29/01/2026
ESNR Case of the Month: A Rare Midbrain Tumour
Presented by Dr May Ting Tan, MBBS FRCR
We’re proud to launch a new ESNR Communication Committee initiative with our first-ever Case of the Month.
This case features a 21-year-old male with an atypical lesion centered in the tectal plate, posing a diagnostic challenge.
Key MRI Findings:
• T2/FLAIR: Heterogeneous, predominantly isointense to slightly hyperintense
• DWI/ADC: Intermediate signal
• Post-contrast T1: Heterogeneous enhancement
Final diagnosis: Midbrain germinoma
Diagnostic pearl: MRI alone is often insufficient. Serum and CSF biomarkers (AFP, β-hCG) are helpful, but definitive diagnosis requires a biopsy.
Stay tuned for more monthly ESNR cases!