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Normal
architecture
cerebrum
cerebellum
pons
medulla
ventricle
choroid plexus
thalamus
hypothalamus
pituitary
pineal
components
gray matter: rich in cell bodies of nerves and glia
white matter: rich in axons forming tracts and fascicles
neuropil: rich in unmyelinated axons forming networks of synapses
meninges: dura (dense collagen, calcifications), arachnoid (mesothelial lining), pia (mesothelial lining, loose connective tissue)
CNS lacks connective tissue and lymphoid elements
cell types
neuron
glial = the non-neural cells
astrocyte
oligodendrocyte
ependymal cell
microglia
WHO neoplasms
Meningeal
meningioma
mesenchymal non-meningothelial tumors
hemangiopericytoma
melanotic lesions
hemangioblastoma
Sellar (see pituitary)
craniopharyngioma
granular cell tumor
pituicytoma
spindle cell oncocytoma
Astrocytic
pilocytic astrocytoma
pilomyxoid astrocytoma
pleomorphic xanthoastrocytoma
diffuse astrocytoma
anaplastic astrocytoma
glioblastoma
giant cell glioblastoma
gliosarcoma
gliomatosis cerebri
SEGA
Oligodendroglial
oligodendroglioma
anaplastic oligodendroglioma
oligoastrocytoma
anaplastic oligoastrocytoma
Ependymal
subependymoma
myxopapillary ependymoma
ependymoma
anaplastic ependymoma
Choroid plexus
Other neuroepithelial
astroblastoma
chordoid glioma of the third ventricle
angiocentric glioma
Neuronal and mixed neuronal-glial
desmoplastic infantile astrocytoma and ganglioglioma
dysembryoplastic neuroepithelial tumor
ganglioglioma
gangliocytoma
central neurocytoma and extraventricular neurocytoma
cerebellar liponeurocytoma
papillary glioneuronal tumor
rosette-forming glioneuronal tumor of the fourth ventricle
paraganglioma (spinal)
Embryonal
medulloblastoma
PNET
medulloepithelioma
ependymoblastoma
ATRT
Cranial and paraspinal nerves
schwannoma
neurofibroma
perineurioma
MPNST
Hematopoietic
lymphoma
histiocytic tumors
GCTs
Metastasis
Ddx by location
Cerebral ddx
peds
ganglioglioma
dysembryoplastic neuroepithelial tumor
PNET
ATRT
adult
oligodendroglioma
diffuse glioma
GBM
metastasis
lymphoma
Hypothalamus ddx
craniopharyngioma
colloid cyst
germinoma
pilocytic astrocytoma
pilomyxoid astrocytoma
Thalamus ddx
GBM
pilocytic astrocytoma
lymphoma
Cerebellar ddx
young
pilocytic astrocytoma
medulloblastoma
ependymoma
choroid plexus papilloma
ATRT
old
metastasis
hemangioblastoma
choroid plexus papilloma
Brainstem ddx
pilocytic astrocytoma
brain stem glioma
gliomatosis cerebri
CPA ddx
schwannoma
meningioma
choroid plexus tumor
Ventricular ddx
lateral ventricle
choroid plexus papilloma
central neurocytoma
SEGA
young
choroid plexus carcinoma
old
subependymoma
meningioma
3rd ventricle
colloid cyst
4th ventricle
ependymoma
choroid plexus papilloma
periventricular
lymphoma
Pituitary ddx
pituitary adenoma
craniopharyngioma
Rathke cleft cyst
Pineal ddx
pineocytoma
pineal cyst
germinoma
pineoblastoma
Inflammation ddx
meningitis
encephalitis
HSV
EBV
CMV
PML
rabies
HIV leukoencephalopathy
neurocysticercosis
west nile encephalitis
RMSF
other
parasites
CNS malaria
amebic encephalitis
trypanosomiasis
lymphocytic choriomeningitis
California encephalitis
subacute sclerosing panencephalitis
progressive rubella encephalitis
abscess
other
neurosarcoidosis
rheumatoid arthritis
Wegener disease
Vascular ddx
stroke
ischemic
hemorrhagic
lacunar infarct
hypertensive encephalopathy
amyloid angiopathy
vasculitis
giant cell arteritis
primary angiitis
polyarteritis nodosa
aneurysm
vascular malformations
AVM
cavernous hemangioma
capillary telangiectasia
venous angioma
other
CADASIL
Moyamoya syndrome
Degenerative ddx
Alzheimer disease
Parkinson disease
Lewy body dementia
progressive supranuclear palsy
corticobasal degeneration
multiple system atrophy
frontotemporal lobar degeneration
Pick disease
prion disease
CJD
kuru
Syndromes
NF1
NF2
vHL
Tuberous sclerosis
Li-Fraumeni
Cowden
Turcot
Nevoid basal cell carcinoma syndrome
Rhabdoid tumor predisposition syndrome