Ces radiol. 2024, 78(4):214-218 | DOI: 10.55095/CesRadiol2024.030
Zriedkavý prípad difúzneho leptomeningeálneho glioneuronálneho tumoruOriginal article
- Kysucká nemocnica s poliklinikou Čadca (KNsP), Slovenská republika
Diffuse leptomeningeal glioneuronal tumor (DL-GNT) is not a common disease, it has been just lately described as a tumor of the central nervous system. For the first time it was introduced in the 4th edition of WHO classification of CNS tumors in 2014. This type of tumor was categorised into the group of glioneuronal tumors in its current 5th edition of WHO classification of CNS tumors.
The clinical presentation varies according to areas of involvement. The major feature of this tumor as observed in the literature is leptomeningeal involvement with post-contrast enhancement, which secondary may lead to hydrocephalus. Parenchymal components are often not presented. An additional finding is the presence of small subpial cysts, found over the surface of the inferior parts of the supratentorial structures, in the posterior fossa and over the spinal cord.
We present the case of a 19 year old female with leptomeningeal and also pachymeningeal involvement of the spine, with the follow-up also affecting meninges of the brain. What is interesting and worth to mention is that the typical sign of hydrocephalus was not present in our case.
Keywords: central nervous system neoplasms, leptomeningeal neoplasms, magnetic resonance imaging
Accepted: October 10, 2024; Published: December 12, 2024 Show citation
References
- . Lakhani DA, Mankad K, Chhabda S, et al. Diffuse leptomeningeal glioneuronal tumor of childhood. AJNR Am J Neuroradiol. 2020; 41: 2155-2159. 10.3174/ajnr.A6737
Go to original source...
Go to PubMed...
- . Wiśniewski K, Brandel MG, Gonda DD, Crawford JR, Levy ML. Prognostic factors in diffuse leptomeningeal glioneuronal tumor (DLGNT): a systematic review. Child's Nerv Syst. 2022; 38: 1663-1673. 10.1007/S00381-022-05600-W/FIGURES/6.
Go to original source...
Go to PubMed...
- . Sarkinaite M, Devyziene I, Makstiene J, Matukevicius A, Gleizniene R. Diffuse leptomeningeal glioneuronal tumor with 9-year follow-up: case report and review of the literature. Diagnostics (Basel) 2022; 12: 342. 10.3390/diagnostics12020342.
Go to original source...
Go to PubMed...
- . Manoharan N, Ajuyah P, Senapati A, et al. Diffuse leptomeningeal glioneuronal tumor (DLGNT) in children: the emerging role of genomic analysis. Acta Neuropathol Commun. 2021; 9: 147. 10.1186/s40478-021-01248-w
Go to original source...
Go to PubMed...
- . Louis DN, Ohgaki H, Wiestler OD, Cavenee WK. Cavenee. International Agency for Research on Cancer, WHO Classification of Tumors of the Central Nervous System. 2016 Revision.
Go to original source...
- . Louis D, Perry A, Reifenberger G, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016; 131(6): 803-820. doi:10.1007/s00401-016-1545-1 [Pubmed citation].
Go to original source...
- . Cho HJ, Myung JK, Kim H, et al. Primary diffuse leptomeningeal glioneuronal tumors. Brain Tumor Pathol. 2015; 32(1): 49-55. doi:10.1007/s10014-014-0187-z [Pubmed citation].
Go to original source...
- . Perry A, Ellison DW, Reifenberger G, Capper D, Jones DTW. Cauda equina neuroendocrine tumor. In: WHO Classification of Tumors Editorial Board. Central nervous system tumors. Lyon (France): International Agency for Research on Cancer 2021 (WHO classification of tumors series, 5th ed.; vol. 6). https://publications.iarc.fr/601.
- . Gardiman MP, Fassan M, Orvieto E, et al. Diffuse leptomeningeal glioneuronal tumors: a new entity? Brain Pathol. 2010; 20(2): 361-366. doi:10.1111/j.1750-3639.2009.00285.x [Pubmed citation].
Go to original source...
Go to PubMed...
- . Lu VM, Di L, Gernsback J, et al. Contemporary outcomes of diffuse leptomeningeal glioneuronal tumor in pediatric patients: a case series and literature review. Clin Neurol Neurosurg. 2022; 218: 107265. 10.1016/j.clineuro.2022.107265
Go to original source...
Go to PubMed...
- . Preuss M, Christiansen H, Merkenschlager A, et al. corrected. J Neurooncol. 2015; 124(1): 65-74. doi:10.1007/s11060-015-1735-z Cavenee. International Agency for Research on Cancer, WHO Classification of Tumors of the Central Nervous System. 2016 Revision.
Go to original source...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.