MR imaging findings of clear-cell meningioma with diffuse leptomeningeal seeding in 17-year-old man. MR imaging findings of clear-cell meningioma with.

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Presentation transcript:

MR imaging findings of clear-cell meningioma with diffuse leptomeningeal seeding in 17-year-old man. MR imaging findings of clear-cell meningioma with diffuse leptomeningeal seeding in 17-year-old man. A, Initial contrast-enhanced T1-weighted axial MR image shows 1 × 3-cm, strongly enhancing mass at left parietal convexity (arrow) associated with localized leptomeningeal enhancement in ipsilateral sylvian fissure (small arrows). Mild hydrocephalus is noted also. Mass was isointense on T1-weighted image and slightly hyperintense on T2-weighted image (not shown).B, Photomicrograph of cerebral tumor. Tumor is composed of back-to-back monotonous round cells with clear cytoplasm and fine nuclear chromatin. (hematoxylin & eosin stain, × 200).C, Contrast-enhanced T1-weighted axial MR image obtained 7 months later shows extension of leptomeningeal enhancement into subarachnoid space around anterior portions of left frontal and parietal lobes and perimesencephalic cistern (small arrows). Hydrocephalus was greater. Round low intensity in left posterior temporal calvarial region is owing to susceptibility artifact secondary to previous surgery (arrow).D, Contrast-enhanced T1-weighted sagittal MR image obtained another 7 months later shows more diffuse enhancement of almost entire subarachnoid space. Hydrocephalus disappeared after placement of ventriculoperitoneal shunt (not shown).E, Contrast-enhanced T1-weighted sagittal MR image of whole spine taken at same time as D shows diffuse leptomeningeal enhancement along surface of whole spinal cord and nerve roots (small arrows).F, Contrast-enhanced T1-weighted sagittal MR image 2 months after radiation therapy shows marked decrease of diffuse enhancement of subarachnoid space compared with that of figure D. Whal Lee et al. AJNR Am J Neuroradiol 2000;21:130-132 ©2000 by American Society of Neuroradiology