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Multiple supratentorial subependymomas causing obstructive hydrocephalus.
Schroeder, Jason; LeFever, Devon; Entezami, Pouya; Mrak, Robert E.
Afiliación
  • Schroeder J; Department of Neurosurgery, University of Toledo Medical Center, Toledo, Ohio, USA.
  • LeFever D; Department of Neurosurgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA.
  • Entezami P; Department of Neurosurgery, Albany Medical Center, Albany, New York, USA.
  • Mrak RE; Department of Pathology, University of Toledo College of Medicine, Toledo, Ohio, USA.
BMJ Case Rep ; 20172017 Jun 03.
Article en En | MEDLINE | ID: mdl-28578305
INTRODUCTION: Subependymomas are benign intraventricular tumours that most often occur asymptomatically and are found incidentally on autopsy. Symptomatic examples requiring surgical intervention are exceedingly rare. CASE PRESENTATION: A 55-year-old man with no history of neurological symptoms presented with multiple episodes of loss of consciousness and increasing headaches. MRI revealed a lobulated intraventricular mass centred at the right Foramen of Monro. Obstructive hydrocephalus with localised midline shift and a second lesion were noted. Right frontal craniotomy with total removal via transcortical resection was performed. DISCUSSION: Symptomatic subependymomas generally present with signs of hydrocephalus due to obstruction of cerebrospinal fluid pathways. There is only one other reported case of multifocal subependymomas in a symptomatic patient. An example of multiple supratentorial subependymomas causing obstructive hydrocephalus has not been previously reported. CONCLUSIONS: Multiple subependymomas are rare. Judicious surgical management with full excision led to symptomatic improvement in our patient.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Ventrículo Cerebral / Ventrículos Cerebrales / Glioma Subependimario / Hidrocefalia Tipo de estudio: Diagnostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Ventrículo Cerebral / Ventrículos Cerebrales / Glioma Subependimario / Hidrocefalia Tipo de estudio: Diagnostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido