KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Cranial Nerve Disorders in Children: MR Imaging Findings.... (Radiographics)
  • Role of EEG background activity, seizure burden and MRI in predicting neurodevelopmental outcome in ... (Eur J Paediatr Neurol)
  • Age related changes in brain MR appearance in the course of neurocutaneous melanosis.... (Eur J Radiol)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20041216150008 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague | Survey Results |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Anaplastic infratentorial ependymoma
    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    G. Hahn (Bereich Kinderradiologie/Uniklinikum Dresden/Deutschland)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    2 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Head-Brain and brain nerves  

     
     Pediatric Radiology CasesMost likely etiology:

    neoplastic  

     
     Pediatric Radiology CasesHistory:

    2 1/2 year old child with emesis and ataxia.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The anaplastic Ependymoma is with the WHO classification of grade III the most malignant Ependymoma.  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: T2-weighted sequences transversal: Hyperintense tumor in the posterior cranial fossa ca. 6 x 6 c 4,5 cm (W x H x D) in the prepontine cisterne, growing in the right Cisterna pedunculocerebellaris above the Cisterna ambiens towards supratentorial.
    Transependymal liquor migration. Narrowed cortical liquor spaces.






    MRI 2 <- view MRI 2

    MRI 2: T2-weighted sequences sagital: Hyperintense tumor in the posterior cranial fossa ca. 6 x 6 c 4,5 cm (W x H x D) in the prepontine cisterne, growing in the right Cisterna pedunculocerebellaris above the Cisterna ambiens towards supratentorial.
    Enclosing of the Chiasma opticum, tumor growth into the Sella turcica. Infratentorial tumor growth through the Foramen Luschkae into the 4th ventricle. Considerable shifting and atrophy of the Medulla oblongata, Pons and right Pedunculus cerebellaris medialis. Tumor spread towards caudal over the Foramen magnum as far as level T2. Tumor growth in the aqueduct and massive occlusion hydrocephalus with dilation of both lateral ventricles and the 3rd ventricle. Transependymal liquor migration. Narrowed cortical liquor spaces.
    The tumor encloses both Aa. vertebrales, the A. basilaris, the PcoA bilat. and right PCA - these with normal flow signal.






    MRI 3 <- view MRI 3

    MRI 3: In the FLAIR seqences also hyperintense tumor ( ca. 6 x 6 * 4,5 cm (W x H x D) in the prepontine cisterne, growing in the right Cisterna pedunculocerebellaris above the Cisterna ambiens towards supratentorial.






    MRI 4 <- view MRI 4

    MRI 4: In theT1 weighted sequences hypointense tumor, which doesn't show enhancement after contrast application.






    MRI 5 <- view MRI 5

    MRI 5: In the T1 weighted sequences hypointense tumor.






    MRI 6 <- view MRI 6

    MRI 6: T1 weighted sequences sagital: Hypointense tumor, which doesn't show enhancement after contrast application. Extensive space-occupuying lesion of the posterior cranial fossa ca. 6 x 6 c 4,5 cm (W x H x D) in the prepontine cisterne, growing in the right Cisterna pedunculocerebellaris above the Cisterna ambiens towards supratentorial. Enclosing of the Chiasma opticum, tumor growth into the Sella turcica. Infratentorial tumor growth through the Foramen Luschkae into the 4th ventricle. Considerable shifting and atrophy of the Medulla oblongata, Pons and right Pedunculus cerebellaris medialis. Tumor spread towards caudal over the Foramen magnum as far as level T2. Tumor growth in the aqueduct and massive occlusion hydrocephalus with dilation of both lateral ventricles and the 3rd ventricle. Transependymal liquor migration. Narrowed cortical liquor spaces.
    The tumor encloses both Aa. vertebrales, the A. basilaris, the PcoA bilat. and right PCA - these with normal flow signal.






    MRI 7 <- view MRI 7

    MRI 7: T1 weighted sequences coronal: Hypointense tumor, which doesn't show any enhancement after contrast application.




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    none  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Since the tumor is not completely operable the prognosis is poor - despite chemotherapy and radiation therapy. A liquorgenic spread was not evident at the time of diagnosis.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    "Pediatric Neuroimaging"
    A.J.Barkovich  

     
     Pediatric Radiology CasesKeywords:

    infratentorial, brain tumor, anaplastic, Ependymoma, anaplastic infratentorial Ependymoma, emesis, ataxia, malignant grade III Ependymoma, grade 3, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Head-Brain and brain nerves
    or in the region: Head
    or in the tissue/organ: Brain and brain nerves
    or with the etiology: neoplastic
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Anaplastic infratentorial ependymoma
    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Anaplastic infratentorial ependymoma
    Other cases by these authors:

    Search G. Hahn in Medline G. Hahn (22)   

    Anaplastic infratentorial ependymoma  
     
    Anaplastic infratentorial ependymoma
    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008


     

    Which diagnosis have other collegues guessed?


    • Anaplastic infratentorial Ependymoma
      Votes: 3 (33 %)


    • Medulloblastoma
      Votes: 3 (33 %)


    • Oligodendroglioma
      Votes: 0 (0 %)


    • Craniopharyngeoma
      Votes: 0 (0 %)


    • Plexuspapilloma of the IV. ventricle
      Votes: 3 (33 %)



        Total answers: 9

     
    Anaplastic infratentorial ependymoma
    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Anaplastic infratentorial ependymoma
    G Hahn. Anaplastic infratentorial ependymoma. PedRad [serial online] vol 4, no. 12.
    URL: www.PedRad.info/?search=20041216150008


     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 9271

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2016   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)