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首页> 外文期刊>Journal of International Medical Research >Rosette-forming Glioneuronal Tumour of the Fourth Ventricle with Previous Intratumoural Haemorrhage: Case Report and Review of the Literature
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Rosette-forming Glioneuronal Tumour of the Fourth Ventricle with Previous Intratumoural Haemorrhage: Case Report and Review of the Literature

机译：先前有瘤内出血的第四心室形成玫瑰花结的神经胶质神经元肿瘤：病例报告和文献复习

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摘要

The case is reported of a rosette-forming glioneuronal tumour of the fourth ventricle (RGTFV) in a 27-year-old male. Symptoms included headache, severe vomiting and clumsy walking that had progressively worsened over 14 days. Computed tomography and magnetic resonance imaging indicated a 3.0 × 2.5 × 2.0 cm solid-cystic mass in the fourth ventricle and obstructive hydrocephalus. The tumour showed evidence of previous intra-tumour haemorrhage, with heterogeneous enhancement after contrast administration. Complete excision of the lesion was performed. Signs of previous intra-tumoural haemorrhage were seen intra-operatively. The detailed clinical, radiological and pathological features in this patient are described and compared with existing literature on this type of tumour. Despite benign histological features and a reported favourable post-operative course, there is still limited clinical experience with this type of tumour, however intratumoural haemorrhage may result in morbidity and mortality. This report will help provide better characterization of this entity, improving the diagnosis and potentially reducing mortality in RGTFV.
机译：该病例报道了一名27岁男性的第四脑室形成玫瑰花结的神经胶质瘤（RGTFV）。症状包括头痛，剧烈呕吐和笨拙的行走，在14天内逐渐恶化。计算机体层摄影和磁共振成像显示在第四脑室和阻塞性脑积水中有3.0×2.5×2.0 cm的固态囊肿。肿瘤显示先前有肿瘤内出血的证据，对比剂给药后异质性增强。病变完全切除。术中可见先前的肿瘤内出血迹象。描述了该患者的详细临床，放射学和病理学特征，并将其与有关这种类型肿瘤的现有文献进行了比较。尽管有良性的组织学特征和良好的术后病程，但这种类型的肿瘤的临床经验仍然有限，但是肿瘤内出血可能会导致发病和死亡。该报告将有助于对该实体进行更好的表征，改善诊断并可能降低RGTFV的死亡率。

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