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J Neurol Surg A Cent Eur Neurosurg 2020; 81(04): 372-376
DOI: 10.1055/s-0040-1701622
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Case Report of Cerebellar Endometriosis

Michael Meggyesy
1   Department of Neurosurgery, Asklepios Klinik Altona, Hamburg, Germany
,
Michael Friese
2   Department of Neuropathology, Asklepios Kliniken Hamburg GmbH Asklepios Klinik Nord Standort Heidberg, Hamburg, Hamburg, Germany
,
Joachim Gottschalk
2   Department of Neuropathology, Asklepios Kliniken Hamburg GmbH Asklepios Klinik Nord Standort Heidberg, Hamburg, Hamburg, Germany
,
Uwe Kehler
1   Department of Neurosurgery, Asklepios Klinik Altona, Hamburg, Germany
› Institutsangaben
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Publikationsverlauf

23. April 2019

03. Juli 2019

Publikationsdatum:
28. März 2020 (online)

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Abstract

Endometriosis is a disorder in women which is characterized by extrauterine manifestations. We describe a case of cerebellar endometriosis in a 39-year-old woman who underwent posterior fossa decompression multiple times without establishing a correct diagnosis. Her neurologic status progressively worsened due to chronic hydrocephalus and brainstem compression by cysts. Late in the clinical course, histology from the cyst wall was taken that revealed endometriosis with clear cells and positive immunohistology for progesterone and estrogen receptors. Treatment with gestagens was started but did not improve the patient's status. In patients with chronic recurring intracranial cysts and hydrocephalus, cerebral endometriosis should be considered.

