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Case Reports
. 2010 Jan;5(1):45-8.
doi: 10.4103/1817-1745.66672.

Bilateral thalamic glioma in a 6-year-old child

Dinesh K Rajput  1 , Anant Mehrotra, Arun K Srivastav, Raj Kumar, Ashok K Mahapatra
Affiliations
Case Reports

Bilateral thalamic glioma in a 6-year-old child

Dinesh K Rajput et al. J Pediatr Neurosci. 2010 Jan.

Abstract

Bithalamic gliomas are extremely rare tumors of central nervous system. Although they are usually benign in nature, their outcome is poor because of the involvement of thalamic nuclei and inadequate surgical excision. Surgery is usually done to get tissue for diagnosis. Role of radiotherapy and chemotherapy is questionable. They are unique in their metabolic and neuroradiological properties. We report herein a 6-year-old male of bithalamic astrocytoma (WHO grade 2) who presented with raised intracranial pressure and tremors in right upper limb. The child had a very huge bithalamic mass which was debulked through the interhemispheric transcallosal approach in order to reduce the mass effect. He had a stormy post-operative course to recover gradually.

Keywords: Bithalamic gliomas; thalamic gliomas.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
MR scan of head axial T2W1 image showing large thalamic glioma with involvement of left temporal lobe, uniformely hyperintense
Figure 2
Figure 2
MR scan of head on gadolinium administration showing no enhancement
Figure 3
Figure 3
MR scan of head coronal section of enhanced MR showing limitation of tumor mainly in bilateral thalamus
Figure 4
Figure 4
MR scan of head sagittal image showing extent of tumor till midbrain
Figure 5
Figure 5
MR scan of head FLAIR image showing significant periventricular lucency with hydrocephalus
Figure 6
Figure 6
MRS of patient, showing large creatinine peak than choline
Figure 7
Figure 7
Axial section of noncontrast CT scan of head on postoperative day 1, showing external ventricular drain in situ with tumor cavity
Figure 8
Figure 8
Axial section of noncontrast CT scan of head on post operative day 5 after the removal of external ventricular drain, showing enlarged size of ventricle
See this image and copyright information in PMC

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