Emma A Lim1,2, César A P F Alves3, Stefania Picariello4, Kristian Aquilina5, Sotirios Bisdas6, Ulrike Loebel7, Kshitij Mankad7, Felice D'Arco7. 1. Great Ormond Street Hospital for Children NHS Trust, Department of Radiology, London, UK. emma.lim@nhs.net. 2. National Hospital for Neurology and Neurosurgery, Department of Radiology, London, UK. emma.lim@nhs.net. 3. Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. 4. Department of Women's and Children's Health, University of Campania Luigi Vanvitelli, Naples, IT , USA. 5. Great Ormond Street Hospital for Children NHS Trust, Department of Neurosurgery, London, UK. 6. National Hospital for Neurology and Neurosurgery, Department of Radiology, London, UK. 7. Great Ormond Street Hospital for Children NHS Trust, Department of Radiology, London, UK.
Abstract
INTRODUCTION: Pineal, sellar and suprasellar tumours in children comprise a wide range of diseases with different biological behaviours and clinical management. Neuroimaging plays a critical role in the diagnosis, treatment planning and follow up of these patients, but imaging interpretation can prove challenging due to the significant overlap in radiological features. MATERIALS AND METHOD: A review of the literature was performed by undertaking a search of the MEDLINE and EMBASE databases for appropriate MeSH terminology. Identified abstracts were screened for inclusion and articles meeting the objectives of the review were included. RESULTS AND CONCLUSION: In this article, we review radiological appearances of common and uncommon pineal, sellar and suprasellar tumours occurring in the paediatric population. We discuss the importance of anatomical localization, clinical information and cerebrospinal fluid tumour markers, and propose a practical approach to differential diagnosis. Lastly, we discuss future directions and prospective new imaging strategies to support state-of-the-art patient care.
INTRODUCTION: Pineal, sellar and suprasellar tumours in children comprise a wide range of diseases with different biological behaviours and clinical management. Neuroimaging plays a critical role in the diagnosis, treatment planning and follow up of these patients, but imaging interpretation can prove challenging due to the significant overlap in radiological features. MATERIALS AND METHOD: A review of the literature was performed by undertaking a search of the MEDLINE and EMBASE databases for appropriate MeSH terminology. Identified abstracts were screened for inclusion and articles meeting the objectives of the review were included. RESULTS AND CONCLUSION: In this article, we review radiological appearances of common and uncommon pineal, sellar and suprasellar tumours occurring in the paediatric population. We discuss the importance of anatomical localization, clinical information and cerebrospinal fluid tumour markers, and propose a practical approach to differential diagnosis. Lastly, we discuss future directions and prospective new imaging strategies to support state-of-the-art patient care.
Authors: H J Hoffman; H Otsubo; E B Hendrick; R P Humphreys; J M Drake; L E Becker; M Greenberg; D Jenkin Journal: J Neurosurg Date: 1991-04 Impact factor: 5.115