Intracranial Space Occupying Lesion

Name : Mast. P. T.                                                             

Age: 9 years (in Sept. 2003) Male.

Duration of illness: 16 Months

Date of first visit: 24.08.2004

Chief complaints:

Gradual weakness of the right side of the body and limbs since last 16 months.

Past history if any:

Post traumatic suspicion of fracture of right hand in April 2003.

Initial observations:

MRI of Brain done on 08.09.2003 …

Impression  “ Well defined circumscribed lesion measuring 2cms. X 2.7cms. x 1.2cms. in left basal ganglia and thalamus with patchy enhancement and mild mass effect over frontal horn of left lateral ventricle and midbrain and mild perilesional edema.
Probability of demyelinating disease (tumefying mass) to be considered.
However possibility of pliocytic astrocytoma can not be excluded.”

MRI of Brain done on 10.11.2003…

Suggestive of – “ A heterogenous lesion seen involving left putaminal region, adjacent thalamus, capsular and caudate with slightly mass effect most likely Glioma  Nature.”

Stereotactic biopsy done on 29.01.2004..

“Low grade astrocytoma, highly suggestive of a Pliocytic astrocytoma WHO grade I; left thalamic region.”

Observations during treatment

Follow up C.T. Scan of Brain (Plain & Contrast Study) done on dated 11.08.2005 shows ….. “ Non enhancing calcified mixed density mass at left basal ganglia with mild mass effect without any perilesional oedema.”

Complication during treatment if any

None

Follow up C.T. Scan of Brain (Plain & Contrast Study) done on dated 11.08.2005

shows ….. “ Non enhancing calcified mixed density mass at left basal ganglia with mild mass effect without any perilesional oedema.”

Now the lively lad is leading trouble free normal daily life…

MRI of Brain Dated 10.11.2003

C.T. Scan of Brain Dated 11.08.2005