Abstract

Neuroglial cyst is a rare abnormality that is usually asymptomatic and an incidental detection in imaging done for an unrelated cause. An emphasis on this message is the prime aim of the present report. We came across a patient being treated for chronic myeloid leukemia having vague neurological symptoms for which Magnetic Resonance Imaging (MRI) was done. No detectable cause explaining his symptomatology was noted on imaging. A cystic lesion was however noted in right frontal lobe which was labeled as a neuroglial cyst. No treatment was mandated as per discussion in the neuro-oncology working group of our centre. Follow up was advised to confirm the impression as an attempt to achieve a histological diagnosis would have been ethically not justified. The patient reported regularly for his chemotherapy regimen to the respective unit and was asymptomatic for the lesion till last follow up at six months. NJR I VOL 2 I ISSUE 1 35-38 Jan-June, 2012 DOI: http://dx.doi.org/10.3126/njr.v2i1.6978

Highlights

  • Case ReportA 62-year old male presented to the neurooncology working group of our centre with a single episode of vertigo and diplopia

  • We present a case of asymptomatic neuroglial cyst in a patient of chronic myeloid leukemia (C.M.L)

  • The patient was being treated for C.M.L and was admitted to the respective unit for his third chemotherapy regimen

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Summary

Introduction

Case ReportA 62-year old male presented to the neurooncology working group of our centre with a single episode of vertigo and diplopia. The patient was being treated for C.M.L and was admitted to the respective unit for his third chemotherapy regimen. The neurological examination of the patient did not show focal sensory or motor deficit. The higher mental functions were within normal limits with the patient being well oriented to time and place. Blood and cerebrospinal fluid examinations did not reveal abnormality, over and above those accountable by his hematological. No history of recent fever, shape with marginal molding noted along the headache or head trauma at any age was white matter tracts. The patient hospital records did not neuroglial cyst, parasitic cyst and low grade reveal any episode of previous cerebral cystic neoplasm was proposed. No history of amateur or hyperperfusion, restricted diffusion or professional animal breeding was there

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