一例独特的 12 岁女孩中央神经细胞瘤并发脑动静脉畸形病例及长期随访和文献综述

IF 0.4 Q4 CLINICAL NEUROLOGY

Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2024-02-01 DOI:10.1016/j.inat.2024.101962

Abbas Amirjamshidi , Kazem Abbasioun , Seyed Babak Ghasemi

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引用次数: 0

摘要

背景中枢神经细胞瘤（CNCy）是一种极为罕见的脑肿瘤，多发于青壮年脑室内。中枢神经细胞瘤与其他脑部病变同时发生的病例已有报道，但据我们所知，没有一个病例同时伴有脑动静脉畸形：病例介绍：一名 12 岁女孩出现颅内压增高症状。病例介绍：一名 12 岁的女孩出现颅内压增高的症状，多囊 CNCy 起源于中线的室间隔，扩展至侧脑室和第三脑室，回到切口和幕下-小脑幕上蓄水池，同时伴有左额叶旁 AVM。肿瘤被成功切除，脑积水通过脑室腹腔分流得到控制。7 年后，动静脉畸形出血，经手术切除。结论我们介绍了第一例 12 岁女孩 CNCy 并发脑动静脉畸形的病例，随访超过 10 年。

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A unique case of Central Neurocytoma and concomitant brain AVM in a 12-year-old girl with long term follow up and review of the literature

Background

Central Neurocytoma (CNCy) is an exceedingly rare brain tumor occurring within the ventricles in young adults. Anecdotal cases of CNCy occurring simultaneously with other brain lesions have been reported but to the best of our knowledge, no one was accompanied by brain AVM.

Case presentation: A 12-year-old girl presented with signs of increased intracranial pressure. A multi-bleb CNCy originated from the septum in the midline, expanding to the lateral and third ventricles, back to the incisura and infratentorial- supra-cerebellar cistern concomitant with a left frontal parafalx AVM. The tumor excised successfully, and hydrocephalus controlled by ventriculoperitoneal shunting. The AVM bled after 7 years and was removed surgically. She is tumor free after 10 years.