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Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report
To present a case of a fourth ventricle subependymoma (SE) with a spontaneous acute subarachnoid intra-cisternal bleeding. A 33-year-old man was admitted with 5 days history of oppressive occipital headache and neck pain without additional neurological focus. Unenhanced computed tomography (CT) scan...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Neurosurgical Society
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508720/ https://www.ncbi.nlm.nih.gov/pubmed/24140775 http://dx.doi.org/10.2176/nmc.cr2012-0292 |
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author | Landriel, Federico Besada, Cristina Migliaro, Matías Christiansen, Silvia Goldschmidt, Ezequiel Yampolsky, Claudio Ajler, Pablo |
author_facet | Landriel, Federico Besada, Cristina Migliaro, Matías Christiansen, Silvia Goldschmidt, Ezequiel Yampolsky, Claudio Ajler, Pablo |
author_sort | Landriel, Federico |
collection | PubMed |
description | To present a case of a fourth ventricle subependymoma (SE) with a spontaneous acute subarachnoid intra-cisternal bleeding. A 33-year-old man was admitted with 5 days history of oppressive occipital headache and neck pain without additional neurological focus. Unenhanced computed tomography (CT) scan demonstrated an isointense mass located in the fourth ventricle with a spontaneously hyperdense acute extratumoral hemorrhage in the cisterna magna. Contrast-enhanced magnetic resonance imaging (MRI) revealed a well-delimitated non-enhanced tumor, hypointense on T(1)-weighted and hyperintense on T(2-)weighted images, involving the floor of the fourth ventricle and extending caudally into the cervical spinal canal via foramen magnum. Intraoperative, a large blood clot was removed and a macroscopically hypovascularlesion was completely excised from the right lateral recess and the floor of the fourth ventricle. Intra and postoperative immuno-histopathological examination revealed a SE. The patient has a normal postoperative course and was discharged in the fifth postoperative day. A 10-month postoperative MRI study confirmed a complete tumor resection. Symptomatic SEs should be surgically treated emphasizing the urgency in the presence of hemorrhage. The interest of this case is to demonstrate that infratentorial SEs although extremely rare, might present with acute subarachnoid bleeding. |
format | Online Article Text |
id | pubmed-4508720 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-45087202015-11-05 Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report Landriel, Federico Besada, Cristina Migliaro, Matías Christiansen, Silvia Goldschmidt, Ezequiel Yampolsky, Claudio Ajler, Pablo Neurol Med Chir (Tokyo) Case Report To present a case of a fourth ventricle subependymoma (SE) with a spontaneous acute subarachnoid intra-cisternal bleeding. A 33-year-old man was admitted with 5 days history of oppressive occipital headache and neck pain without additional neurological focus. Unenhanced computed tomography (CT) scan demonstrated an isointense mass located in the fourth ventricle with a spontaneously hyperdense acute extratumoral hemorrhage in the cisterna magna. Contrast-enhanced magnetic resonance imaging (MRI) revealed a well-delimitated non-enhanced tumor, hypointense on T(1)-weighted and hyperintense on T(2-)weighted images, involving the floor of the fourth ventricle and extending caudally into the cervical spinal canal via foramen magnum. Intraoperative, a large blood clot was removed and a macroscopically hypovascularlesion was completely excised from the right lateral recess and the floor of the fourth ventricle. Intra and postoperative immuno-histopathological examination revealed a SE. The patient has a normal postoperative course and was discharged in the fifth postoperative day. A 10-month postoperative MRI study confirmed a complete tumor resection. Symptomatic SEs should be surgically treated emphasizing the urgency in the presence of hemorrhage. The interest of this case is to demonstrate that infratentorial SEs although extremely rare, might present with acute subarachnoid bleeding. The Japan Neurosurgical Society 2013-11 2013-10-21 /pmc/articles/PMC4508720/ /pubmed/24140775 http://dx.doi.org/10.2176/nmc.cr2012-0292 Text en © 2013 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Case Report Landriel, Federico Besada, Cristina Migliaro, Matías Christiansen, Silvia Goldschmidt, Ezequiel Yampolsky, Claudio Ajler, Pablo Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title | Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title_full | Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title_fullStr | Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title_full_unstemmed | Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title_short | Atypical Hemorrhagic Presentation of a Fourth Ventricle Subependymoma: Case Report |
title_sort | atypical hemorrhagic presentation of a fourth ventricle subependymoma: case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508720/ https://www.ncbi.nlm.nih.gov/pubmed/24140775 http://dx.doi.org/10.2176/nmc.cr2012-0292 |
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