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Pan ventricular neurocytoma.

Jhawar SS, Nadkarni T - Asian J Neurosurg (2015 Jan-Mar)

Bottom Line: Central neurocytomas are intraventricular benign neoplasms located within the lateral ventricle adjacent to foramen of Monro.A rare case of a central neurocytoma extending throughout the entire ventricular system at the time of presentation is reported.The clinical course of this tumor in a 25-year-old male and its management are presented with relevant review of the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.

ABSTRACT
Central neurocytomas are intraventricular benign neoplasms located within the lateral ventricle adjacent to foramen of Monro. A rare case of a central neurocytoma extending throughout the entire ventricular system at the time of presentation is reported. The clinical course of this tumor in a 25-year-old male and its management are presented with relevant review of the literature.

No MeSH data available.


Related in: MedlinePlus

Postcontrast coronal magnetic resonance image demonstrates tumor extension into both lateral ventricles. It extends through the third ventricle into the fourth ventricle
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Figure 2: Postcontrast coronal magnetic resonance image demonstrates tumor extension into both lateral ventricles. It extends through the third ventricle into the fourth ventricle

Mentions: A 25-year-old male presented with progressive weakness of both lower limbs since 3 months. He had headaches and vomiting 1-week prior to admission. On neurological examination, the patient had spastic paraparesis. Both fundi revealed papilledema. Magnetic resonance imaging demonstrated a well-defined lobulated intraventricular mass lesion occupying lateral ventricles, third ventricle, fourth ventricle and extending into cisterna magna through foramen of magendi [Figure 1 and 2]. The tumor literally formed a cast of the entire ventricular system. The tumor was isointense on T1-weighted images, hyperintense on T2-weighted images and significant flow voids were noted. On contrast administration, heterogeneous enhancement was seen. The patient underwent right fronto-parietal parasagittal craniotomy with transcallosal radical excision of the tumor within the lateral ventricles. The tumor was soft, easily suckable and extremely vascular. Haemostasis was achieved with great difficulty. The patient deteriorated in sensorium within a few hours after surgery and had to be put on ventilatory support. Postoperative computed tomography scan demonstrated postoperative changes with residual tumor in third and fourth ventricle. There was no hydrocephalus. The patient was treated conservatively with decongestants and anticonvulsants. The patient succumbed on second postoperative day. Histological examination confirmed the lesion to be a central neurocytoma.


Pan ventricular neurocytoma.

Jhawar SS, Nadkarni T - Asian J Neurosurg (2015 Jan-Mar)

Postcontrast coronal magnetic resonance image demonstrates tumor extension into both lateral ventricles. It extends through the third ventricle into the fourth ventricle
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352650&req=5

Figure 2: Postcontrast coronal magnetic resonance image demonstrates tumor extension into both lateral ventricles. It extends through the third ventricle into the fourth ventricle
Mentions: A 25-year-old male presented with progressive weakness of both lower limbs since 3 months. He had headaches and vomiting 1-week prior to admission. On neurological examination, the patient had spastic paraparesis. Both fundi revealed papilledema. Magnetic resonance imaging demonstrated a well-defined lobulated intraventricular mass lesion occupying lateral ventricles, third ventricle, fourth ventricle and extending into cisterna magna through foramen of magendi [Figure 1 and 2]. The tumor literally formed a cast of the entire ventricular system. The tumor was isointense on T1-weighted images, hyperintense on T2-weighted images and significant flow voids were noted. On contrast administration, heterogeneous enhancement was seen. The patient underwent right fronto-parietal parasagittal craniotomy with transcallosal radical excision of the tumor within the lateral ventricles. The tumor was soft, easily suckable and extremely vascular. Haemostasis was achieved with great difficulty. The patient deteriorated in sensorium within a few hours after surgery and had to be put on ventilatory support. Postoperative computed tomography scan demonstrated postoperative changes with residual tumor in third and fourth ventricle. There was no hydrocephalus. The patient was treated conservatively with decongestants and anticonvulsants. The patient succumbed on second postoperative day. Histological examination confirmed the lesion to be a central neurocytoma.

Bottom Line: Central neurocytomas are intraventricular benign neoplasms located within the lateral ventricle adjacent to foramen of Monro.A rare case of a central neurocytoma extending throughout the entire ventricular system at the time of presentation is reported.The clinical course of this tumor in a 25-year-old male and its management are presented with relevant review of the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.

ABSTRACT
Central neurocytomas are intraventricular benign neoplasms located within the lateral ventricle adjacent to foramen of Monro. A rare case of a central neurocytoma extending throughout the entire ventricular system at the time of presentation is reported. The clinical course of this tumor in a 25-year-old male and its management are presented with relevant review of the literature.

No MeSH data available.


Related in: MedlinePlus