Central neurocytoma

Case contributed by Mustafa Takesh
Diagnosis almost certain

Presentation

Chronic headaches

Patient Data

Age: 20 years
Gender: Male
ct
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Info

Selected CT images showing a large predominately solid intraventricular mass with cystic components and calcification, centered in the body of right lateral ventricle and causing obstructive hydrocephalus.


 

mri
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
SWI
This study is a stack
Sagittal
T1
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
T1 C+
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Info

 Selected MRI images demonstrating large mixed cystic and solid partially calcified mass centered in the right lateral ventricle, contacting the septum pellucidum, and extending slightly into the left lateral ventricle. There is secondary dilatation of the ventricles, without periventricular edema, suggesting chronic hydrocephalus.   

Postsurgical MRI

mri
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial
FLAIR
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 Postoperative changes of right frontal approach with intraventricular tumor excision with an epidural hematoma dorsal to the craniotomy site.

Case Discussion

Classic MRI and CT findings of central neurocytoma, which was histologically proven. In this case, we notice a dilatation of both lateral ventricles, but with no transependymal CSF permeation, which indicates chronic hydrocephalus and slow-growing mass.

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