Supratentorial Pediatric Midline Tumors and Tumor-like Lesions: Clinical Spectrum, Natural History and Treatment Options

Paun, Luca; Lavé, Alexandre; Patet, Gildas; Bartoli, Andréa

doi:10.3390/children9040534

Cited by 2 publications

(2 citation statements)

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“… 5 In contemporary reviews of supratentorial pediatric midline tumors and tumor-like lesions, there is no mention or description of torcular pseudomass. 6–9 …”

Section: Discussionmentioning

confidence: 99%

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Torcular pseudomass in a 14-month-old child: illustrative case

Villeneuve¹,

Muthialu

Cornwell

et al. 2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND “Torcular pseudomass,” or redundant soft tissue in the torcular region, is not an infrequent incidental finding on advanced imaging of the brain in infants and young children. It was recently codified among pediatric neuroradiologists; however, its report in the pediatric neurosurgical community has not previously been elucidated. OBSERVATIONS The authors present a case of a 14-month-old child who presented with fever and a first-time seizure. Computed tomography of the head suggested an epidural abscess; however, magnetic resonance imaging characteristics of the lesion were consistent with torcular pseudomass, a normal variant. At the 3-month follow-up, the child was continuing to do well and had not had another seizure. There have been no indications for surgical intervention or additional radiographic surveillance. LESSONS The differential diagnosis for torcular pseudomass includes dural venous sinus thrombosis, dermoid cysts, occipital encephalocele, eosinophilic granuloma, and primary and metastatic tumors, such as neuroblastoma. The management of each of these disorders in the differential diagnosis may be much more invasive than continued observation in the case of torcular pseudomass. Therefore, it is important for pediatric neurosurgeons to become familiar with this developmental anomaly of the dura and occipital skull.

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“… 5 In contemporary reviews of supratentorial pediatric midline tumors and tumor-like lesions, there is no mention or description of torcular pseudomass. 6–9 …”

Section: Discussionmentioning

confidence: 99%

“…5 In contemporary reviews of supratentorial pediatric midline tumors and tumor-like lesions, there is no mention or description of torcular pseudomass. [6][7][8][9] Presentation Most torcular pseudomasses were found in children younger than 1 year of age. 1 The developmental history is usually unremarkable.…”

Section: Observationsmentioning

confidence: 99%