Atypical teratoid-rhabdoid tumor spreading along the trigeminal nerve.

Abstract:

:We here describe the case of a boy with an atypical teratoid-rhabdoid tumor (ATRT) of the 4th ventricle at 1 year of age and a local tumor recurrence at 19 months of age. Due to brainstem infiltration, only incomplete tumor resection was possible each time. High-dose chemotherapy, stem cell transplantation and irradiation resulted in complete tumor remission on a control MRI. At 8 years of age, another tumor appeared extending from the cerebellopontine angle along the right trigeminal nerve through Meckel's cave into the cavernous sinus. The trigeminal tumor was not in continuity with the primary ATRT but was located within the field of prior irradiation, neuroradiologically mimicking a schwannoma or a meningioma. The origin of the trigeminal tumor as a late metastasis of the former ATRT or as a less likely irradiation-induced secondary ATRT and the operative approach are discussed.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Beschorner R,Mittelbronn M,Koerbel A,Ernemann U,Thal DR,Scheel-Walter HG,Meyermann R,Tatagiba M

doi

10.1159/000092366

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

258-63

issue

4

eissn

1016-2291

issn

1423-0305

pii

92366

journal_volume

42

pub_type

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