Open AccessA rare case of white pearls in brainstem
Author(s) -
Dipanker Singh Mankotia,
Vivek Tandon,
Hardik Sardana,
Madhu Rajeshwari,
Vaishali Suri,
Bhawani Shankar Sharma
Publication year - 2016
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.193379
Subject(s) - medicine , brainstem , lesion , diffusion mri , magnetic resonance imaging , radiology , surgery
Intrinsic brainstem epidermoid is extremely rare, and only 14 cases have been reported. Authors report a classic case of brainstem epidermoid in a 14-year-old male child presenting with symptoms of brainstem involvement. The child underwent a successful surgical excision. The lesion was intrinsic and caused diagnostic dilemma based on conventional radiological images. Based on our experience in this case and a thorough review of literature, we are of the opinion that diffusion-weighted images are very important in establishing the diagnosis. Such lesions are challenging and attempt to remove adherent tumor capsule may produce additional neurological deficits.