Found at Old Age and Continuously Growing WHO Grade II Fourth Ventricle Ependymoma: A Case Report
- Author:
Moowan PARK
1
;
Eun Kyeong HONG
;
Sang Hyen LEE
;
Ho Shin GWAK
Author Information
- Publication Type:Case Report
- Keywords: Ependymoma; Grade II; Fourth ventricle; Elderly
- MeSH: Aged; Brain Stem; Cerebellum; Deglutition; Diagnosis; Ependymoma; Female; Follow-Up Studies; Fourth Ventricle; Gait; Hoarseness; Humans; Magnetic Resonance Imaging; Meals; Nausea; Ovarian Neoplasms; Rehabilitation; Vomiting
- From:Brain Tumor Research and Treatment 2019;7(2):141-146
- CountryRepublic of Korea
- Language:English
- Abstract: A 74-year-old woman presented with a month-long nausea and vomiting, then she could not take a meal. She had found an asymptomatic 4th ventricular mass 6 year ago as a preoperative work-up for ovarian cancer. And during the yearly follow-up, the mass had grown continuously over 6 years, and caused symptoms in the seventh year. MRI revealed a large ovoid extra-axial mass in the fourth ventricle compressing adjacent medulla and cerebellum. Surgery achieved near total resection since the tumor tightly adhered to the brain stem of 4th ventricle floor. The histological diagnosis was ependymoma (WHO grade II). She transferred rehabilitation facility for mild gait disturbance, hoarseness and swallowing difficulty. Fourth ventricle ependymoma in the elderly is extremely rare and the growth rate has not been reported. Here, we present a rare care of 4th ventricle ependymoma found asymptomatic at elderly but continuously grow to cause local pressure symptoms.
