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25-month-old with pigmented lesions of the skin and strabismus

Case Study
Papaioannou, Georgia, M.D., Ph.D. Athens, Mitera Hospital Greece

25-month-old female with pigmented lesions of the skin and strabismus

Patient history

A 25-month-old female with pigmented lesions of the skin and strabismus underwent an MRI examination on the Panorama HFO at Mitera Maternity and General Hospital.

MR examination

Examination performed under sedation (IV administration of propofol).
ST SENSE Head coil was used.

Images

 FLAIR Post contrast Post contrast
FLAIR
Post contrast
Post contrast

Brain MRI was done to investigate lesions compatible with neurofibromatosis 1. Images through hypothalamus show areas of bright signal in white matter (UBOs) which enhance post contrast, indicative of infiltrative lesions, and abnormal thickening and enhancement of the posterior part of the optic chiasm in keeping with optic chiasm glioma, which confirms the diagnosis of NF1. A proximal cervical neuroma is also noted at the level of the foramen magnum (right image).

Diagnosis

MR results are in keeping with optic chiasm glioma and hypothalamic infiltrative lesion on the background of NF1.

Clinical impact of Panorama HFO exam:

Panorama HFO excels in a wide variety of oncology-related scans with high-quality images. Panorama HFO offers room for anesthetists and their equipment and children can be reached comfortably.

Related reading:



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Jan 4, 2011

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Case Study
Panorama HFO
Release 2.5, Release 2.6
Pulsar
Brain, Neuro, Pediatric, ST SENSE Head coil
 

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