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Brain tumors with ipsilateral cerebral hemiatrophy
AJNR. American Journal of Neuroradiology
|May 1, 1983
Summary
Brain tumors causing secondary cerebral hemiatrophy are rare. Early CT diagnosis of deep, high-density lesions in young males may indicate germinoma, guiding treatment and preventing surgery.
Area of Science:
- Neurology
- Neuro-oncology
- Radiology
Background:
- Brain tumors associated with secondary ipsilateral cerebral hemiatrophy are exceptionally rare, with only seven cases documented previously.
- This study presents three new cases, expanding the total documented cases to ten for comprehensive review.
Observation:
- Clinical findings from all ten cases were reviewed.
- Computed tomography (CT) demonstrated nodular high-density lesions deep within the cerebrum with slight contrast enhancement.
- Affected patients were typically young males presenting with slowly progressive hemiparesis, dementia, and personality changes.
Findings:
- The observed CT findings may indicate an association between deep cerebral lesions and ipsilateral cerebral hemiatrophy.
- Germinoma is suggested as a potential diagnosis in patients with these specific clinical and radiological features.
Implications:
- Early diagnosis of germinoma through CT imaging is crucial.
- Prompt radiotherapy can be an effective treatment, potentially avoiding the need for invasive surgical intervention.