Rapidly Enlarging Pediatric Cortical Ependymoma.
10.3340/jkns.2015.57.6.487
- Author:
Kouji YAMASAKI
1
;
Kiyotaka YOKOGAMI
;
Shinji YAMASHITA
;
Hideo TAKESHIMA
Author Information
1. Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan. kouji_yamasaki@med.miyazaki-u.ac.jp
- Publication Type:Case Report
- Keywords:
Supratentorial cortical ependymoma;
Seizure;
Tumor progression
- MeSH:
Child;
Diagnosis;
Diagnosis, Differential;
Ependymoma*;
Humans;
Magnetic Resonance Imaging;
Male;
Rabeprazole;
Seizures
- From:Journal of Korean Neurosurgical Society
2015;57(6):487-490
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a 10-year-old boy with supratentorial cortical ependymoma that rapidly grew in the course of 3 years. He suffered generalized seizures when he was 5 years old; MRI showed a small cortical lesion in the right postcentral gyrus. MRI performed 2 years later revealed no changes. For the next 3 years he was free of seizures. However, at the age of 10 he again suffered generalized seizures and MRI disclosed a large parietal tumor. It was resected totally and he remains free of neurological deficits. The histopathological diagnosis was ependymoma. Pediatric supratentorial cortical ependymomas are extremely rare. We recommend including cortical ependymoma as a differential diagnosis in pediatric patients with cortical mass lesions presenting with seizures and careful follow-up even in the absence of symptoms because these tumors may progress.