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Malignant epidermoid arising from the third ventricle: A case report

Samadhan Pawar1, Chaitanya Borde2, Atul Patil2

  • 1Department of Radiodiagnosis, HCG Manavata Cancer Centre, Nashik 422011, Maharashtra, India. academics@manavatacancercentre.com.

World Journal of Radiology
|June 18, 2019
PubMed
Abstract

Insights

Malignant epidermoid tumors of the third ventricle are rare and challenging to diagnose. Advanced imaging techniques like computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for accurate detection and characterization.

Area of Science:

  • Neuro-oncology
  • Radiology

Background:

  • Epidermoid tumors are rare intracranial neoplasms.
  • Third ventricle tumors present diagnostic challenges due to their location and appearance.

Observation:

  • A 48-year-old male presented with vomiting, headache, and involuntary micturition.
  • Imaging revealed a large, lobulated, septated mass in the third ventricle.

Findings:

  • Computed tomography (CT) showed minimal perilesional enhancement.
  • Magnetic resonance imaging (MRI) identified a T2 hyperintense lesion measuring 73 mm × 65 mm × 64 mm.
  • Diagnosis confirmed as a malignant epidermoid cyst of the third ventricle.

Implications:

  • Multimodality imaging, including CT and MRI, is essential for diagnosing rare third ventricle tumors.
  • Accurate diagnosis impacts treatment planning and patient prognosis.
  • This case highlights the utility of advanced imaging in identifying complex intracranial lesions.
Keywords:
Case reportEpidermoidMagnetic resonance imagingThird ventricle

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