Intra Parenchymal Extraventricular Supratentorial Ependymomas: Case Report and Review of Pathophysiology and Management

Riadh Rebai, Khaled AlOurabi, Ayman Salaheddine, Saggaf Assagaf

Abstract


A 6-year-old girl presented with progressive symptoms of increased intracranial pressure of 3 months duration. Computerized Tomography (CT) Scan revealed a right frontal extra-ventricular inhomogeneous space occupying lesion with solid and cystic components including calcifications. She underwent gross total resection of the solid component. Histopathological examination was consistent with ependymoma (WHO grade II). In the post operative course she developed hydrocephalus that was managed by ventriculo-peritoneal shunt insertion. Despite the absence of obvious tumoral residue in post-operative images, the patient was referred for postoperative radiotherapy. Unfortunately, patient was lost of view. Eight months later, she presented to us with headache without focal signs of neurological deficit. MRI (Magnetic resonance imaging) of the brain showed recurrence of the resected frontal tumor. The tumor has been totally removed and patient was referred again to oncology center for adjuvant radiotherapy. Literature was reviewed for pathophysiology, management and prognosis of this rare pathology.




J Med Cases. 2013;4(4):237-241
doi: https://doi.org/10.4021/jmc1062w

Keywords


Supratentorial; Ependymoma; Calcification; Prognosis

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.