Massive Intratumoral Hemorrhage of Ependymoma of the Fourth Ventricle

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2005 Feb 4

PMID 15690195

Citations 4

Authors

Masaru Honda

Gohei So

Makio Kaminogo

Kuniko Abe

Izumi Nagata

Affiliations

Soon will be listed here.

Abstract

Introduction: Ependymomas of the fourth ventricle usually show slowly progressive neurological deterioration and acute onset resulting from major intratumoral bleeding is very rare.

Case Report: A 16-month-old girl, previously in good health, showed gradual gait disturbance and appetite loss. She was transferred to our hospital because of a large enhanced tumor of the fourth ventricle with mild hydrocephalus. She suddenly lost consciousness on the next day. A computed tomography showed massive intratumoral hemorrhage and acute hydrocephalus. Emergency tumor removal was performed. Histopathological diagnosis was ependymoma.

Discussion: We speculated the mechanism of intratumoral hemorrhage in posterior fossa ependymomas.

Citing Articles

A Unique Pediatric Case of Intratumoral Hemorrhage in a Sporadic Vestibular Schwannoma.

Diyora B, Bhende B, Kotecha N, Mulla M, Dhal G, Nayak N J Pediatr Neurosci. 2019; 14(3):165-168.

PMID: 31649780 PMC: 6798269. DOI: 10.4103/jpn.JPN_44_18.

Posterior fossa pilomyxoid astrocytoma with spontaneous hemorrhage in pediatric patients.

He J, Li X, Zhu W, Li C, Gong J Childs Nerv Syst. 2017; 34(1):149-153.

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Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report.

Mahdavi A, Baradaran N, Nejat F, El Khashab M, Monajemzadeh M J Med Case Rep. 2010; 4:143.

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Successful treatment of intracranial ependymoma with leptomeningeal spread with systemic chemotherapy and intrathecal liposomal cytarabine in a two-year-old child.

Lassaletta A, Perez-Olleros P, Scaglione C, Sirvent S, De Prada I, Perez-Martinez A J Neurooncol. 2007; 83(3):303-6.

PMID: 17245619 DOI: 10.1007/s11060-006-9327-6.

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