Concluded Case

65yrs old normotensive and nondiabetic male having C/o Sudden onset of weakness in right hemibody. O/e - Right upper and lower extremity power was 4/5 with gait abnormality.Vitals stable INTERPRET MRI FINDINGS WITH APPROACH??

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Concluded answer

SEGA - Subependymal giant cell astrocytoma

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Axial T2 image demonstrate heterogeneous mass with small internal cyst located in the frontal horn of left lateral ventricle near the foramen of Monro.Anteriorly the mass is inseparable from septum pellucidum, posteriorly the mass displaces the septum to rt and results in hydrocephalus due to obstruction at the level of foramen of Monro. Axial diffusion DIE hyperdensity with hypodense center suggestive of vein Axial GEE shiws punctuate internal susceptibility consistent with mineralization. Post contrast axial shows mild heterogeneous enhancement Diagnosis : Central Neurocytoma DD: Subependymal giant cell astrocytoma Choroid plexus papilloma Ependymoma. Oligodendroglioma Meningioma Intraventricular mets Management : surgical resection is the treatment of choice.

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Mri brain suggests Left thalamo capsular SOL with Intraventricular hemorrhagic extension. Needs further evaluation.

SEGA - Subependymal giant cell astrocytoma

@Dr. Manorama Rajan @Dr. Padam Chand @Dr. Jaideep Chandra @Dr. Vijay Amera @Dr. Anand Kumar sir opinion please

Midline space occupying lesion with mild mass effect and engagement of left caudate and near by structure Probably septal meingioma with hemiragic transformation.... Need surgical excision of lesion

Intraventricular tumor

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