Siddique Khawar, Zagardo Michael, Gujrati Meena, Olivero William
Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, Illinois 61637-0999, USA.
Neurosurgery. 2002 May;50(5):1133-5; discussion 1135-6. doi: 10.1097/00006123-200205000-00034.
Gangliogliomas are intra-axial, avascular masses located predominantly in the temporal lobe. A ganglioglioma that mimics a meningioma in that it is extra-axial and has a significant extracranial vascular supply has not been reported previously.
A 12-year-old girl presented with a right temporoparietal mass. A neurological examination revealed nothing abnormal, and the girl's symptoms were limited to headaches.
Magnetic resonance imaging revealed an extra-axial mass, and cerebral catheter angiography revealed a blood supply mainly from the posterior division of the right middle meningeal artery. Intraoperative findings confirmed the extra-axial location of the tumor, and histological analysis revealed that the tumor was a ganglioglioma.
This report confirms that gangliogliomas can present as extra-axial, vascular masses that are similar to meningiomas.
