Mar 14, 2014

Supratentorial extraventricular anaplastic ependymoma in a child

BMJ Case Reports
Muhammad Faisal KhiljiAsim Qureshi

Abstract

A young child presented to the emergency department of a tertiary care hospital with on and off headache, focal seizures involving the left side of the body, weakness of left upper and lower limbs and vomiting for 2 weeks. Examination showed an alert child with grade 4/5 powers in left upper and lower limbs. Blood investigations were normal. An urgent CT of the brain showed intra-axial mass in the right frontal cerebral cortex, superolateral to the right lateral ventricle. MRI of the brain showed supratentorial extraventricular mass of 5.20 × 3.70 × 3.80 cm, in the right frontal cortex, emitting heterogeneous signals on T1, T2 and fluid-attenuated inversion recovery sequences and impression of astrocytoma, ependymoma or choroid plexus papilloma was made. Complete surgical resection of mass was performed. Histopathology of the mass proved it as WHO grade III anaplastic ependymoma. The child made an uneventful postoperative recovery and radiotherapy was followed.

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Mentioned in this Paper

Anaplastic Ependymoma
Inversion Mutation Abnormality
Brain
Histopathological Aspects
Vomiting
Cancer, Supratentorial
Ependymoma
Chromosome Inversion
RIght Lateral Ventricle Structure
Structure of Broca's Area

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