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- Title
Posterior Fossa Intra-Axial Lesion: There Are Pathologies Beyond Metastases.
- Authors
Fotakopoulos, George; Brotis, Alexandros G.; Paterakis, Konstantinos; Kapsalaki, Eftychia; Fountas, Kostas N.
- Abstract
Cerebellar metastases represent the most common lesion requiring surgical treatment in the daily neurosurgical praxis. We report a rare case with Lhermitte–Duclos disease presenting to the neurosurgical outpatient department and describe our diagnostic and treatment challenges. A 57-year-old man presented with transient cerebellar manifestations, including walking difficulties, dizziness, and a persistent occipital headache. The magnetic resonance imaging demonstrated a high-intensity lesion in the right cerebellar hemisphere on T2-weighted images. We initially considered surgery to establish a histopathological diagnosis. However, the magnetic resonance spectroscopy was compatible with a dysplastic gangliocytoma of the cerebellum. Therefore, we preferred a more conservative approach. Posterior fossa contrast-enhancing lesions are much more than metastases. The role of advanced magnetic resonance in avoiding unnecessary surgical interventions is priceless.
- Subjects
NUCLEAR magnetic resonance spectroscopy; METASTASIS; MAGNETIC resonance imaging; PATHOLOGY; MAGNETIC resonance
- Publication
Asian Journal of Neurosurgery, 2022, Vol 17, Issue 4, p680
- ISSN
1793-5482
- Publication type
Case Study
- DOI
10.1055/s-0042-1757433