Clinical Presentation Neuro-Imaging Radiological Diagnosis Management and follow-up
10y, M Redness and loss of vision OD, papilloedema OS Brain CT scan: Midline Intraventricular tumour involving lateral ventricle Intracranial, intraventricular glioma Had Neurosurgical excision, Histology showed pleomorphic xanthoathrocytoma 27(rare)
14y, M Upper lid mass OS, Poor school performance Orbitocranial CT scan: Orbital mass extending to middle cranial fossa with erosion of medial & posterior walls of orbit and expansion of sella Malignant optic nerve glioma Multidisciplinary team surgery recommended, not done
15y, F Cranio-facial mass with intracranial extension, OS Orbitocrainal CT scan: Hyperdense orbito-cranial tumour extending from left middle cranial fossa, containing intralesional calcifications with absence of lesser wing sphenoid (Sphenoid aplasia) Optic nerve glioma with sphenoid aplasia and orbital plexiform neurofibroma Multidisciplinary team surgery recommended, not done
17y, M Poor vision x 10 years, Poor school performance, Optic atrophy OU, Mother had cutaneous NF nodules Brain MRI: Well-defined mass involving tuber-cenerum and optic chiasm extending to optic tracts OU; Worse on left Hypothalamic-optic pathway glioma Multi-disciplinary team care required, not available
18m, M Upper back mass with scoliosis MRI spine: Scoliosis Plexiform neurofibroma upper back with scoliosis Multi-disciplinary team care required, not available
7y, M Right sided cranio-facial mass since birth, short stature Orbito-cranial MRI: right soft tissue facial mass, some diffuse signal changes in cerebellum CNS Harmatoma and craniofacial neurofibroma Had oculoplastic debulking surgery awaiting reconstruction