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Central neurocytoma with hemorrhagic onset
Surgical Neurology
|March 1, 1995
Summary
Central neurocytoma can cause spontaneous intraventricular hemorrhage. This rare brain tumor should be considered in patients presenting with unexplained hemorrhage or tumors within the ventricles.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Neuropathology
Background:
- Central neurocytoma is a rare, typically benign brain tumor arising from the neuroectoderm.
- Intraventricular hemorrhage (IVH) is a serious condition often associated with vascular malformations or trauma.
- Spontaneous IVH without a clear cause necessitates a thorough diagnostic evaluation.
Observation:
- A 23-year-old male presented with severe headaches two years after an initial intraventricular hemorrhage.
- Magnetic resonance imaging revealed a mixed-intensity mass within the lateral ventricle, causing hydrocephalus.
- Review of prior computed tomography scans showed evidence of both hemorrhage and a ventricular mass dating back two years.
Findings:
- The intraventricular mass was surgically removed in its entirety.
- Histopathological examination confirmed the diagnosis of central neurocytoma.
- The tumor was present and associated with the initial hemorrhage, suggesting a possible causal link.
Implications:
- Central neurocytoma should be included in the differential diagnosis for spontaneous intraventricular hemorrhage.
- Hemorrhagic intraventricular tumors are a potential, albeit rare, cause of IVH.
- Early recognition and diagnosis of central neurocytoma can improve patient outcomes.