presented with excruciating left sided trigeminal neuralgia and diplopia for the past one year. Examination revealed left third and fifth nerve paresis. Magnetic resonance imaging showed a well-defined, lobulated tumour in the interpeduncular cistern. The tumour was totally excised through a subtemporal route. Histology of the tumour revealed a cavernous haemangioma. Extracerebral location for a cavernous haemangioma is rare. An interpeduncular cavernous haemangioma has never been reported earlier in literature. The clinical and radiological features are discussed and relevant literature is briefly reviewed.
Subject(s)
Cavernous Sinus/pathology , Central Nervous System Neoplasms/complications , Diagnosis, Differential , Hemangioma, Cavernous, Central Nervous System/complications , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Trigeminal Neuralgia/etiologyABSTRACT
A rare case of a diffuse calvarial meningioma in a sixty-three year-old female is reported. The patient presented with headache, painful proptosis and chemosis of the left eye. Imaging showed that the frontoparietal calvarium on both sides and the left orbital roof were thickened. The thickened bone showed patchy rarefaction. In relationship to the thickened bone, there was an enhancing en-plaque meningioma. The tumour extended on to the superolateral aspect of the left orbit and resulted in proptosis. Excision of the left frontoparietal calvarium and the orbital tumour was performed. The management of diffuse calvarial meningioma is discussed and the relevant literature is briefly reviewed.
Subject(s)
Diagnosis, Differential , Female , Humans , Meningioma/pathology , Middle Aged , Photomicrography , Skull Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
A 12 year old boy with acute lymphoblastic leukaemia had received prophylactic cranial irradiation (2000 cGy/15 days) and intrathecal methotrexate. Six years later he was diagnosed to have glioblastoma in left temporoparietal region. There is a strong possibility that the glioma may have been radiation and/or chemotherapy induced.