Ohmura Tadahiro, Tsugu Hitoshi, Iwaasa Mitsutoshi, Utsunomiya Hidetsuna, Fukushima Takeo, Inoue Tooru
Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Neurol Med Chir (Tokyo). 2010;50(10):933-5. doi: 10.2176/nmc.50.933.
A 62-year-old woman presented with a rare case of subependymoma associated with prominent Rosenthal fibers located in the left lateral ventricle manifesting as right hemiparesis and mild motor aphasia. The tumor was well demarcated and consisted of clusters of round nuclei embedded in an abundant gliofibrillary matrix with some microcysts and prominent Rosenthal fibers. Immunohistochemically, the tumor stained positively for glial fibrillary acidic protein and negatively for synaptophysin. This case of subependymoma containing Rosenthal fiber formation is very unusual.
一名62岁女性患者,出现了一例罕见的室管膜下瘤,伴有位于左侧脑室的显著罗森塔尔纤维,表现为右侧偏瘫和轻度运动性失语。肿瘤边界清晰,由嵌入丰富神经胶质纤维基质中的圆形细胞核簇组成,伴有一些微囊肿和显著的罗森塔尔纤维。免疫组化显示,肿瘤胶质纤维酸性蛋白染色阳性,突触素染色阴性。这例含有罗森塔尔纤维形成的室管膜下瘤非常罕见。