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Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy
Introduction Ganglioglioma is an uncommon neoplasm of the central nervous system, most frequently seen in the temporal lobe, and usually associated with medically refractory epilepsy in children and young adults. Few reports have considered ganglioglioma-associated epileptogenicity arising in the te...
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| Published in: | Neuroradiology 2008-10, Vol.50 (10), p.829-834 |
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| creator | Adachi, Y. Yagishita, A. |
| description | Introduction
Ganglioglioma is an uncommon neoplasm of the central nervous system, most frequently seen in the temporal lobe, and usually associated with medically refractory epilepsy in children and young adults. Few reports have considered ganglioglioma-associated epileptogenicity arising in the temporal lobe. The purpose of our study was to define the imaging features of ganglioglioma in the temporal lobe and their relation to the seizure foci revealed by electrocorticograms.
Materials and methods
We reviewed 24 patients with pathologically confirmed ganglioglioma in the temporal lobe.
Results
Computed tomography (CT) images showed gangliogliomas to be isodense (91.7%), and on T1-weighted images (T1-WI) most gangliogliomas (79.2%) were isointense to the gray matter. A cystic lesion was seen in 14 of 24 of the gangliogliomas (58.3%). Mass effects were not seen in any of the ten tumors without cystic components. One patient showed tumor recurrence. Dual pathology was seen in two cases (8.3%). In 23 cases, epileptogenicity was confirmed in the tumors by intraoperative electrocorticogram. The remaining case had no epileptogenicity.
Conclusion
A tumor presenting isointensity to gray matter on T1-WI without mass effects in the medial temporal lobe in a young patient with temporal lobe epilepsy (TLE) might be the characteristic imaging of temporal lobe ganglioglioma. However, such tumors are not always associated with epileptogenicity, even if a ganglioglioma is found in a patient with TLE. The seizure foci may be contralateral to the ganglioglioma. Therefore, we need to investigate the hippocampus, white matter abnormalities of the ipsilateral and contralateral anterior temporal lobe, and other focal lesions closely. |
| doi_str_mv | 10.1007/s00234-008-0410-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69602216</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1562979401</sourcerecordid><originalsourceid>FETCH-LOGICAL-c430t-8f2e51df375644252fd812c548167bf418981b44c9887f15d5da7354e639a8863</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhoMo7uzqD_AiQdBba1U-uhNvsugqLHhRryGTTmazpNNt0gO7_94MM-yCIB5CHeqpN5U8hLxCeI8Aw4cKwLjoAFQHAqG7e0I2KDjrUDN4SjatrTquBZyR81pvAYAPfHhOzlBJ7KVWG_LryuZdivPhTLZ-pO7GFutWX2Jdo6NxsruYdzTEPLZaqc0jLXPyNGa63ni6-mmZi000zVtP_RKTX-r9C_Is2FT9y1O9ID-_fP5x-bW7_n717fLTdecEh7VTgXmJY-CD7IVgkoVRIXNSKOyHbRCotMKtEE4rNQSUoxztwKXwPddWqZ5fkHfH3KXMv_e-rmaK1fmUbPbzvppe98AY_h9kCExrJRr45i_wdt6X3B5hWhCTUupDGh4hV-Zaiw9mKe2nyr1BMAc15qjGNDXmoMbctZnXp-D9dvLj48TJRQPengBbnU2h2OxifeAYDKh7ZI1jR662Vt758rjhv2__A8J6pP8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>221255596</pqid></control><display><type>article</type><title>Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy</title><source>Springer Nature</source><creator>Adachi, Y. ; Yagishita, A.</creator><creatorcontrib>Adachi, Y. ; Yagishita, A.</creatorcontrib><description>Introduction
Ganglioglioma is an uncommon neoplasm of the central nervous system, most frequently seen in the temporal lobe, and usually associated with medically refractory epilepsy in children and young adults. Few reports have considered ganglioglioma-associated epileptogenicity arising in the temporal lobe. The purpose of our study was to define the imaging features of ganglioglioma in the temporal lobe and their relation to the seizure foci revealed by electrocorticograms.
Materials and methods
We reviewed 24 patients with pathologically confirmed ganglioglioma in the temporal lobe.
Results
Computed tomography (CT) images showed gangliogliomas to be isodense (91.7%), and on T1-weighted images (T1-WI) most gangliogliomas (79.2%) were isointense to the gray matter. A cystic lesion was seen in 14 of 24 of the gangliogliomas (58.3%). Mass effects were not seen in any of the ten tumors without cystic components. One patient showed tumor recurrence. Dual pathology was seen in two cases (8.3%). In 23 cases, epileptogenicity was confirmed in the tumors by intraoperative electrocorticogram. The remaining case had no epileptogenicity.
