18Feb 2017

INTRAVENTRCULAR CENTRAL NEUROCYTOMA- A NEUROSURGICAL ENIGMA.

  • Department of Neurosuregry; B.J.Medical College and Civil Hospital, Ahmedabad.380016 .Gujarat, India.
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Introduction:Almost 30 years after recognition as histologically distinct tumors, neurocytomas remain enigmatic. Central neurocytomas are rare intraventricular tumors that arise from neuronal cells of septum pellucidum and represent 0.1-0.5% of primary brain tumors. Although they are relatively benign tumors, they have been classified as who grade 2 tumors. Materials and methods: Here we are reporting 2 cases of this rare enigmatic entity. Case 1: 25 year old female presented with headache, vomiting, giddiness and transient blurring of vision since 1 month.OnMRI ,lesion was in frontal horn of left lateral ventricle.Patient was operated by trans-cortical transventricular approach and tumor was excised.Histopathology sections revealed features of central neurocytoma. Patient had no recurrence at the end of 12 month follow-up. Case 2: 38 year old male presented with headache, frequent falls, decreased vision and vomiting since 2 months. MRI studies revealed solid cystic lesion in the body of right lateral ventricle .Shunt surgery was performed and followed by trans-cortical transventricular excision of tumor.Histopathology showed features of central neurocytoma with some degree of anaplasia.This patients underwent radio-therapy and there was no recurrence of the tumor at the end of 1.5 year follow-up. Conclusion: Central neurocytomas are rare entities and are classified as WHO grade 2 tumors. Early diagnosis and treatment are imperative as patients with these neoplasms are potentially salvageable.

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[Vijaykumar S. Shabadi, Harshil C. Shah ,Jaimin K. Shah (2017); INTRAVENTRCULAR CENTRAL NEUROCYTOMA- A NEUROSURGICAL ENIGMA. Int. J. of Adv. Res. 5 (Feb). 861-867] (ISSN 2320-5407). www.journalijar.com

DR VIJAYKUMAR S SHABADI. MS, MCh (NEUROSURGERY)
B J MEDICAL COLLEGE AND CIVIL HOSPITAL, AHMEDABAD, GUJARAT, INDIA

DOI:

Article DOI: 10.21474/IJAR01/3227      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3227

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