Knowledge Based Approach in Differential Diagnosis of Intracranial Cysts -A Requisite to Avoid Unwarranted Interventions

Authors

  • A Verma Department of Radiodiagnosis, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • A Moiyadi Department of Neurosurgery, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • S Arya Department of Radiodiagnosis, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • R Jalali Department of Radiation Oncology, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • H Menon Department of Medical Oncology, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • G Karbhase Department of Radiodiagnosis, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,
  • P Sahwale Department of Radiodiagnosis, Tata Memorial Hospital & ACTREC, Tata Memorial Centre, Mumbai– 400012,

DOI:

https://doi.org/10.3126/njr.v2i1.6978

Keywords:

Chronic Myeloid Leukemia, Intracranial cysts, Neuroglial Cyst

Abstract

Neuroglial cyst is a rare abnormality that is usually asymptomatic and an incidental detection in imaging done for an unrelated cause. An emphasis on this message is the prime aim of the present report. We came across a patient being treated for chronic myeloid leukemia having vague neurological symptoms for which Magnetic Resonance Imaging (MRI) was done. No detectable cause explaining his symptomatology was noted on imaging. A cystic lesion was however noted in right frontal lobe which was labeled as a neuroglial cyst. No treatment was mandated as per discussion in the neuro-oncology working group of our centre. Follow up was advised to confirm the impression as an attempt to achieve a histological diagnosis would have been ethically not justified. The patient reported regularly for his chemotherapy regimen to the respective unit and was asymptomatic for the lesion till last follow up at six months.

NJR I VOL 2 I ISSUE 1 35-38 Jan-June, 2012

DOI: http://dx.doi.org/10.3126/njr.v2i1.6978

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Published

2012-10-23

How to Cite

Verma, A., Moiyadi, A., Arya, S., Jalali, R., Menon, H., Karbhase, G., & Sahwale, P. (2012). Knowledge Based Approach in Differential Diagnosis of Intracranial Cysts -A Requisite to Avoid Unwarranted Interventions. Nepalese Journal of Radiology, 2(1), 35–38. https://doi.org/10.3126/njr.v2i1.6978

Issue

Section

Case Reports