Multinodular and Vacuolating Posterior Fossa Lesions of Unknown Significance.


Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
10 2019
Historique:
received: 10 06 2019
accepted: 27 07 2019
pubmed: 29 9 2019
medline: 23 6 2020
entrez: 28 9 2019
Statut: ppublish

Résumé

Multinodular and vacuolating neuronal tumor of the cerebrum is a rare supratentorial brain tumor described for the first time in 2013. Here, we report 11 cases of infratentorial lesions showing similar striking imaging features consisting of a cluster of low T1-weighted imaging and high T2-FLAIR signal intensity nodules, which we referred to as multinodular and vacuolating posterior fossa lesions of unknown significance. No relationship was found between the location of the lesion and clinical symptoms. A T2-FLAIR hypointense central dot sign was present in images of 9/11 (82%) patients. Cortical involvement was present in 2/11 (18%) of patients. Only 1 nodule of 1 multinodular and vacuolating posterior fossa lesion of unknown significance showed enhancement on postcontrast T1WI. DWI, SWI, MRS, and PWI showed no malignant pattern. Lesions did not change in size or signal during a median follow-up of 3 years, suggesting that multinodular and vacuolating posterior fossa lesions of unknown significance are benign malformative lesions that do not require surgical intervention or removal.

Identifiants

pubmed: 31558497
pii: ajnr.A6223
doi: 10.3174/ajnr.A6223
pmc: PMC7028551
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1689-1694

Informations de copyright

© 2019 by American Journal of Neuroradiology.

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Auteurs

A Lecler (A)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.) alecler@for.paris.

J Bailleux (J)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.).

B Carsin (B)

Department of Radiology (B.C., J.S.), Centre Hospitalier Régional Universitaire de Rennes, Rennes, France.

H Adle-Biassette (H)

Department of Pathology (H.A.-B.), Lariboisière Hospital, Paris Diderot, Paris-Cité-Sorbonne University, Paris, France.

S Baloglu (S)

Department of Radiology (S.B., S.K.), University Hospital of Strasbourg, Strasbourg, France.

C Bogey (C)

Department of Neuroradiology (C.B.), Centre Hospitalier Universitaire Limoges, Limoges, France.

F Bonneville (F)

Department of Neuroradiology (F.B.), Hôpital Pierre-Paul-Riquet, Centre Hospitalier Universitaire Purpan, Toulouse, France.

E Calvier (E)

Neurology Department (E.C., J.A.G.), Hôpital René et Guillaume-Laënnec, Centre Hospitalier Universitaire de Nantes, Saint-Herblain, France.

P-O Comby (PO)

Department of Vascular and Interventional Radiology (P.-O.C.), Image-Guided Therapy Center, François-Mitterrand University Hospital, Dijon Cedex, France.

J-P Cottier (JP)

Department of Radiology (J.-P.C.), Centre Hospitalier Régional Universitaire de Tours, Tours, France.
Brain and Imaging Laboratory (J.-P.C.), UMR U930, National Institute for Health and Medical Research, François-Rabelais University, Tours, France.

F Cotton (F)

Service de Radiologie (F.C.), Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, University Claude Bernard Lyon 1, Lyon, France.
Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS) (F.C.), National Institute for Health and Medical Research U1044/Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Recherche (UMR) 5220, Lyon, France.

R Deschamps (R)

Neurology (R.D., A.M.), Fondation Ophtalmologique A. Rothschild, Paris, France.

C Diard-Detoeuf (C)

Department of Neurology (C.D.-D.), CH Sainte-Périne, Paris, France.

F Ducray (F)

Department of Neuro-Oncology (F.D.), Lyon French Reference Center of Paraneoplastic Neurological Syndrome, Hospices Civils de Lyon, Hôpital Neurologique, Bron Cedex, France.
Synatac Team (F.D.), NeuroMyoGene Institut, National Institute for Health and Medical Research U1217/Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Recherche (UMR) 5310, Lyon, France.
University Claude Bernard Lyon 1 (F.D.), Lyon, France.

L Duron (L)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.).

C Drissi (C)

Institut National de Neurologie (C.D., S.N.), Service de Neuroradiologie, Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia.

M Elmaleh (M)

Pediatric Radiology Department (M.E.), Robert Debré Hospital, Paris, France.

J Farras (J)

Jordi Radiologia C/de la Roda (J.F.), Andorra la Vella, Andorra.

J A Garcia (JA)

Neurology Department (E.C., J.A.G.), Hôpital René et Guillaume-Laënnec, Centre Hospitalier Universitaire de Nantes, Saint-Herblain, France.

E Gerardin (E)

Department of Neuroradiology and MRI (E.G., N.M.), Rouen University Hospital, Rouen, France.

S Grand (S)

Neuroradiologie Diagnostique et Interventionnelle et IRM Nord (S.G.), Centre Hospitalier et Universitaire de Alpes Grenoble, Grenoble, France.

D C Jianu (DC)

Department of Neurology (D.C.J.), Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

S Kremer (S)

Department of Radiology (S.B., S.K.), University Hospital of Strasbourg, Strasbourg, France.

N Magne (N)

Department of Neuroradiology and MRI (E.G., N.M.), Rouen University Hospital, Rouen, France.

M Mejdoubi (M)

Department of Neuroradiology (M.M.), University Hospital of Martinique, Fort-de-France, Martinique, France.

A Moulignier (A)

Neurology (R.D., A.M.), Fondation Ophtalmologique A. Rothschild, Paris, France.

M Ollivier (M)

Groupe Hospitalier Pellegrin (M.O.), Bordeaux, France.

S Nagi (S)

Institut National de Neurologie (C.D., S.N.), Service de Neuroradiologie, Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia.
Clinique les Berges du Lac (S.N.), les Berges du Lac, Tunis, Tunisia.

M Rodallec (M)

Centre d'Imagerie Centre Cardiologique du Nord (M.R.), CCN, Saint-Denis, France.

J-C Sadik (JC)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.).

N Shor (N)

Department of Neuroradiology (N.S.), Pitié-Salpêtrière Hospital, Paris, France.

T Tourdias (T)

Service de Neuroimagerie Diagnostique et Thérapeutique (T.T.), Centre Hospitalier Universitaire de Bordeaux et National Institute for Health and Medical Research U1215, Université de Bordeaux, Bordeaux, France.

C Vandendries (C)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.).
Centre d'Imagerie Médicale Paris 15ème (C.V.), RMX, Paris, France.

V Broquet (V)

Department of Neuroradiology (V.B.), Centre Hospitalier Universitaire Lille, Lille, France.

J Savatovsky (J)

From the Departments of Neuroradiology (A.L., J.B., L.D., J.-C.S., C.V., V.B., J.S.).
Department of Radiology (B.C., J.S.), Centre Hospitalier Régional Universitaire de Rennes, Rennes, France.
Imagerie Paris 13 (J.S.), Paris, France.

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