Cerebellar cystic ganglioglioma in an 8-year-old child

The authors report a child with a cerebellar ganglioglioma and large cyst. An 8-year-old boy presented with headache and ataxia. Computerized tomography and magnetic resonance imaging (MRI) studies demonstrated a large cystic component associated with intense contrast enhancement of a mural nodule in the left cerebellar hemisphere. A preoperative diagnosis of cystic astrocytoma was made. The tumor was removed via a midline suboccipital approach. Pathological examination of the tumor specimen revealed a ganglioglioma. The postoperative course was uneventful. There was no tumor recurrence on repeat MRI. At most recent follow-up, the patient was well. Although rare, cerebellar cystic gangliogliomas should be included in the differential diagnosis of posterior fossa tumors. © 2007 IOS Press. All rights reserved

Solitary ectopic lacrimal gland tissue of the orbit presenting with unilateral proptosis in a 5-year-old child

Ectopic lacrimal gland tissue (ELGT) of the orbit is seen rarely. A 5-year-old child with an ELGT of the right orbit causing to unilateral proptosis is presented. Computerized tomography and magnetic resonance imaging studies showed an irregular, soft-tissue in the right orbit, without bony erosion. The lesion was excised subtotally by right frontal transcranial approach

Cavernous hemangioma of the cavernous sinus: A case report

A case with giant cavernous hemangioma in the cavernous sinus is reported. The patient had a 5-month history of headache and visual symptoms. Computerized tomography (CT) and magnetic resonance imaging (MRI) studies demonstrated a lesion of the cavernous sinus in the left middle fossa. Only a biopsy of the cavernous malformation of cavernous sinus was performed during the first surgery because of uncontrollable haemorrhage during surgery. After the operation, radiation therapy was performed. Five years later, the lesion was totally removed because of its gradual enlargement. The second surgery was uncomplicated except for partial third nerve palsy. Ten years after the operation, the patient was in good health and there was no recurrence of the cavernous angioma

Spinal Enterogenous Cysts In Infants

Intraspinal enterogenous cysts are very rare congenital cysts of endodermal origin, and tend to occur in anterior spinal intradural space. The diagnosis is usually established during the first or second decade of life. Those cysts are frequently associated with vertebral or spinal cord anomalies and dual malformation with mediastinal or abdominal cysts. We report two infants of posterior spinal enterogenous cyst in this study, one thoracolumbar (T12-L1) and one lumbar (L2-L4) presenting with features of subcutaneous lesion of posterior spinal. In one magnetic resonance imaging (MRI) showed a cystic mass extending to posterior intramedullary from subcutaneous localization at T12-L1, and in the other MRI demonstrated a syrinx extending from T11 to L1, tethered cord syndrome associated with a meningocele sac between L2 and L4. The cystic lesions in the patients were removed. The postoperative courses were uneventful. The patients appeared well after six years and four years of follow-up, respectively. Successful treatment requires early recognition of those cysts and their associated abnormalities

Spinal enterogenous cysts in infants

Intraspinal enterogenous cysts are very rare congenital cysts of endodermal origin, and tend to occur in anterior spinal intradural space. The diagnosis is usually established during the first or second decade of life. Those cysts are frequently associated with vertebral or spinal cord anomalies and dual malformation with mediastinal or abdominal cysts. We report two infants of posterior spinal enterogenous cyst in this study, one thoracolumbar (T12-L1) and one lumbar (L2-L4) presenting with features of subcutaneous lesion of posterior spinal. In one magnetic resonance imaging (MRI) showed a cystic mass extending to posterior intramedullary from subcutaneous localization at T12-L1, and in the other MRI demonstrated a syrinx extending from T11 to L1, tethered cord syndrome associated with a meningocele sac between L2 and L4. The cystic lesions in the patients were removed. The postoperative courses were uneventful. The patients appeared well after six years and four years of follow-up, respectively. Successful treatment requires early recognition of those cysts and their associated abnormalities

Intraparenchymal supratentorial papillary meningioma: a case report

Although intraparenchymal meningiomas have rarely been reported in the literature, the papillary type has been reported only as infratentorial. Here we report the case of a 21-year-old female patient with intraparenchymal lesion. To our knowledge, this case describes the first report of a patient with a supratentorial intraparenchymal papillary meningioma

Childhood intracranial germinoma with granulomatous reaction

Central nervous system tumors are the second most common type of childhood cancer in Turkey. Germinomas constitute two thirds of intracranial germ cell tumors. The granulomatous inflammation occurring around germinomas can cause histological diagnostic difficulty. We present a 12-year-old girl with a diagnosis of germinoma in the corpus callosum associated with granulomatous reaction to emphasize the diagnostic challenge which may occur during stereotactic biopsy interpretation or intraoperative consultation