Case Report

High-Grade Glioma of the Ventrolateral Medulla in an Adult: Case Presentation and Discussion of Surgical Considerations

Table 1

Differential diagnosis of brainstem lesions.

CategoryDiseases

InflammatoryAutoimmune encephalitis
Bickerstaff brainstem encephalitis
CNS vasculitis
Demyelination (multiple sclerosis)
Neuromyelitis optica
Neuro-Behçet
Neurosarcoidosis
Sjögren’s syndrome with CNS involvement
CLIPPERS (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids)

NeoplasticGlioma
Metastatic cancer
CNS lymphoma
Primitive neuroectodermal tumor
Ependymoma
Malignant histiocytosis

InfectiousTuberculoma
Pyogenic abscess

ParaneoplasticParaneoplastic brainstem encephalitis/rhombencephalitis

VascularCavernous malformation
Hematoma
Arteriovenous malformation
Cavernous angioma
Ischemic infarct