Central neurocytoma

Case contributed by Mustafa Takesh
Diagnosis almost certain

Presentation

Chronic headaches

Patient Data

Age: 20 years
Gender: Male
ct

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

 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

 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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