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GANGLIOGLIOMA (WHO I) GANGLIOGLIOMA (WHO I)

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LHERMITTE<br />

LHERMITTE-DUCLOS DUCLOS DZ (<strong>WHO</strong> I)<br />

� Dysplastic gangliocytoma of cerebellum<br />

� Peak onset in third to fourth decade<br />

� Internal granular layer dysplasia/hypertrophy<br />

� Expanded foliar cortex, diminished white matter<br />

� Obstructive hydrocephalus/ataxia<br />

� Cowden disease/PTEN mutations in nearly all<br />

adults, but some exceptions in children<br />

� PTEN functions in neuronal migration,<br />

development and soma size (knockout mice)<br />

LHERMITTE<br />

LHERMITTE-DUCLOS DUCLOS DZ<br />

LHERMITTE<br />

LHERMITTE-DUCLOS DUCLOS DZ LHERMITTE<br />

LHERMITTE-DUCLOS DUCLOS DZ<br />

LHERMITTE<br />

LHERMITTE-DUCLOS DUCLOS DZ<br />

CENTRAL NEUROCYTOMA (<strong>WHO</strong> II)<br />

� Older children/Young adults<br />

� Lat. v./3 rd v./F. of Monro/S. pellucidum<br />

� Obstructive hydrocephalus<br />

�� Globular/calcified<br />

� Usually benign, but may recur (MIB-1>2%)<br />

� DDx: oligodendroglioma, ependymoma<br />

� Genetics inconsistent, but no 1p/19q losses

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