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Imaging and spectroscopic findings in meningioangiomatosis
Authors:Christopher Rokes MD  Leena M Ketonen MD  PhD  Greg N Fuller MD  PhD  Jeffrey Weinberg MD  John M Slopis MD  Johannes EA Wolff MD
Institution:1. Department of Pediatrics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;2. Department of Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;3. Department of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;4. Department of Neurosurgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;5. Department of Neuro‐Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Abstract:Meningioangiomatosis (MA) is an uncommon brain tumor. The role of imaging techniques is underscored in cases where the tumor location makes resection (or even biopsy) dangerous. We report the case of a child with an MA tumor located deep in the right sylvian fissure. A computed tomography (CT) scan showed calcifications in a highly vascular lesion with surrounding edema. Magnetic resonance spectroscopy (MRS) showed a distinct choline (Cho) peak, which usually suggests a proliferating tumor. Fluorodeoxyglucose positron emission tomography (FDG‐PET) showed the lesion lacked hypermetabolic features. These radiological features should put MA in the differential diagnosis. Pediatr Blood Cancer 2009;53:672–674. © 2009 Wiley‐Liss, Inc.
Keywords:brain calcification  choline  meningioangiomatosis  spectroscopy
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