Supratentorial Malignant Ependymoma in Childhood: 16 Years Without Relapse After Hemispherectomy

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2004 Apr 20

PMID 15095106

Authors

R Ahmadi

H P Schmitt

S Kunze

H H Steiner

Affiliations

Soon will be listed here.

Abstract

Introduction: Malignant intracranial ependymomas in childhood have a poor prognosis, supratentorial ependymomas have the poorest clinical course with a survival rate after 5 years of 45%. The most important prognostic factor in these cases is a radical operation, which cannot usually, however, prevent relapse.

Case Report: We demonstrate the case of a large malignant ependymoma of the left cerebral hemisphere in a child who has so far lived for 16 years without relapse after an extensive but uncomplicated left-sided hemispherectomy. The patient has also shown an improvement in her preoperative neurologic deficits. Her epilepsy, which was difficult to manage preoperatively, has been completely eliminated. She went to a special school for handicapped children and now works there. She does not need any help in handling everyday activities.

Conclusion: This case shows the significance of complete tumor resection in malignant ependymomas, which may, under certain circumstances, lead to lasting tumor control.

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