Department of Neurosurgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, 160012, India.
Department of Histopathology, PGIMER, Chandigarh, India.
Childs Nerv Syst. 2022 Mar;38(3):655-658. doi: 10.1007/s00381-021-05196-7. Epub 2021 May 4.
Atypical teratoid/rhabdoid tumors (ATRTs) are malignant central nervous system tumors that affect early childhood (< 3 years), and mostly located in the infratentorial space. Owing to an infrequent occurrence, their radiological features have not been completely defined. Nevertheless, these are characteristically intra-axial except for few instances in the cerebellopontine angle region. We describe a case of a 10-year-old boy who harbored an extra-axial, dural-based ATRT in the right parietal region. The lesion was totally excised followed by adjuvant chemo-radiotherapy. At 10-month follow-up, he was well with no recurrence. The report intends to highlight an atypical imaging presentation of ATRT in an older child, and adds to the radiological spectrum. This uncommon pathology should be borne in mind, even in a supratentorial dural-based location.
非典型畸胎样/横纹肌样肿瘤(ATRTs)是一种影响婴幼儿(<3 岁)的恶性中枢神经系统肿瘤,主要位于颅后窝。由于罕见,其放射学特征尚未完全确定。然而,除了少数小脑脑桥角区域的病例外,这些肿瘤通常为脑内轴内肿瘤。我们描述了一例 10 岁男孩,其右侧顶叶存在颅外、硬脑膜基底部 ATRT。病变完全切除后行辅助化疗和放疗。在 10 个月的随访中,他恢复良好,无复发。本报告旨在强调儿童中 ATRT 的非典型影像学表现,并增加了放射学谱。即使在颅上硬脑膜基底部位置,也应注意这种罕见的病理。