Conclusion
A tumor presenting isointensity to gray matter on T1-WI without mass effects in the medial temporal lobe in a young patient with temporal lobe epilepsy (TLE) might be the characteristic imaging of temporal lobe ganglioglioma. However, such tumors are not always associated with epileptogenicity, even if a ganglioglioma is found in a patient with TLE. The seizure foci may be contralateral to the ganglioglioma. Therefore, we need to investigate the hippocampus, white matter abnormalities of the ipsilateral and contralateral anterior temporal lobe, and other focal lesions closely.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-008-0410-x</identifier><identifier>PMID: 18516598</identifier><identifier>CODEN: NRDYAB</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Brain ; Brain Neoplasms - complications ; Brain Neoplasms - pathology ; Brain Neoplasms - surgery ; Child ; Child, Preschool ; Contrast Media ; Convulsions & seizures ; Diagnostic Neuroradiology ; Epilepsy ; Epilepsy, Temporal Lobe - etiology ; Epilepsy, Temporal Lobe - pathology ; Epilepsy, Temporal Lobe - surgery ; Female ; Ganglioglioma - complications ; Ganglioglioma - pathology ; Ganglioglioma - surgery ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Imaging ; Infant ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Nervous system ; Nervous system (semeiology, syndromes) ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiology ; Temporal Lobe - pathology ; Tomography ; Tomography, X-Ray Computed ; Tumors</subject><ispartof>Neuroradiology, 2008-10, Vol.50 (10), p.829-834</ispartof><rights>Springer-Verlag 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-8f2e51df375644252fd812c548167bf418981b44c9887f15d5da7354e639a8863</citedby><cites>FETCH-LOGICAL-c430t-8f2e51df375644252fd812c548167bf418981b44c9887f15d5da7354e639a8863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20719612$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18516598$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adachi, Y.</creatorcontrib><creatorcontrib>Yagishita, A.</creatorcontrib><title>Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><addtitle>Neuroradiology</addtitle><description>Introduction
Ganglioglioma is an uncommon neoplasm of the central nervous system, most frequently seen in the temporal lobe, and usually associated with medically refractory epilepsy in children and young adults. Few reports have considered ganglioglioma-associated epileptogenicity arising in the temporal lobe. The purpose of our study was to define the imaging features of ganglioglioma in the temporal lobe and their relation to the seizure foci revealed by electrocorticograms.
Materials and methods
We reviewed 24 patients with pathologically confirmed ganglioglioma in the temporal lobe.
Results
Computed tomography (CT) images showed gangliogliomas to be isodense (91.7%), and on T1-weighted images (T1-WI) most gangliogliomas (79.2%) were isointense to the gray matter. A cystic lesion was seen in 14 of 24 of the gangliogliomas (58.3%). Mass effects were not seen in any of the ten tumors without cystic components. One patient showed tumor recurrence. Dual pathology was seen in two cases (8.3%). In 23 cases, epileptogenicity was confirmed in the tumors by intraoperative electrocorticogram. The remaining case had no epileptogenicity.
Conclusion
A tumor presenting isointensity to gray matter on T1-WI without mass effects in the medial temporal lobe in a young patient with temporal lobe epilepsy (TLE) might be the characteristic imaging of temporal lobe ganglioglioma. However, such tumors are not always associated with epileptogenicity, even if a ganglioglioma is found in a patient with TLE. The seizure foci may be contralateral to the ganglioglioma. Therefore, we need to investigate the hippocampus, white matter abnormalities of the ipsilateral and contralateral anterior temporal lobe, and other focal lesions closely.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Brain Neoplasms - complications</subject><subject>Brain Neoplasms - pathology</subject><subject>Brain Neoplasms - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Contrast Media</subject><subject>Convulsions & seizures</subject><subject>Diagnostic Neuroradiology</subject><subject>Epilepsy</subject><subject>Epilepsy, Temporal Lobe - etiology</subject><subject>Epilepsy, Temporal Lobe - pathology</subject><subject>Epilepsy, Temporal Lobe - surgery</subject><subject>Female</subject><subject>Ganglioglioma - complications</subject><subject>Ganglioglioma - pathology</subject><subject>Ganglioglioma - surgery</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Imaging</subject><subject>Infant</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nervous system</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiology</subject><subject>Temporal Lobe - pathology</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkU2LFDEQhoMo7uzqD_AiQdBba1U-uhNvsugqLHhRryGTTmazpNNt0gO7_94MM-yCIB5CHeqpN5U8hLxCeI8Aw4cKwLjoAFQHAqG7e0I2KDjrUDN4SjatrTquBZyR81pvAYAPfHhOzlBJ7KVWG_LryuZdivPhTLZ-pO7GFutWX2Jdo6NxsruYdzTEPLZaqc0jLXPyNGa63ni6-mmZi000zVtP_RKTX-r9C_Is2FT9y1O9ID-_fP5x-bW7_n717fLTdecEh7VTgXmJY-CD7IVgkoVRIXNSKOyHbRCotMKtEE4rNQSUoxztwKXwPddWqZ5fkHfH3KXMv_e-rmaK1fmUbPbzvppe98AY_h9kCExrJRr45i_wdt6X3B5hWhCTUupDGh4hV-Zaiw9mKe2nyr1BMAc15qjGNDXmoMbctZnXp-D9dvLj48TJRQPengBbnU2h2OxifeAYDKh7ZI1jR662Vt758rjhv2__A8J6pP8</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Adachi, Y.