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25 Cards in this Set

  • Front
  • Back
What is the ddx for a craniopharyngioma
pituitary adenoma, GCT, meningioma, metastasis, optic glioma, epidermoid, vascular turmor.
Describe the findings of a craniopharyngioma on T1 and T2
heterogenous cystic mass in T1 and T2 in the supracellar region
Where are craniopharyngiomas commonly found
the supra cellar region
How does calcifications appear on an MRI
focal areas of decreased signal intensity
How does a craniopharyngioma appear on post gad imaging
peripheral enhancement with intermixed regions of increased and decreased signal intensity
Why are the cystic components of a craniopharyngioma high signal intensity on T1
they contain protein
Where does the calcification tend to be in a craniopharnygioma
centrally located
Where do craniopharyngiomas arise from
rathkes cleft
What is the age distrubution for craniopharyngioms
biomdal (mc in peds but increased freq again in the 5th decade)
What is the mc presentation of a craniopharyngioma
headache from obstructive hydrocephalus
What are the most important characteritics to know on MRI
heterogenous
cystic and solid
calcifications
supracellar
A cystic supracellar structure with peripheral enhancement post gad...what is it
craniopharnygioma
What is the pneumonic for parasellar masses
SATCHMO
Sphenoid sinus tumor, Sarcoid
Aneurysm, Adenoma
Teratoma
Craniopharyngioma
Hypothalmic glioma
Meningioma, Metastasis,
Optic Glioma, Other
What is in the Other categories
Germinoma, epidermoid, Hamartoma, Chordoma, Arachnoid cyst, Rathe Cleft cyst.
What is Diastematomyelia
splitting of the notochord during early development resulting in complete longitudinal division of the spinal cord
What is associated with diastematomyelia
myelomenigiocele
neurogenic or dermoid cyst
teratoma
lipoma
What is diplomyelia
duplicatoin of spinal cord.
What is another name of septo-optic dysplasia
De Morsier Syndrome
What are the findings in De Morsier Syndrome (septic optic dysplasia)
absence of the septum pellucidum and hypoplasia of the optic chiasm
What are the 4 syndromes under the spectrum of holoproencephaly
alobar
semilobar
lobar
septic optic dysplasia (most minor form)
What age group mc gets ependymomas
less than 5
Where do ependymomas most commonly occurq
the 4th ventricle
Can an ependymoma extend outside a foramen of the 4th ventricle
yes
What are 3 classic findings of ependymomas
heterogenous, calcification (50%), cystic
What are the top 3 pediatric tumors
JPA, meduloblastoma, ependymoma