Case Of the Week (COW) 13 Jan 2013
Answer:
Superficial Siderosis secondary to Hemorrhagic Pineoblastoma.
Findings:
MRI showed heterogenously enhancing mass lesion in the Pineal region with hemorrhage . Diffuse hemosiderin deposition with gradient blooming noted in the subarachnoid spaces, basal and cerebellopontine angle cisterns and along pial surface of entire spinal cord.
Discussion:
Superficial Siderosis is Hemosiderin deposition on surface of brain , brainstem , cranial nerve leptomeninges and spinal cord. It is caused due to any CSF cavity lesion with fragile neovascularity. Bleeding Neoplasms –Ependymoma , ligodendroglioma &Astrocytoma and Vascular malformations. Our case was that of a post operative followup MRI Brain of a gentleman who had been proven on hstopathology as PineoBlastoma.
Contributed By:
Dr. Babu Peter MD, DNB
Associate Professor, Barnard Institute of Radiology, Chennai
Senior Consultant Radiologist, Aarthi Scans, Chennai
Answer:
Superficial Siderosis secondary to Hemorrhagic Pineoblastoma.
Findings:
MRI showed heterogenously enhancing mass lesion in the Pineal region with hemorrhage . Diffuse hemosiderin deposition with gradient blooming noted in the subarachnoid spaces, basal and cerebellopontine angle cisterns and along pial surface of entire spinal cord.
Discussion:
Superficial Siderosis is Hemosiderin deposition on surface of brain , brainstem , cranial nerve leptomeninges and spinal cord. It is caused due to any CSF cavity lesion with fragile neovascularity. Bleeding Neoplasms –Ependymoma , ligodendroglioma &Astrocytoma and Vascular malformations. Our case was that of a post operative followup MRI Brain of a gentleman who had been proven on hstopathology as PineoBlastoma.
Contributed By:
Dr. Babu Peter MD, DNB
Associate Professor, Barnard Institute of Radiology, Chennai
Senior Consultant Radiologist, Aarthi Scans, Chennai