I discuss issues pertaining to the practice of neuropathology -- including nervous system tumors, neuroanatomy, neurodegenerative disease, muscle and nerve disorders, ophthalmologic pathology, neuro trivia, neuropathology gossip, job listings and anything else that might be of interest to a blue-collar neuropathologist.
Tuesday, July 12, 2016
This tumor could possibly be 50 years old
Ganglioglioma, WHO grade I
A 70-year-old gentleman presents with a temporal lobe mass. He was diagnosed with a seizure disorder way back when he was 20 years old, and has been on Dilantin since then. Over all these intervening years, he never underwent imaging -- until now. Breakthrough seizures prompted an MRI which showed a well-circumscribed solid and cystic mass. In retrospect, this indolent tumor may well have been present for decades.