Question 2129
{"accessible":true,"alternatives":[{"id":10573,"text":"dysembryoplastic neuroepithelial tumor (DNET)"},{"id":10574,"text":"gangliocytoma"},{"id":10575,"text":"ganglioglioma"},{"id":10576,"text":"multinodular and vacuolating neuronal tumor (MVNT)"},{"id":10577,"text":"pleomorphic xanthoastrocytoma (PXA)"}],"archived":false,"correctAlternativeId":10573,"explanation":"\u003cp\u003eThis description and imaging is most compatible with a DNET. These are typically bubbly T2W lesions with a bright FLAIR rim.\u003c/p\u003e\u003cp\u003eThere is commonly cross-over with these small lower grade epileptogenic tumors and imaging follow up or histological results are often relied upon to fully characterize these lesions.\u003c/p\u003e","id":2129,"imageUrl":"https://prod-images-static.radiopaedia.org/images/41947892/56953f616603dad5142392ee509794_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":62569},"imageAttributionCaseInfo":{"title":"Dysembryoplastic neuroepithelial tumor (DNET)","contributor_name":"David Mitchell","contributor_param":"dpmmitchell","case_rid":62569,"case_param":"dysembryoplastic-neuroepithelial-tumour-dnet-17"},"firstQuestionPath":"/questions/2129","nextQuestionPath":"/articles/pleomorphic-xanthoastrocytoma/questions/798","relatedArticles":[{"id":1368,"title":"Ganglioglioma","link":"/articles/ganglioglioma?lang=us"},{"id":5501,"title":"Gangliocytoma","link":"/articles/gangliocytoma?lang=us"},{"id":1251,"title":"Dysembryoplastic neuroepithelial tumor","link":"/articles/dysembryoplastic-neuroepithelial-tumour?lang=us"},{"id":40645,"title":"Multinodular and vacuolating neuronal tumor","link":"/articles/multinodular-and-vacuolating-neuronal-tumour-1?lang=us"}],"alsoUsedIn":[{"id":987,"kind":"Course","title":"2021 Virtual Conference Private Use - page 987","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/987"},{"id":987,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 987","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/987"},{"id":987,"kind":"Course","title":"2022 Virtual Conference Private Use - page 987","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/987"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":20,"kind":"LiveSchedule","title":"20","link":"https://radiopaedia.org/admin/live_schedules/20"},{"id":916,"kind":"Course","title":"2021 Virtual Conference Private Use - page 916","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/916"},{"id":916,"kind":"Course","title":"Neuroradiology Lectures - page 916","link":"https://radiopaedia.org/courses/neuroradiology-lectures/pages/916"},{"id":916,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 916","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/916"},{"id":916,"kind":"Course","title":"New test course - page 916","link":"https://radiopaedia.org/courses/new-test-course/pages/916"},{"id":1747,"kind":"Course","title":"Epileptogenic Brain Tumours Learning Pathway - page 1747","link":"https://radiopaedia.org/courses/epileptogenic-brain-tumours-learning-pathway/pages/1747"}],"stem":"\u003cp\u003eA 40-year-old woman with medically refractory epilepsy has an MRI. This shows a T2W hyperintense region at the right posterior insula, which incompletely suppresses on FLAIR at the periphery. There is no enhancement following intravenous contrast administration. What is the most likely lesion causing this patient's seizures?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2129"}],"attemptsPercentages":[{"alternativeId":"10576","percentage":12},{"alternativeId":"10574","percentage":5},{"alternativeId":"10573","percentage":65},{"alternativeId":"10577","percentage":8},{"alternativeId":"10575","percentage":10}],"promptToLogin":false,"questionManager":false,"articleId":"pleomorphic-xanthoastrocytoma"}