Central neurocytoma presenting with massive hemorrhage leading to coma--case report.

Abstract:

:A 21-year-old man presented with a hemorrhagic central neurocytoma manifesting as acute onset of disturbance of consciousness and right hemiparesis. Computed tomography (CT) demonstrated a tumor in the left lateral ventricle during the course of evaluation for mental alteration 12 days before onset, but the tumor was left untreated because the patient refused to visit a neurosurgical institution. CT on admission revealed a large mass lesion located in the body of the lateral ventricle associated with massive intratumoral and intraventricular hemorrhage. He underwent emergent surgery for evacuation of the tumor with hematoma, and his neurological symptoms gradually recovered after surgery. The present case highlights the possibility of rapid deterioration of symptoms by massive hemorrhage from central neurocytoma. Surgical intervention should thoroughly be considered, if intratumoral hemorrhage is present, as hemorrhage from the central neurocytoma may lead to serious neurological complications.

authors

Terakawa Y,Tsuruno T,Ishibashi K,Okada Y,Shimotake K,Murata T

doi

10.2176/nmc.50.139

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

139-43

issue

2

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/50.139

journal_volume

50

pub_type

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