Журнал клинических случаев

A Case of Low-Grade Astrocytoma First Thought to be Demyelinating Disease on the Basis of Initial Cranial MR Findings

Abstract

Tülay KamaÅŸak, Ä°lker Eyüboglu, Gokce Pınar Reis, Ä°smail Saygin, Sevim Åžahin and Ali Cansu

Oligodendrogliomas are rare childhood brain tumors. Cranial MR images are nonspecific. Identification is easier with histopathological and genetic investigation. We report a 15-month-old male patient presenting with restlessness and inability to walk over the preceding week. Although cranial MR findings suggested demyelinating white matter disease, oligodendroglioma was diagnosed on the basis of biopsy following radiological findings. We present this case in order to describe the initial radiological findings and to emphasize the importance of MR spectroscopy in diagnosis in such patients.