Mpairamidis Evriviadis, Alexiou George A, Stefanaki Kalliopi, Sfakianos George, Prodromou Neofytos
Department of Neurosurgery, Children's Hospital Agia Sofia, Athens, Greece.
J Child Neurol. 2009 Apr;24(4):491-4. doi: 10.1177/0883073808324534.
Neurocytomas are relatively rare central nervous system tumors first described in intraventricular sites but increasingly recognized in the brain and spinal cord parenchyma. Herewith, we report a case of a 3-year-old girl with generalized seizures. Computed tomography and magnetic resonance imaging revealed a lesion in the left frontal lobe. Angiography showed minimal vascularity. The tumor was totally excised. Histopathologic examination demonstrated an extraventricular neurocytoma. On follow-up magnetic resonance imaging after 1 year, no evidence of tumor recurrence was noted. Cerebral neurocytomas are histologically low-grade tumors and radical surgery is curative; they should be included in the differential diagnosis of cerebral tumors in children.
神经细胞瘤是相对罕见的中枢神经系统肿瘤,最初在脑室内部位被描述,但越来越多地在脑实质和脊髓中被发现。在此,我们报告一例3岁患全身性癫痫的女孩。计算机断层扫描和磁共振成像显示左额叶有一个病变。血管造影显示血管较少。肿瘤被完全切除。组织病理学检查显示为脑室外神经细胞瘤。在术后1年的随访磁共振成像中,未发现肿瘤复发的迹象。脑神经细胞瘤在组织学上是低级别肿瘤,根治性手术可治愈;它们应被纳入儿童脑肿瘤的鉴别诊断中。