Brain Pathology Case of the Month - October 1997

Contributed by Mariano Alvira, MD. (http://www.tumorboard.com)
Pathology Department, Middletown Regional Hospital, Middletown, Ohio.


PATIENT HISTORY:

A 19 year old white male was admitted to the hospital because of several episodes of seizures happening at home over a course of months. A neurological exam was unremarkable.

A CT scan of the brain showed a tumor mass involving the anterior aspect of the left frontal lobe. It was associated with edema of the white matter. MRI studies confirmed the presence of a tumor mass and suggested high content of calcium and iron. Since the differential diagnosis included an arteriovenous malformation, an arteriogram was done. The tumor mass was shown to be avascular.

A craniotomy was performed and the pole of the left frontal lobe was resected.


GROSS DESCRIPTION

MICROSCOPIC DESCRIPTION

FINAL DIAGNOSIS


International Society of Neuropathology