Brain Pathology Case of the Month - December 1998

Contributed by Thomas J Cummings MD, Charleen T Chu MD, PhD, Christine M Hulette MD
Department of Pathology (TJC and CMH), Duke University Medical Center, Durham, NC, 27710
Department of Pathology, Division of Neuropathology (CTC), University of Pittsburgh Medical Center, Pittsburgh, PA 15213

PATIENT HISTORY:

A 16 year old female presented with two months of progressively worsening headaches, lethargy and visual disturbances. Her past medical history included developmental delay, shunted hydrocephalus, and tethered cord release. Neurological examination displayed no focal lesions, and endocrinologic studies were unremarkable.

IMAGING STUDIES

PATHOLOGICAL FINDINGS

FINAL DIAGNOSIS

International Society of Neuropathology