Abstract
Central neurocytoma (CN) is slow-growing rare intraventricular tumor that represents 0.25-0.5% of all intracranial tumors in adults. Typically, it is seen in young adults, yet with surgical resection, it has excellent prognosis. Due to CN rarity and its feature similarities with other common tumors, misdiagnosis can be an issue. With no pathognomonic clinical features of CN, a proper diagnosis can be achieved by radiological imaging, magnetic resonance spectroscopy, histopathology assessment, and immunohistochemistry. Therefore, this is a case report of a 17-year-old male who presented with right lateral ventricular CN with intraventricular hemorrhage. Subtotal tumor resection was carried out via right transcortical approach. Subtle improvement for the patient condition was noted.
Highlights
Central neurocytoma (CN) is a benign tumor with an intraepithelial location arising from germinal matrix cells in the septum pellucidum or the periventricular region
CN is typically deeply seated in midline structures, most commonly in the frontal horn of the lateral ventricle adjacent to foramen of Monro and attached to septum pellucidum which might extend to the third ventricle [11, 13, 15]
Intratumoral hemorrhage is a useful indicator to differentiate CN from other intraventricular tumors which are less likely to bleed, the patient in this case report presented with symptoms of hydrocephalus and intraventricular hemorrhage (IVH) with 3 days onset of severe headache accompanied by nausea, vomiting, and decrease level of consciousness [20]
Summary
Central neurocytoma (CN) is a benign tumor with an intraepithelial location arising from germinal matrix cells in the septum pellucidum (near foramina of Monro) or the periventricular region It is one of the rarest central nervous system neoplasms compromising 0.25-0.5% of all primary brain tumors which was first described in the 1980s by Hassoun et al and graded as WHO grade II [1, 2]. An adjuvant treatment is indicated in cases where complete resection is not possible such as radiation therapy [5, 6]. This is a case report of a CN with rare severe presentation and radiological findings in a 17-year-old male
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
