We present three cases of desmoplastic infantile ganglioglioma in patients admitted to our institution in the past 8 years. CT and MR findings are discussed. Typically, these lesions are located in the frontal and parietal lobes, appearing as cystic tumors with a solid cortical component within the cerebrum, which enhances intensely, and moderate surrounding edema.
Primary malignant fibrous histiocytomas are rare. The authors report on a 56-year-old man who presented with neurological symptoms due to cerebral metastasis of a primary malignant fibrous histiocytoma of the lung.
Over a 12-year period, the authors encountered 2 patients with spinal axis/basimeningeal primitive neuroectodermal tumor (PNET) involving the spinal axis extramedullary, intradural compartment and the basimeninges. In neither patient was an intraaxial focus demonstrated. A 48-year-old woman had computed tomography (CT) findings of hydrocephalus and later abnormal basimeningeal enhancement. Cervical myelography revealed a low cervical intradural block. A 10-year-old boy was evaluated initially with non-contrast-enhanced CT of the brain, which revealed hydrocephalus. Contrast-enhanced CT revealed abnormal basimeningeal enhancement implicating cisternal obstruction. Subsequent magnetic resonance examination of the entire spine with and without gadolinium enhancement revealed diffuse abnormal enhancement of the spinal axis intradural, extramedullary compartment. While intraaxial PNETs are well recognized, the patients described here represent a distinctly unusual pattern of intradural spinal meningeal and basimeningeal infiltration by PNET in the absence of a demonstrable intraaxial lesion.
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