Thoma Constantinos, McKenna Gráinne
Barts & The London School of Medicine & Dentistry, London E1 2AD, UK.
Neurosurgical Department, Royal London Hospital, London E1 1FR, UK.
J Surg Case Rep. 2023 Apr 28;2023(4):rjad235. doi: 10.1093/jscr/rjad235. eCollection 2023 Apr.
We report a case of an intraventricular ganglioglioma in a 23-year-old male. The patient presented with a 3-day history of headache and vomiting. Preoperative brain imaging revealed a calcified lesion within the trigone of the right lateral ventricle, with irregular enhancement, causing entrapment of the temporal horn of the lateral ventricle. At surgery, the lesion was haemorrhagic, easily friable and exhibited evidence of a previous recent haemorrhage. Histological and immunohistochemical studies showed a ganglioglioma with World Health Organisation Grade 1 characteristics. Gangliogliomas of the central nervous system are uncommon, and rarely occur in the lateral ventricle.
我们报告一例23岁男性的脑室内神经节胶质瘤。患者有3天的头痛和呕吐病史。术前脑部影像学检查显示右侧侧脑室三角区内有一个钙化病灶,有不规则强化,导致侧脑室颞角受压。手术中,病灶有出血,质地脆,并有近期出血的迹象。组织学和免疫组化研究显示为具有世界卫生组织1级特征的神经节胶质瘤。中枢神经系统的神经节胶质瘤并不常见,很少发生在侧脑室。