Abstract
Objects: A pilomyxoid astrocytoma (PmA) is considered to be either a more aggressive variant of a pediatric pilocytic astrocytoma (PA) or a tumor of a separate entity. Methods: We present two cases of pediatric optic-chiasmatic PmA. Proton magnetic resonance spectroscopic imaging (MRSI) of the PmA revealed decreased concentrations of total choline (Cho), creatine (Cr), and N-acetyl aspartate (NAA). In contrast, proton MR spectra of PAs showed elevated Cho and decreased Cr and NAA signals. Conclusion: Low metabolite concentrations in PmAs detected by MRSI may therefore help to distinguish PmAs from PAs preoperatively.
Original language | English (US) |
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Pages (from-to) | 404-409 |
Number of pages | 6 |
Journal | Child's Nervous System |
Volume | 21 |
Issue number | 5 |
DOIs | |
State | Published - May 2005 |
Keywords
- Pediatric brain tumor
- Pilocytic astrocytoma
- Pilomyxoid astrocytoma
- Proton magnetic resonance spectroscopy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology