J Korean Neurosurg Soc.  2007 Jul;42(1):56-58.

A Case of Pineal Ependymoma

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. tarheelk@hanmail.net

Abstract

A 64-year-old man was admitted to our hospital in semicomatous consciousness. Brain computed tomography scans demonstrated 2.6 x 2.5 cm sized hyperdense mass in the pineal region with multiple punctate calcifications and hydrocephalus. Brain magnetic resonance imaging demonstrated a pineal mass which was heterogeneously enhanced with gadolinium. After external ventricular drainage, the patient regained consciousness. The mass was totally removed via occipital transtentorial approach. No consequent ventricular shunt was needed and the patient recovered without any neurological deficit. Final pathologic report of the tumor was ependymoma.

Keyword

Pineal tumors; Ependymoma; Surgery; Occipital; Transtentorial approach

MeSH Terms

Brain
Consciousness
Drainage
Ependymoma*
Gadolinium
Humans
Hydrocephalus
Magnetic Resonance Imaging
Middle Aged
Pinealoma
Gadolinium
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