Turkish Neurosurgery 2009 , Vol 19 , Num 1
Intraventricular Dysembryoplastic Neuroepithelial Tumor-Like Neoplasm with Disseminated Spinal Tumor
Burçak BİLGİNER1, Figen SÖYLEMEZOĞLU2, Ayşenur CİLA3, Nejat AKALAN4
1,4Hacettepe University School of Medicine, Department of Neurosurgery, Ankara, Turkey
2Hacettepe University School of Medicine, Department of Pathology, Ankara, Turkey
3Hacettepe University School of Medicine, Department of Radiology, Ankara, Turkey
Dysembryoplastic neuroepithelial tumor (DNT)- like lesions arise in extracortical locations and behave in a benign fashion similar to that of cortical DNTs. They usually come to attention by symptoms and signs of increased intracranial pressure rather than focal neurological impairment. Here we report a case of 9-year-old boy with a complaint of headache and back pain. A third ventricular mass lesion with disseminated spinal tumor was detected on his magnetic resonance imaging. The presence of floating neurons in a mucinous matrix, oligodendrocyte-like cells (OLCs) aligning axonal columns and vessels, immunohistochemical profile of the neoplasm in addition to the clinical and radiological manifestations of the patient led to the diagnosis of “DNT-like neoplasm of the third ventricle”. Keywords : Dysembryoplastic neuroepithelial tumor, Spinal seeding, Brain tumor
Corresponding author : Burçak Bilginer, burcak@tr.net