An Uncommon Cause of Headache

Abstract

A 45 year old male presented with chronic headache for the last six months, with recent aggravation. The headache was holocranial in nature and not associated with vomiting, aura or any other neurological complaints. On examination, he had no neurological deficit. Contrast enhanced Magnetic Resonance Imaging (MRI), was performed which revealed features suggestive of intraventricular neurocytoma with intraventricular hemorrhage (Figs. 1-​-3).3). He underwent gross total excision of tumor after frontal craniotomy and through anterior transcallosal approach. Histopathology suggested a diagnosis of neurocytoma WHO grade II. Figure 1a Axial T1 weighted image of the brain revealed a mass lesion in right lateral ventricle with heterogeneous signal intensity and hyperintensity in the frontal horn of right lateral ventricle suggesting intraventricular hemorrhage. Figure 3 Axial T1 weighted contrast enhanced MR image of the brain revealed heterogeneous enhancement of the mass lesion.