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Case: Diffuse Midline Glioma With a Bi-thalamic Pattern

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0:00

Here's an expanse cephalic lesion

0:03

involving both th left greater than right.

0:06

Um, it's one lesion.

0:07

They're connected through the mass intermedia can see it

0:10

spreads over to the medial aspect of the right thalamus

0:13

through the mass intermedia.

0:16

There's no appreciable post contrast enhancement.

0:19

There's heterogeneous, but mostly facilitated diffusion.

0:24

It's that this is a diffuse midline glioma,

0:26

but more of a bi thalamic pattern.

0:28

So again, that's why I think this is

0:31

just calling it a diffuse midline glioma.

0:34

This has almost nothing to do with that DIPG on a

0:39

gross macroscopic basis, just

0:41

because molecularly they're the same,

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and that's very important.

0:45

But, so I would implore people to not just

0:49

ignore existing, um, descriptive, um,

0:54

terms like DIPG or bi thalamic glioma.

0:58

Um, but also not, don't be aware that there are, you know,

1:02

additional classifications that show the commonality

1:06

of those needle biopsy showed this as a low grade lesion.

Report

Faculty

Asim F Choudhri, MD

Chief, Pediatric Neuroradiology

Le Bonheur Children's Hospital

Tags

Oncologic Imaging

Neuroradiology

Neoplastic

MRI

Brain