J Korean Soc Radiol.  2010 Nov;63(5):409-411. 10.3348/jksr.2010.63.5.409.

Glioblastoma Multiforme in the Trigone of the Lateral Ventricle: A Case Report

• Choi SJ
• Choi HY
• Kim HS
• Hwang HY

• KMID: 2097909
• DOI: http://doi.org/10.3348/jksr.2010.63.5.409

Abstract

Glioblastoma multiforme (GBM) within the lateral ventricle is relatively rare and it is predominantly found in the frontal horn or body of the ventricle. It is highly unusual to find a GBM in the trigone of the lateral ventricle. We present here a very rare location of a GBM (the trigone of the lateral ventricle).

MeSH Terms

Animals
Glioblastoma
Horns
Lateral Ventricles

Figure

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  Fig. 1 A 41-year-old man presenting with an episode of headache, nausea and vomiting for three days prior to visit. A. Non-contrast CT shows a poorly defined heterogeneous high attenuated mass within trigone of left lateral ventricle. At axial (B) T2 - & (C) T1-weighted MR images shows heterogeneous signal intensity mass within trigone of left lateral ventricle with local expansion of the ventricle. Mass shows hyperintensity, compared with gray matter on T2 - & T1-weighted MR images. D. Axial gadolinium-enhanced T1-weighted MR images demonstrate a minimally enhancing mass within trigone of left lateral ventricle. Non enhancing hyper and hypointense lesion on T2WI and T1WI within tumor is possibility of intratumoral necrosis (black arrow).

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  Fig. 2 The mass shows multiple bizarre cells with plump eosinophilic cytoplasm and frequent necrosis (black arrows). (Hematoxylin & eosin stain, × 100)

Reference

1. Kleihues P CW. Pathology and genetics of tumors of the nervous system. Lyon: IARC Press;2000.

2. Kim YJ, Lee SK, Cho MK. Intraventricular glioblastoma multiforme with previous history of intracerebral hemorrhage : a case report. J Korean Neurosurg Soc. 2008; 44:405–408.

3. Park P, Choksi VR, Gala VC, Kaza AR, Murphy HS, Ramnath S. Well-circumscribed, minimally enhancing glioblastoma multiforme of the trigone: a case report and review of the literature. AJNR Am J Neuroradiol. 2005; 26:1475–1478.

4. Pendl G, Ozturk E, Haselsberger K. Surgery of tumours of the lateral ventricle. Acta Neurochir (Wien). 1992; 116:128–136.

5. Hambly NM, Farrell MA, Scanlon TG, McErlean A, Kavanagh EC. Case report. Glioblastoma multiforme presenting as a haemorrhagic minimally enhancing mass of the trigone. Br J Radiol. 2009; 82:E204–E207.

6. Duong H, Sarazin L, Bourgouin P, Vezina JL. Magnetic resonance imaging of lateral ventricular tumours. Can Assoc Radiol J. 1995; 46:434–442.

7. Andoh T, Shinoda J, Miwa Y, Hirata T, Sakai N, Yamada H, et al. Tumors at the trigone of the lateral ventricle--clinical analysis of eight cases. Neurol Med Chir (Tokyo). 1990; 30:676–684.

8. Tien RD. Intraventricular mass lesions of the brain: CT and MR findings. AJR Am J Roentgenol. 1991; 157:1283–1290.

9. Morrison G, Sobel DF, Kelley WM, Norman D. Intraventricular mass lesions. Radiology. 1984; 153:435–442.