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Central neurocytoma with craniospinal dissemination
Kumiko Ando1, Reiichi Ishikura, Tsutomu Morikawa
1Department of Radiology, Hyogo College of Medicine, Mukogawa-cho, Nishinomiya, Hyogo 664-8501, Japan. k-an@hyo-med.ac.jp
Summary
Central neurocytoma recurrence with craniospinal dissemination is reported. This rare central neurocytoma case highlights aggressive tumor behavior and spread following initial treatment.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Neuroradiology
Background:
- Central neurocytoma is a rare, typically slow-growing tumor originating in the brain.
- Understanding its recurrence patterns is crucial for patient management.
Observation:
- A case presented with a posterior right lateral ventricle tumor showing enhancement, cysts, and calcification.
- Proton MR spectroscopy revealed elevated choline and lactate with diminished N-acetylaspartate.
Findings:
- The central neurocytoma recurred two years post-surgery.
- Tumor recurrence involved extensive craniospinal dissemination.
Implications:
- This case underscores the potential for aggressive behavior and widespread dissemination in central neurocytoma.
- Advanced imaging and spectroscopy are vital for diagnosis and monitoring recurrence.