CT features are suggestive of central neurocytoma with evidence of intratumoral bleed and hydrocephalus which contribute to the patient’s symptoms (headache and vomiting).

Central neurocytoma is rare central nervous system WHO type 2 intraventricular tumor. The incidence of spontaneous hemorrhage as presentation is exquisitely rare.¹

According to retrospective study by Wang et al², the incidence of central neurocytoma hemorrhage was 5 of 63 cases (7.9%).

The definitive treatment is total resection of the tumor.

The patient underwent emergency craniotomy and excision of the mass which confirmed the diagnosis of bleeding central neurocytoma.