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PEDIATRICS

The Usefulness of MR Imaging in the Diagnosis of Dysembryoplastic Neuroepithelial Tumor in Children: A Study of 14 Cases

Carla Fernandeza, Nadine Girardb, Armando Paz Paredesc, Corinne Bouvier-Labita, Gabriel Lenac and Dominique Figarella-Brangera

a Department of Pathology and Neuropathology, Hôpital d’Enfants de la Timone, Marseille, France
b Department of Neuroradiology, Hôpital d’Enfants de la Timone, Marseille, France
c Department of Pediatric Neurosurgery, Hôpital d’Enfants de la Timone, Marseille, France

Address correspondence to Dominique Figarella-Branger, Service d’Anatomie Pathologique et Neuropathologie, Hôpital de la Timone, 264 rue Saint-Pierre, 13385 Marseille Cedex 05, France

BACKGROUND AND PURPOSE: Dysembryoplastic neuroepithelial tumors (DNTs) are benign lesions affecting children and are associated with epilepsy. The goal of our study was to better characterize the clinical-radiologic-pathologic spectrum of DNTs (complex and simple forms only) in a series of 14 children.

METHODS: Clinical, neuroradiologic, and pathologic features of all cases were retrospectively studied.

RESULTS: Eleven cases of complex and three cases of simple DNTs were identified. Mean follow-up was 87 months, and no recurrence was recorded except for one case of simple DNT. We found that some neuroradiologic features may be helpful to support the diagnosis of DNT: presence of "septations," triangular pattern of distribution, and absence of contrast enhancement.

CONCLUSION: The evidence of the specific glioneuronal element is found by pathologic examination, but the typical neuroradiologic aspect of DNT suggests this diagnosis preoperatively. Radiologic examination may be helpful for the diagnosis of DNT when pathologic findings are inconclusive.




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