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Ganglioglioma
Luke L. Linscott, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Ganglioglioma (GG)
            • Definitions

              • Slow-growing neuroepithelial tumor composed of neoplastic ganglion & glial cells

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Dudley RW et al: Pediatric low-grade ganglioglioma: epidemiology, treatments, and outcome analysis on 348 children from the surveillance, epidemiology, and end results database. Neurosurgery. 76(3):313-9; discussion 319; quiz 319-20, 2015
                                            2. Haydon DH et al: Greater extent of resection improves ganglioglioma recurrence-free survival in children: a volumetric analysis. Neurosurgery. 75(1):37-42, 2014
                                            3. Santos MV et al: Approach to cortical dysplasia associated with glial and glioneuronal tumors (FCD type IIIb). Childs Nerv Syst. 30(11):1869-74, 2014
                                            4. Consales A et al: Glioneuronal tumors and epilepsy in children: seizure outcome related to lesionectomy. Minerva Pediatr. 65(6):609-16, 2013
                                            5. Deling L et al: Intraventricular ganglioglioma prognosis and hydrocephalus: the largest case series and systematic literature review. Acta Neurochir (Wien). 155(7):1253-60, 2013
                                            6. Englot DJ et al: Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia. 53(1):51-7, 2012
                                            7. Southwell DG et al: Long-term seizure control outcomes after resection of gangliogliomas. Neurosurgery. 70(6):1406-13; discussion 1413-4, 2012
                                            8. Ogiwara H et al: Pediatric epileptogenic gangliogliomas: seizure outcome and surgical results. J Neurosurg Pediatr. 5(3):271-6, 2010
                                            9. Alexiou GA et al: Benign lesions accompanied by intractable epilepsy in children. J Child Neurol. 24(6):697-700, 2009
                                            10. Allende DS et al: The expanding family of glioneuronal tumors. Adv Anat Pathol. 16(1):33-9, 2009
                                            11. Karremann M et al: Anaplastic ganglioglioma in children. J Neurooncol. 92(2):157-63, 2009
                                            12. Adachi Y et al: Gangliogliomas: Characteristic imaging findings and role in the temporal lobe epilepsy. Neuroradiology. 50(10):829-34, 2008
                                            13. Majores M et al: Tumor recurrence and malignant progression of gangliogliomas. Cancer. 113(12):3355-63, 2008
                                            14. Park YS et al: Factors contributing to resectability and seizure outcomes in 44 patients with ganglioglioma. Clin Neurol Neurosurg. 110(7):667-73, 2008
                                            15. Zhang D et al: Intracranial ganglioglioma: clinicopathological and MRI findings in 16 patients. Clin Radiol. 63(1):80-91, 2008
                                            16. Law M et al: Conventional MR imaging with simultaneous measurements of cerebral blood volume and vascular permeability in ganglioglioma. Magn Reson Imaging. 22(5):599-606, 2004
                                            17. Im SH et al: Intracranial ganglioglioma: preoperative characteristics and oncologic outcome after surgery. J Neurooncol. 59(2):173-83, 2002
                                            18. Hayashi Y et al: Malignant transformation of a gangliocytoma/ganglioglioma into a glioblastoma multiforme: a molecular genetic analysis. Case report. J Neurosurg. 95(1):138-42, 2001
                                            19. Provenzale JM et al: Comparison of patient age with MR imaging features of gangliogliomas. AJR Am J Roentgenol. 174(3):859-62, 2000
                                            20. Matsumoto K et al: Cerebral gangliogliomas: clinical characteristics, CT and MRI. Acta Neurochir (Wien). 141(2):135-41, 1999
                                            21. Provenzale JM et al: Gangliogliomas: characterization by registered positron emission tomography-MR images. AJR Am J Roentgenol. 172(4):1103-7, 1999
                                            22. Kincaid PK et al: Cerebral gangliogliomas: preoperative grading using FDG-PET and 201Tl-SPECT. AJNR Am J Neuroradiol. 19(5):801-6, 1998
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Ganglioglioma (GG)
                                                      • Definitions

