Abdellah Ayoub, Lhamlili Mohammed, Khay Hamid, Rghioui Mounir, Khoulali Mohamed, Moufid Faycal
Department of Neurosurgery, University Hospital Mohammed Vl, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR.
Department of Neurosurgery, Mohammed Vl International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR.
Cureus. 2024 Jul 23;16(7):e65215. doi: 10.7759/cureus.65215. eCollection 2024 Jul.
Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that can occur intraventricularly, presenting diagnostic and management challenges. We describe a case of a 21-year-old male with no significant medical history who presented with intermittent headaches and vomiting, progressing to continuous symptoms. Neurological examination was unremarkable. Brain MRI revealed an isointense lesion in the occipital horn of the left lateral ventricle, diagnosed as an SFT. Surgical excision via a transcortical approach was successful, followed by postoperative radiotherapy. This case highlights the complexities in diagnosing and treating intraventricular SFTs, emphasizing the need for comprehensive evaluation and multimodal management strategies.
孤立性纤维瘤(SFTs)是一种罕见的间叶性肿瘤,可发生于脑室内,给诊断和治疗带来挑战。我们描述了一例21岁男性患者,无重大病史,最初表现为间歇性头痛和呕吐,随后症状持续加重。神经系统检查无异常。脑部磁共振成像(MRI)显示左侧脑室枕角有一个等密度病变,诊断为SFT。通过经皮质入路成功进行了手术切除,术后进行了放疗。该病例突出了脑室内SFT诊断和治疗的复杂性,强调了综合评估和多模式治疗策略的必要性。