case_images: PMC5379811_01
case_images: (a) CT scan brain plain showing predominantly left temporal cystic lesion; (b) T1WI MR axial section showing cystic lesion with minimal mass effect; (c) Post contrast T1WI sagital section showing the enhancing portion postero superiorly; (d) Post contrast T1WI coronal section
case_images: AJNS-12-72-g001.jpg
case_images: PMC5379811_01_AJNS-12-72-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) revealed an intra-axial lesion measuring approximately 5 x 5 cm2 with a predominantly hypo-intense center and a surrounding rim of iso-intense solid component on T1 weighted imaging and predominantly hyper-intense on T2 weighted imaging, showing peripheral enhancement on contrast administration in the left temporal region [Figure 1].
case_images: Post contrast T1WI - Post operative image showing near total excision
case_images: AJNS-12-72-g002.jpg
case_images: PMC5379811_01_AJNS-12-72-g002.jpg
case_images: F2
case_images: A left-sided fronto-parieto temporal craniotomy was done and the tumor was excised gross totally [Figure 2].
case_images: (a) H and E (x100) shows sheets of spindle cells with moderate pleomorphism in a fibrillary background; (b) Atypical mitotic figure; (c) IHC with GFAP (x100) shows diffuse positivity in tumor cells
case_images: AJNS-12-72-g003.jpg
case_images: PMC5379811_01_AJNS-12-72-g003.jpg
case_images: F3
case_images: Immunohistochemistry (IHC) was positive for glial fibrillary acidic protein (GFAP) and vimentin, and negative for synaptophysin [Figure 3].