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Fig. 1. Ganglioglioma in 7-year-old boy with headaches. Unenhanced T1
weighted sagittal MR image shows inho mogeneous mass with hypointense cys tic
components located in left ventricle This lesion, which measured 84
cm3, was representative of size of other tumors in early childhood
group. Growth of tumo into lateral ventricle may have allowed tumor to attain
large size with less mass effect on rest of brain than would be expected if
tumor had been solely intra parenchymal. Smaller than expected mass effect
could explain delay seen in patient's onset of symptoms (and delay in
diagnosis) compared with mass of same size located solely in brain
parenchyma.