                                                        • Slow-growing neuroepithelial tumor composed of neoplastic ganglion & glial cells

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Dudley RW et al: Pediatric low-grade ganglioglioma: epidemiology, treatments, and outcome analysis on 348 children from the surveillance, epidemiology, and end results database. Neurosurgery. 76(3):313-9; discussion 319; quiz 319-20, 2015
                                                                                      2. Haydon DH et al: Greater extent of resection improves ganglioglioma recurrence-free survival in children: a volumetric analysis. Neurosurgery. 75(1):37-42, 2014
                                                                                      3. Santos MV et al: Approach to cortical dysplasia associated with glial and glioneuronal tumors (FCD type IIIb). Childs Nerv Syst. 30(11):1869-74, 2014
                                                                                      4. Consales A et al: Glioneuronal tumors and epilepsy in children: seizure outcome related to lesionectomy. Minerva Pediatr. 65(6):609-16, 2013
                                                                                      5. Deling L et al: Intraventricular ganglioglioma prognosis and hydrocephalus: the largest case series and systematic literature review. Acta Neurochir (Wien). 155(7):1253-60, 2013
                                                                                      6. Englot DJ et al: Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia. 53(1):51-7, 2012
                                                                                      7. Southwell DG et al: Long-term seizure control outcomes after resection of gangliogliomas. Neurosurgery. 70(6):1406-13; discussion 1413-4, 2012
                                                                                      8. Ogiwara H et al: Pediatric epileptogenic gangliogliomas: seizure outcome and surgical results. J Neurosurg Pediatr. 5(3):271-6, 2010
                                                                                      9. Alexiou GA et al: Benign lesions accompanied by intractable epilepsy in children. J Child Neurol. 24(6):697-700, 2009
                                                                                      10. Allende DS et al: The expanding family of glioneuronal tumors. Adv Anat Pathol. 16(1):33-9, 2009
                                                                                      11. Karremann M et al: Anaplastic ganglioglioma in children. J Neurooncol. 92(2):157-63, 2009
                                                                                      12. Adachi Y et al: Gangliogliomas: Characteristic imaging findings and role in the temporal lobe epilepsy. Neuroradiology. 50(10):829-34, 2008
                                                                                      13. Majores M et al: Tumor recurrence and malignant progression of gangliogliomas. Cancer. 113(12):3355-63, 2008
                                                                                      14. Park YS et al: Factors contributing to resectability and seizure outcomes in 44 patients with ganglioglioma. Clin Neurol Neurosurg. 110(7):667-73, 2008
                                                                                      15. Zhang D et al: Intracranial ganglioglioma: clinicopathological and MRI findings in 16 patients. Clin Radiol. 63(1):80-91, 2008
                                                                                      16. Law M et al: Conventional MR imaging with simultaneous measurements of cerebral blood volume and vascular permeability in ganglioglioma. Magn Reson Imaging. 22(5):599-606, 2004
                                                                                      17. Im SH et al: Intracranial ganglioglioma: preoperative characteristics and oncologic outcome after surgery. J Neurooncol. 59(2):173-83, 2002
                                                                                      18. Hayashi Y et al: Malignant transformation of a gangliocytoma/ganglioglioma into a glioblastoma multiforme: a molecular genetic analysis. Case report. J Neurosurg. 95(1):138-42, 2001
                                                                                      19. Provenzale JM et al: Comparison of patient age with MR imaging features of gangliogliomas. AJR Am J Roentgenol. 174(3):859-62, 2000
                                                                                      20. Matsumoto K et al: Cerebral gangliogliomas: clinical characteristics, CT and MRI. Acta Neurochir (Wien). 141(2):135-41, 1999
                                                                                      21. Provenzale JM et al: Gangliogliomas: characterization by registered positron emission tomography-MR images. AJR Am J Roentgenol. 172(4):1103-7, 1999
                                                                                      22. Kincaid PK et al: Cerebral gangliogliomas: preoperative grading using FDG-PET and 201Tl-SPECT. AJNR Am J Neuroradiol. 19(5):801-6, 1998