Keywords

hydrocephalus - endometriosis - brain cyst
 

  • References

  • 1 Cristescu C, Velişcu A, Marinescu B, Pătraşcu A, Traşcă ET, Pop OT. Endometriosis—clinical approach based on histological findings. Rom J Morphol Embryol 2013; 54 (01) 91-97
    PubMedGoogle Scholar
  • 2 Insabato L, Pettinato G. Endometriosis of the bowel with lymph node involvement. A report of three cases and review of the literature. Pathol Res Pract 1996; 192 (09) 957-961 ; discussion 962
    CrossrefPubMedGoogle Scholar
  • 3 Kim H-S, Yoon G, Kim B-G, Song SY. Decidualization of intranodal endometriosis in a postmenopausal woman. Int J Clin Exp Pathol 2015; 8 (01) 1025-1030
    PubMedGoogle Scholar
  • 4 Giudice LC, Kao LC. Endometriosis. Lancet 2004; 364 (9447): 1789-1799
    CrossrefPubMedGoogle Scholar
  • 5 Bulun SE. Endometriosis. N Engl J Med 2009; 360 (03) 268-279
    CrossrefPubMedGoogle Scholar
  • 6 Ferguson BR, Bennington JL, Haber SL. Histochemistry of mucosubstances and histology of mixed müllerian pelvic lymph note glandular inclusions. Evidence for histogenesis by müllerian metaplasia of coelomic epithelium. Obstet Gynecol 1969; 33 (05) 617-625
    PubMedGoogle Scholar
  • 7 Morassutto C, Monasta L, Ricci G, Barbone F, Ronfani L. Incidence and estimated prevalence of endometriosis and adenomyosis in northeast Italy: a data linkage study. PLoS One 2016; 11 (04) e0154227
    CrossrefPubMedGoogle Scholar
  • 8 Moen MH, Schei B. Epidemiology of endometriosis in a Norwegian county. Acta Obstet Gynecol Scand 1997; 76 (06) 559-562
    CrossrefPubMedGoogle Scholar
  • 9 Nnoaham KE, Hummelshoj L, Webster P. , et al; World Endometriosis Research Foundation Global Study of Women's Health consortium. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril 2011; 96 (02) 366-373.e8
    CrossrefPubMedGoogle Scholar
  • 10 Ballard KD, Seaman HE, de Vries CS, Wright JT. Can symptomatology help in the diagnosis of endometriosis? Findings from a national case-control study—Part 1. BJOG 2008; 115 (11) 1382-1391
    CrossrefPubMedGoogle Scholar
  • 11 Ferrero S, Arena E, Morando A, Remorgida V. Prevalence of newly diagnosed endometriosis in women attending the general practitioner. Int J Gynaecol Obstet 2010; 110 (03) 203-207
    CrossrefPubMedGoogle Scholar
  • 12 Flores I, Abreu S, Abac S, Fourquet J, Laboy J, Rios-Bedoya C. Self-reported prevalence of endometriosis and its symptoms among Puerto Rican women. Int J Gynaecol Obstet 2008; 100 (03) 257-261
    CrossrefPubMedGoogle Scholar
  • 13 Mirkin D, Murphy-Barron C, Iwasaki K. Actuarial analysis of private payer administrative claims data for women with endometriosis. J Manag Care Pharm 2007; 13 (03) 262-272
    PubMedGoogle Scholar
  • 14 Paris K, Aris A. Endometriosis-associated infertility: a decade's trend study of women from the Estrie region of Quebec, Canada. Gynecol Endocrinol 2010; 26 (11) 838-842
    CrossrefPubMedGoogle Scholar
  • 15 Peterson CM, Johnstone EB, Hammoud AO. , et al; ENDO Study Working Group. Risk factors associated with endometriosis: importance of study population for characterizing disease in the ENDO Study. Am J Obstet Gynecol 2013; 208 (06) 451.e1-451.e11
    CrossrefPubMedGoogle Scholar
  • 16 Mistrangelo M, Gilbo N, Cassoni P. , et al. Surgical scar endometriosis. Surg Today 2014; 44 (04) 767-772
    CrossrefPubMedGoogle Scholar
  • 17 Ichida M, Gomi A, Hiranouchi N. , et al. A case of cerebral endometriosis causing catamenial epilepsy. Neurology 1993; 43 (12) 2708-2709
    CrossrefPubMedGoogle Scholar
  • 18 Sinaii N, Plumb K, Cotton L. , et al. Differences in characteristics among 1,000 women with endometriosis based on extent of disease. Fertil Steril 2008; 89 (03) 538-545
    CrossrefPubMedGoogle Scholar
  • 19 Thibodeau LL, Prioleau GR, Manuelidis EE, Merino MJ, Heafner MD. Cerebral endometriosis. Case report. J Neurosurg 1987; 66 (04) 609-610
    CrossrefPubMedGoogle Scholar
  • 20 Vilos GA, Hollett-Caines J, Abu-Rafea B, Ahmad R, Mazurek MF. Resolution of catamenial epilepsy after goserelin therapy and oophorectomy: case report of presumed cerebral endometriosis. J Minim Invasive Gynecol 2011; 18 (01) 128-130
    CrossrefPubMedGoogle Scholar
  • 21 Maniglio P, Ricciardi E, Meli F, Tomao F, Peiretti M, Caserta D. Complete remission of cerebral endometriosis with dienogest: a case report. Gynecol Endocrinol 2018; 34 (10) 837-839
    CrossrefPubMedGoogle Scholar
  • 22 Sarma D, Iyengar P, Marotta TR, terBrugge KG, Gentili F, Halliday W. Cerebellar endometriosis. AJR Am J Roentgenol 2004; 182 (06) 1543-1546
    CrossrefPubMedGoogle Scholar
  • 23 Mounsey AL, Wilgus A, Slawson DC. Diagnosis and management of endometriosis. Am Fam Physician 2006; 74 (04) 594-600
    PubMedGoogle Scholar
  • 24 Techatraisak K, Hestiantoro A, Ruey S. , et al. Effectiveness of dienogest in improving quality of life in Asian women with endometriosis (ENVISIOeN): interim results from a prospective cohort study under real-life clinical practice. BMC Womens Health 2019; 19 (01) 68
    CrossrefPubMedGoogle Scholar
  • 25 Abdou AM, Ammar IMM, Alnemr AAA, Abdelrhman AA. Dienogest versus leuprolide acetate for recurrent pelvic pain following laparoscopic treatment of endometriosis. J Obstet Gynaecol India 2018; 68 (04) 306-313
    CrossrefPubMedGoogle Scholar
  • 26 Thomas MP, Potter BVL. The structural biology of oestrogen metabolism. J Steroid Biochem Mol Biol 2013; 137: 27-49
    CrossrefPubMedGoogle Scholar
  • 27 Liu Z, Lv X, Wang W. , et al. Imaging characteristics of primary intracranial teratoma. Acta Radiol 2014; 55 (07) 874-881
    CrossrefPubMedGoogle Scholar