Central neurocytoma presenting with bleed and obstructive hydrocephalus: A rare presentation

Mustafa Chandshah; Nishanth Sadashiva; Subhas Konar; Bhagavatula Devi

doi:10.4103/ajns.AJNS_84_19

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 919-921
DOI: 10.4103/ajns.AJNS_84_19

Case Report

Central neurocytoma presenting with bleed and obstructive hydrocephalus: A rare presentation

Autor*innen

Mustafa Chandshah

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
Nishanth Sadashiva

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
Subhas Konar

¹Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
Bhagavatula Devi

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka

Abstract

Central neurocytomas (CNs) occur typically in the lateral ventricle, adjacent to the septum pellucidum and foramen of Monro. The clinical presentation varies and many are incidentally detected. Incidence of spontaneous hemorrhage at presentation is rare. We hereby report a case of the intraventricular lesion with bleed which was operated on an emergency basis as it caused obstructive hydrocephalus and the patient was in altered sensorium. The exact cause of hemorrhage in CNs is not known, and the previously discussed explanations are discussed.

Key-words:

Central neurocytoma - hydrocephalus - neurosurgery

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Referenzen

References
1 Hassoun J, Gambarelli D, Grisoli F, Pellet W, Salamon G, Pellissier JF, et al. Central neurocytoma. An electron-microscopic study of two cases. Acta Neuropathol 1982;56:151-6.
2 Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, et al. The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 2007;114:97-109.
3 Agrawal P, Gupta K, Sodhi HB. Extraventricular neurocytoma: An uncommon tumor in a young boy. A review of literature. Neurol India 2017;65:202-5.
4 Lee SJ, Bui TT, Chen CH, Lagman C, Chung LK, Sidhu S, et al. Central neurocytoma: A review of clinical management and histopathologic features. Brain Tumor Res Treat 2016;4:49-57.
5 Gunawat PV, Patil SS, Karmarkar VS, Deopujari CE. Intraventricular hemorrhage – Unusual presentation of central neurocytoma. Neurol India 2014;62:691-3.
6 Chen CL, Shen CC, Wang J, Lu CH, Lee HT. Central neurocytoma: A clinical, radiological and pathological study of nine cases. Clin Neurol Neurosurg 2008;110:129-36.
7 Wang M, Zhou P, Zhang S, Liu X, Lv L, Wang Z, et al. Clinical features, treatment, and long-term outcomes of central neurocytoma: A 20-year experience at a single center. World Neurosurg 2018;109:e59-66.
8 Barani IJ, Raleigh DR, Larson D. The management of central neurocytoma: Radiotherapy. Neurosurg Clin N Am 2015;26:45-56.
9 Liwnicz BH, Wu SZ, Tew JM Jr. The relationship between the capillary structure and hemorrhage in gliomas. J Neurosurg 1987;66:536-41.
10 Smets K, Salgado R, Simons PJ, De Clercq R, De Smedt K, Cras P, et al. Central neurocytoma presenting with intraventricular hemorrhage: Case report and review of literature. Acta Neurol Belg 2005;105:218-25.
11 Nishibayashi H, Uematsu Y, Terada T, Itakura T. Neurocytoma manifesting as intraventricular hemorrhage – Case report. Neurol Med Chir (Tokyo) 2006;46:41-5.
12 Vates GE, Arthur KA, Ojemann SG, Williams F, Lawton MT. A neurocytoma and an associated lenticulostriate artery aneurysm presenting with intraventricular hemorrhage: Case report. Neurosurgery 2001;49:721-5.