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Case No. 486
2018-07-01~2018-07-31
출제자 : 최윤성
Hit : 236
| Period | 2018-07-01~2018-07-31 |
|---|---|
| Diagnosis | Lhermitte-Dulcos disease |
| Clinical information | • F/4W • 생후 2개월부터 Lt lip seizure-like twiching • IUP 38+5wks. C-sec birth. No past Hx |
| Discussion | • Diagnosis : Lhermitte-Dulcos disease • = Dysplastic gangliocytoma of the cerebellum, WHO grade1 • Middle aged adult • Loss of normal cerebellar cortex architecture due to forming a harmatomous lesion Consisting of abnormal hypertrophic ganglion cells • Usually found at Lt. side cerebellar hemisphere • Imaging finding – Mass in posterior fossa with unilateral expansion – Hypointense in T1WI and hyperintense in T2WI – Parallel linear striation at periphery of lesion (tiger-stripped appearance) – Non-enhancing mass Enhancing mass is a preferred factor indicating rather hemangioblastoma |
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Correct Answer
Semi-Correct Answer |