J Korean Radiol Soc.  1994 Oct;31(4):749-752.

MR Finding of the Pleomorphic Xanthoastrocytoma in a Child: Case Report

Abstract

Pleomorphic xanthoastrocytoma(PXA) is a benign brain tumor with favorable prognosis in spite of its marked pleomorphism. We report a case with review of the literature. An eight-year-old boy presented with headache and vomiting. Plain skull X-ray showed findings of increased intracranial pressure. The MR imaging demonstrated superficially located large cystic mass with a Iobulated mural nodule in the left frontal lobe. The mural nodule abutting leptomeninges showed intense enhancement on postcontrast Tl-weighted images, but the cyst wall was not enhanced. Preoperative diagnosis of PXA with the MRI findings could lead to avoidance of more aggressive brain resection and therefore more favorable neurological outcome


MeSH Terms

Brain
Brain Neoplasms
Child*
Diagnosis
Frontal Lobe
Headache
Humans
Intracranial Pressure
Magnetic Resonance Imaging
Male
Prognosis
Skull
Vomiting
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