A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Dysembryoplastic Neuroepithelial Tumor
Etiology: Neoplasm
Imaging MRI: — Temporal lobe (60%) — Megagyrus due to infiltration through the cortex — Triangular in shape — T2WI: Bubbly in appearance
DDX:
Complications:
Treatment:
Clinical: Intractable seizures
Radiology Cases of Dysembryoplastic Neuroepithelial Tumor
Axial T1 without contrast (above left), T2 (above right) and T1 with contrast (below left) MRI of the brain show a round heterogenous lesion in the medial aspect of the left temporal lobe that appears to extend into the cortex, has a small amount of surrounding edema, and does not enhance. On gradient echo (below right) there is some hemosiderin staining in the lesion but no hemosiderin ring around it.