</creator><creator>Yagishita, A.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy</title><author>Adachi, Y. ; Yagishita, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-8f2e51df375644252fd812c548167bf418981b44c9887f15d5da7354e639a8863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Brain Neoplasms - complications</topic><topic>Brain Neoplasms - pathology</topic><topic>Brain Neoplasms - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Contrast Media</topic><topic>Convulsions & seizures</topic><topic>Diagnostic Neuroradiology</topic><topic>Epilepsy</topic><topic>Epilepsy, Temporal Lobe - etiology</topic><topic>Epilepsy, Temporal Lobe - pathology</topic><topic>Epilepsy, Temporal Lobe - surgery</topic><topic>Female</topic><topic>Ganglioglioma - complications</topic><topic>Ganglioglioma - pathology</topic><topic>Ganglioglioma - surgery</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Imaging</topic><topic>Infant</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nervous system</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiology</topic><topic>Temporal Lobe - pathology</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adachi, Y.</creatorcontrib><creatorcontrib>Yagishita, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adachi, Y.</au><au>Yagishita, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy</atitle><jtitle>Neuroradiology</jtitle><stitle>Neuroradiology</stitle><addtitle>Neuroradiology</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>50</volume><issue>10</issue><spage>829</spage><epage>834</epage><pages>829-834</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><coden>NRDYAB</coden><abstract>Introduction
Ganglioglioma is an uncommon neoplasm of the central nervous system, most frequently seen in the temporal lobe, and usually associated with medically refractory epilepsy in children and young adults. Few reports have considered ganglioglioma-associated epileptogenicity arising in the temporal lobe. The purpose of our study was to define the imaging features of ganglioglioma in the temporal lobe and their relation to the seizure foci revealed by electrocorticograms.
Materials and methods
We reviewed 24 patients with pathologically confirmed ganglioglioma in the temporal lobe.
Results
Computed tomography (CT) images showed gangliogliomas to be isodense (91.7%), and on T1-weighted images (T1-WI) most gangliogliomas (79.2%) were isointense to the gray matter. A cystic lesion was seen in 14 of 24 of the gangliogliomas (58.3%). Mass effects were not seen in any of the ten tumors without cystic components. One patient showed tumor recurrence. Dual pathology was seen in two cases (8.3%). In 23 cases, epileptogenicity was confirmed in the tumors by intraoperative electrocorticogram. The remaining case had no epileptogenicity.
Conclusion
A tumor presenting isointensity to gray matter on T1-WI without mass effects in the medial temporal lobe in a young patient with temporal lobe epilepsy (TLE) might be the characteristic imaging of temporal lobe ganglioglioma. However, such tumors are not always associated with epileptogenicity, even if a ganglioglioma is found in a patient with TLE. The seizure foci may be contralateral to the ganglioglioma. Therefore, we need to investigate the hippocampus, white matter abnormalities of the ipsilateral and contralateral anterior temporal lobe, and other focal lesions closely.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18516598</pmid><doi>10.1007/s00234-008-0410-x</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Brain Brain Neoplasms - complications Brain Neoplasms - pathology Brain Neoplasms - surgery Child Child, Preschool Contrast Media Convulsions & seizures Diagnostic Neuroradiology Epilepsy Epilepsy, Temporal Lobe - etiology Epilepsy, Temporal Lobe - pathology Epilepsy, Temporal Lobe - surgery Female Ganglioglioma - complications Ganglioglioma - pathology Ganglioglioma - surgery Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Imaging Infant Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Male Medical sciences Medicine Medicine & Public Health Nervous system Nervous system (semeiology, syndromes) Neurology Neuroradiology Neurosciences Neurosurgery Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiology Temporal Lobe - pathology Tomography Tomography, X-Ray Computed Tumors |
| title | Gangliogliomas: characteristic imaging findings and role in the temporal lobe epilepsy |
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