Central Neurocytoma Presenting with Progressive Headache: A Case Report and Literature Review
DOI:
https://doi.org/10.58322/stmj.v2i1.16Abstract
Central neurocytoma (CN) is a rare benign brain tumor primarily diagnosed in young patients. It mainly occupies the lateral ventricle and has relatively characteristic imaging features that aid in its diagnosis. This tumor causes obstructive hydrocephalus and manifests with signs of increased intracranial pressure. Herein, we present a case of a 53-year-old female diabetic patient who presented to our neurology clinic with an eight-month history of diffuse progressive headaches. Her headache was associated with nausea but not vomiting. There was no motor or sensory deficits or paresthesia. Likewise, the examination revealed no diplopia, ophthalmoparesis, cranial nerve impairments, or papilledema. Magnetic resonance imaging (MRI) of the brain revealed a heterogeneous intraventricular mass measuring 45x41 mm in size with surrounding mild tissue edema, typical for a central neurocytoma. The patient was referred to the neurosurgery department for surgical removal of the tumor; however, the patient did not consent to surgery. Brain MRI should be done in young patients with a headache that does not have the characteristics of primary headaches.
References
Lee SJ, Bui TT, Chen CH, Lagman C, Chung LK, Sidhu S, et al. Central neurocytoma: a review of clinical management and histopathologic features. Brain tumor research and treatment. 2016 Oct, 4:49-57
Hassan MS, Yücel Y. Central Neurocytoma Presenting Headache and Papilledema: A Case Report. Turk J Neurol. 2021; 27:451-3.
Choudhari KA, Kaliaperumal C, Jain A. Central neurocytoma: a multi-disciplinary review. Br J Neurosurg. 2009; 23:585-95
Park H, Chang SD. Stereotactic radiosurgery for central neurocytoma: a quantitative systematic review. J Neurooncol 2012 May; 108:115-21
Bertalanffy A, Roessler K, Koperek O, Gelpi E, Prayer D, Knosp E. Recurrent central neurocytomas. Cancer. 2005 Jul 1; 104:135–42
VonDeimling A, Janzer R, Kleihues P, Wiestler OD. Patterns of differentiation in central neurocytoma. An immunohistochemical study of eleven biopsies. ActaNeuropathol. 1990; 79:473-9
Patel DM, Schmidt RF, Liu JK. Update on the diagnosis, pathogenesis, and treatment strategies for central neurocytoma. J ClinNeurosci. 2013 Sep; 20:1193–9
Leenstra JL, Rodriguez FJ, Frechette CM, et al. Central neurocytoma: management recommendations based on a 35-year experience. Int J RadiatOncolBiol Phys. 2007; 67:1145–1154
Smith AB, Smirniotopoulos JG, Horkanyne-Szakaly I. From the radiologic pathology archives: intraventricular neoplasms: radiologic-pathologic correlation. Radiographics. 2013 Jan; 33:21-43.
Chen H, Zhou R, Liu J, Tang J. Central neurocytoma. J Clin Neurosci 2012; 19:849-53
Sheikh Hassan M, Sidow NO, Ali Adam B, Gökgül A, Hassan Ahmed F, Ali IH. Epidemiology and Risk Factors of Convulsive Status Epilepticus Patients Admitted in the Emergency Department of Tertiary Hospital in Mogadishu, Somalia. International Journal of General Medicine. 2022 Dec 31:8567-75.
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