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Be prepared to submit the entire specimen in order to rule out winston ng forex driving school confirm Congenital Posterior Fossa Cysts and Anomalies 133 Nonneoplastic lesions Nonneoplastic lesions can mimic tumor growth: Radiation necrosis after focal high-dose irradiation Abscess formation at the site of the tumor resection Congenital Posterior Fossa Cysts and Anomalies DandyWalker com- plex DandyWalker malfor- mation DandyWalker variant Other posterior fossa cysts Arachnoid and neuro- epithelial cysts Megacisterna magna In 70 of qinston, the syndrome has a number of as- sociated anomalies, such as hydrocephalus, agenesis of the corpus callosum, nuclear dysplasia of the brain stem, and other cerebrocerebellar heterotopias Large posterior fossa and CSF cyst, high transverse sinuses and tentorial insertion, vermian, cerebellar hemispheric and brain stem hypoplasia in 25 of cases Mild vermian hypoplasia, moderately enlarged fourth ventricle although the posterior fossa is typically of normal size, the brain stem is normal, and there is a variable degree of vermian hypoplasia Arachnoid cysts are formed by a splitting of the arachnoid membrane with layers of thickened fibrous connective tissue, whereas neuroepithelial or glio- ependymal cysts are lined with a low cuboidal-colum- nar epithelium The fourth ventricle appears normal and the vermis and cerebellar hemispheres are normal, but occa- sionally the posterior fossa can be enlarged, with prominent scalloping of the occipital bones Isolatedfourthventricle Afterventriculoperitonealshunt,leadingtosecondary aqueductal stenosis, but in addition the CSF outflow from the fourth ventricle is prevented, or its absorp- Pulsion diverticulum tion is prevented, e.
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