Saturday, 3 March 2012

Thalamic Glioma - Astrocytoma

A 54 yo male with mild progressive headache. 
CT Brain Post contrast
MRI Brain FLAIR, T2 and T2*GRE
Post contrast T1
A heterogeneously enhancing neoplastic soft tissue density space occupying lesion centered to right thalamus. Areas of necrosis, hemosiderin staining on T2*GRE, perilesional odema.
Third ventricle compressed with mild trapping of lateral ventricles. 
Imagingwise : Thalamic Glioma.
Steriotactic Biopsy and Histopathology : Grade IV Astrocytoma. 

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