Unusual appearance and presentation of supratentorial subependymoma in an adult patient

We report a case of a large, heterogeneously enhancing, pathologically proven, supratentorial subependymoma in a 31-year-old male patient presenting with headache, nausea and vomiting as well as gait disturbances. Although most supratentorial subependymomas have distinctive MR features, our case dem...

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Bibliographic Details
Published in:Journal of radiology case reports 2012-08, Vol.6 (8), p.8-16
Main Authors: Abdel-Aal, Ahmed K, Hamed, Maysoon F, Al Naief, Nasser S, Vattoth, Surjith, Bag, Asim
Format: Article
Language:English
Subjects:
Adult
Cerebral Ventricle Neoplasms - complications
Cerebral Ventricle Neoplasms - diagnosis
Cerebral Ventricle Neoplasms - pathology
Diagnosis, Differential
Gait Disorders, Neurologic - diagnosis
Gait Disorders, Neurologic - etiology
Gait Disorders, Neurologic - pathology
Glioma, Subependymal - complications
Glioma, Subependymal - diagnosis
Glioma, Subependymal - pathology
Headache - diagnosis
Headache - etiology
Headache - pathology
Humans
Magnetic Resonance Imaging
Male
Neuroradiology
Supratentorial Neoplasms - complications
Supratentorial Neoplasms - diagnosis
Supratentorial Neoplasms - pathology
Vomiting - diagnosis
Vomiting - etiology
Vomiting - pathology
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Summary:We report a case of a large, heterogeneously enhancing, pathologically proven, supratentorial subependymoma in a 31-year-old male patient presenting with headache, nausea and vomiting as well as gait disturbances. Although most supratentorial subependymomas have distinctive MR features, our case demonstrated imaging findings that made it indistinguishable from other more aggressive malignant supratentorial intraventricular lesions. It is of paramount importance to consider supratentorial subependymomas in the differential diagnosis of supratentorial lesions, even if their radiological features were atypical.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v6i8.999